{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T11:57:26Z","timestamp":1793793446269,"version":"4.6.1"},"reference-count":38,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>ABSTRACT Objective: To analyze the coverage of MMR and polio vaccines, the temporal trend and spatial dependence, in children up to one year of age in Brazil, between 2011 and 2021. Methods: Ecological study with secondary data on vaccination coverage rates, made available by the National Immunization Program Information System. Trend analysis was carried out using the joinpoint method, according to geographic regions, estimating the annual percentage change (APC) and its respective confidence interval (95%CI). Choropleth maps of distribution by health region were constructed and, subsequently, the spatial dependence was verified using Moran's statistics. Results: Between 2011 and 2021, vaccination coverage declined in Brazil, both for MMR (APC: \u22126.4%; 95%CI \u22129.0; \u22123.8) and for poliomyelitis (APC: \u22124. 5%; 95%CI \u22125.5; \u22123.6). There was a decline in coverage of both vaccines in all geographic regions over the years of the study, except in the South and Midwest for the MMR vaccine. Since 2015, few health regions in the country have achieved adequate vaccination coverage (\u226595.0% to &lt;120.0%). The North and Northeast health regions showed low-low clusters in the univariate analysis for both immunobiological. Conclusions: It is urgent to consider studies like this one for the planning of more effective strategies for immunizing children, especially in areas with higher falls. In this way, barriers to access to immunization can be broken, given Brazil's heterogeneity, and access to reliable information that increases confidence in vaccine efficacy can be expanded.<\/jats:p>","DOI":"10.1590\/1980-549720230047","type":"journal-article","created":{"date-parts":[[2023,10,20]],"date-time":"2023-10-20T08:16:33Z","timestamp":1697789793000},"source":"Crossref","is-referenced-by-count":8,"title":["Vaccination coverage of triple viral and poliomyelitis in Brazil, 2011-2021: temporal trend and spatial dependency"],"prefix":"10.1590","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2542-1488","authenticated-orcid":false,"given":"Isadora Gabriella Silva","family":"Palmieri","sequence":"first","affiliation":[{"name":"Universidade Estadual de Maring\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9582-9641","authenticated-orcid":false,"given":"Lucas Vin\u00edcius de","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Maring\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0289-8219","authenticated-orcid":false,"given":"Gabriel","family":"Pavinati","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Maring\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9664-2523","authenticated-orcid":false,"given":"Jos\u00e9 Arthur Paschoalotto","family":"Silva","sequence":"additional","affiliation":[{"name":"Faculdade das Ind\u00fastrias, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6607-362X","authenticated-orcid":false,"given":"Sonia Silva","family":"Marcon","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Maring\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8601-5884","authenticated-orcid":false,"given":"Ana Paula Sayuri","family":"Sato","sequence":"additional","affiliation":[{"name":"Universidade de S\u00e3o Paulo, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3318-6748","authenticated-orcid":false,"given":"Gabriela Tavares","family":"Magnabosco","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Maring\u00e1, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2023]]},"reference":[{"key":"ref1","article-title":"46 anos do Programa Nacional de Imuniza\u00e7\u00f5es: uma hist\u00f3ria repleta de conquistas e desafios a serem superados","volume":"36","author":"Domingues CMAS","year":"2020","journal-title":"Cad Sa\u00fade 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Fatos e n\u00fameros. Fam\u00edlias e filhos no Brasil. 2019 [Internet]"},{"key":"ref30","series-title":"Secretaria de Aten\u00e7\u00e3o Prim\u00e1ria \u00e0 Sa\u00fade. Programa Bolsa Fam\u00edlia [Internet]","year":"2023"},{"issue":"3","key":"ref31","doi-asserted-by":"crossref","DOI":"10.1590\/s1679-49742021000300010","article-title":"Cobertura vacinal em crian\u00e7as de at\u00e9 2 anos de idade benefici\u00e1rias do Programa Bolsa Fam\u00edlia, Brasil","volume":"3","author":"Barcelos RS","year":"2021","journal-title":"Epidemiol Serv Sa\u00fade"},{"key":"ref32","series-title":"Secretaria de Vigil\u00e2ncia em sa\u00fade. Departamento de Imuniza\u00e7\u00e3o e Doen\u00e7as Transmiss\u00edveis. Coordena\u00e7\u00e3o-geral do Programa Nacional de Imuniza\u00e7\u00f5es. Informe t\u00e9cnico. Campanha nacional de multivacina\u00e7\u00e3o para atualiza\u00e7\u00e3o da caderneta de vacina\u00e7\u00e3o da crian\u00e7a e do adolescente. 2021 [Internet]"},{"key":"ref33","series-title":"Minist\u00e9rio da Sa\u00fade promove \u201cDia D\u201d contra poliomielite e multivacina\u00e7\u00e3o [Internet]","year":"2022"},{"key":"ref34","series-title":"MS bate meta de tr\u00eas importantes vacinas que combatem tuberculose, pneumonia e meningite, diz estudo da Fiocruz [Internet]","author":"Lima R","year":"2022"},{"issue":"3","key":"ref35","first-page":"969","article-title":"Impact of the COVID-19 pandemic on the vaccination of children 12 months of age and under: an ecological study","volume":"27","author":"Procianoy GS","year":"2022","journal-title":"Cienc Saude Colet"},{"issue":"2","key":"ref36","doi-asserted-by":"crossref","DOI":"10.5123\/S1679-49742020000200020","article-title":"A distribui\u00e7\u00e3o espacial e a tend\u00eancia temporal de recursos humanos para o Sistema \u00danico de Sa\u00fade e para a Sa\u00fade Suplementar, Brasil, 2005 a 2016","volume":"29","author":"Campoy LT","year":"2020","journal-title":"Epidemiol Serv Sa\u00fade"},{"issue":"6","key":"ref37","article-title":"Perigo do movimento antivacina: an\u00e1lise epidemio-liter\u00e1ria do movimento antivacina\u00e7\u00e3o no Brasil","volume":"12","author":"Beltr\u00e3o RPL","year":"2020","journal-title":"REAS"},{"key":"ref38","doi-asserted-by":"crossref","DOI":"10.1590\/s1980-220x2020028303736","article-title":"Fake news sobre vacinas: uma an\u00e1lise sob o modelo dos 3Cs da Organiza\u00e7\u00e3o Mundial da Sa\u00fade","volume":"55","author":"Frugoli AG","year":"2021","journal-title":"Rev Esc Enferm USP"}],"container-title":["Revista Brasileira de Epidemiologia"],"original-title":["Cobertura vacinal da tr\u00edplice viral e poliomielite no Brasil, 2011-2021: tend\u00eancia temporal e depend\u00eancia espacial"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S1415-790X2023000100442&tlng=en","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,31]],"date-time":"2024-10-31T10:06:35Z","timestamp":1730369195000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1415-790X2023000100442&tlng=en"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023]]},"references-count":38,"alternative-id":["S1415-790X2023000100442"],"URL":"https:\/\/doi.org\/10.1590\/1980-549720230047","relation":{"is-translation-of":[{"id-type":"doi","id":"10.1590\/1980-549720230047.2","asserted-by":"subject"},{"id-type":"doi","id":"10.1590\/1980-549720230047.2","asserted-by":"object"}]},"ISSN":["1980-5497","1415-790X"],"issn-type":[{"value":"1980-5497","type":"electronic"},{"value":"1415-790X","type":"print"}],"subject":[],"published":{"date-parts":[[2023]]},"article-number":"e230047"}}