Users' perception of hesitancy and delay in vaccination in Primary Health Care
DOI:
https://doi.org/10.26694/repis.v9i1.3010Keywords:
Primary Health Care, Immunization Programs, Users, VaccinationAbstract
Introduction: Vaccination is an extremely important and necessary act from the beginning of a human being's life. Aim: Unveil users' perception of the reasons for hesitancy and delay in vaccination. Outlining: This is an exploratory-descriptive study with a qualitative approach, through the application of a semi-structured interview with users (51) of the Basic Health Units (UBS) in the city of Tianguá – CE, data collection was carried out between November and December 2021, the interviews were transcribed, Bardin's content analysis technique (2016) was used to organize data and the results were presented with the help of the Iramuteq™ software. Results: four thematic categories were identified: 1 – Fear and dread of the adverse effects is a factor in the vaccine refusal, 2 – Challenges in ensuring user accessibility to vaccines, 3 – Users' distrust about the benefits of vaccines and 4 – Lack of information and understanding about the effects of non-adherence to vaccination. It was then found that hesitancy and/or refusal to get vaccinated is motivated by multifactorial aspects, which can influence users' decisions individually or jointly. Implications: Health professionals play a key role in promoting vaccination, being a preferred source of information indicated by users.
References
Fonseca MS, Varela MALN, Frutuoso A; Monteiro MFFRP. Recusa da vacinação em área urbana do norte de Portugal. Scientia Medica [Internet]. 2018 [cited 2022 Jan 26];28(1):32152. Available from: https://doi.org/10.15448/1980-6108.2018.4.32152
Bastos LFCS. OPAS/OMS Brasil - Folha Informativa - Poliomielite|OPAS/OMS.” Organização Pan-Americana da Saúde / Organização Mundial da Saúde , 8 de agosto de 2018. Available from: www3.paho.org/bra/index.php?option=com_content&view=article&id=5735:folha-informativa-poliomielite&Itemid=820
Centros de Controle e Prevenção de Doenças (CDC). Casos e Surtos de Sarampo. Centros de Controle e Prevenção de Doenças; 2019. Available from: www.cdc.gov/measles/cases-outbreaks.html
Patel MK, Goodson JL, Alexander JP, Kretsinger K, Sodha SV, Steulet C, et al. Progress Toward Regional Measles Elimination — Worldwide, 2000–2019. MMWR Morbidity and Mortality Weekly Report [Internet]. 2020 [cited 2022 Jan 26];69(45):1700–5. Available from: https://doi.org/10.15585/mmwr.mm6945a6
Kandel N, Chungong S, Omaar A, Xing J. Health security capacities in the context of COVID-19 outbreak: an analysis of International Health Regulations annual report data from 182 countries. Lancet [Internet]. 2020 [cited 2020 Apr 14];395(10229):1047–53. Available from: https://doi.org/10.1016/S0140-6736(20)30553-5
Brasil. Secretaria de Vigilância em Saúde. Vigilância Epidemiológica Do Sarampo No Brasil – Semanas Epidemiológicas 1 a 52 de 2021 . Available from: www.gov.br/saude/pt-br/centrais-de-conteudo/publicacoes/boletins/boletins-epidemiologicos/edicoes/2022/boletim-epidemiologico-vol-53-no03.pdf
Sato APS. Qual a importância da hesitação vacinal na queda da cobertura vacinal no Brasil? Rev Saúde Públ [Internet]. 2018 [cited 2022 Jan 26];52(1):1-12. Available from: https://doi.org/10.11606/S1518-8787.2018052001199
Minayo MCS. O desafio do conhecimento: pesquisa qualitativa em saúde. 12ª ed. São Paulo: Hucitec; 2014.
Glaser BG, Strauss AL. The discovery of grounded theory: strategies for qualitative research. New York: Aldine de Gruyter; 2006.
Bardin L. Análise de Conteúdo. 1ª ed. São Paulo: Edições 70; 2015.
Brigido, Vizeu, et al. Tutorial para uso do software de análise textual IRAMUTEQ . 2013.
Tong A, Sainsbury P, Craig J. Critérios consolidados para relatar pesquisas qualitativas (COREQ): uma lista de verificação de 32 itens para entrevistas e grupos focais. Inter J Qual Health Care [Internet]. 2007 [cited 2022 Jan 26];19(1):349–357. Available from: https://doi.org/10.1093/intqhc/mzm042
Mizuta AH, Succi GM, Montalli VAM, Succi RCM.. Percepções acerca da importância das vacinas e da recusa vacinal numa escola de medicina. Rev Paul Ped [Internet]. 2019 [cited 2022 Jan 26];37(1):34–40. Available from: https://doi.org/10.1590/1984-0462/;2019;37;1;00008
Siewert JS, Clock D, Mergner PG, Rocha PFA, Rocha MDHA, Angela M. Motivos da não adesão de crianças à campanha de vacinação contra a influenza. Cogit Enferm [Internet]. 2018 [cited 2022 Jan 26];23(3):1-12. Available from: https://doi.org/10.5380/ce.v23i3.53788
Tanner R, Flood CM. Vaccine passports done equitably. JAMA Health Forum [Internet]. 2021 [cited 2022 Jan 26];2(1):1-15. Available from: https://doi.org/10.1001/jamahealthforum.2021.0972
Oliveira BLCA., Campos MAG, Queiroz RCS, Alves MTSSB, Souza BF, Santos AM, et al. Prevalência e fatores associados à hesitação vacinal contra a Covid-19 No Maranhão, Brasil. Rev Saúde Públ [Internet]. 2021 [cited 2022 Jan 26];55(1):1-10. Available from: https://doi.org/10.11606/s1518-8787.2021055003417
Frugoli AG, Prado RS, Silva TMR, Matozinhos FP, Trapé CA, Lachtim SAF. Fake news sobre vacinas: uma análise sob o modelo dos 3Cs da Organização Mundial da Saúde. Rev Esc Enferm USP [Internet]. 2021 [cited 2022 Jan 26];55(1):1-10. Available from: https://doi.org/10.1590/s1980-220x2020028303736
Souza FO, Werneck GL, Pinho PS, Teixeira JRB, Lua I, Araújo TM. Hesitação Vacinal Para Influenza Entre Trabalhadores (As) Da Saúde, Bahia, Brasil. Cad Saúde Públ [Internet]. 2022 [cited 2022 Jan 26];38(1):1-12. Available from: https://doi.org/10.1590/0102-311x00098521
Succi RCM. Recusa de vacinas – o que precisamos saber. J Ped [Internet]. 2018 [cited 2022 Jan 26];94(6):574–581. Available from: https://doi.org/10.1016/j.jped.2018.01.008
Couto MT, Barbieri CLA, Matos CCSA. Considerações sobre o impacto da covid-19 na relação indivíduo-sociedade: da hesitação vacinal ao clamor por uma vacina. Saúde Soc [Internet]. 2021 [cited 2022 Jan 26];30(1):1-12. Available from: https://doi.org/10.1590/S0104-12902021200450
Medina MG, Giovanella L, Bousquat A, Mendonça MHM, Aquino R. Atenção primária à saúde em tempos de COVID-19: o que fazer? Cad Saúde Públ [Internet]. 2020 [cited 2022 Jan 26];1(1):1-10. Available from: https://doi.org/10.1590/0102-311X00149720
Ferreira AV, Freitas PHB, Viegas SMF, Oliveira VC. Acesso à sala de vacinas da Estratégia Saúde Da Família: aspectos organizacionais. Rev Enferm UFPE [Internet]. 2017 [cited 2022 Jan 26];11(1):3869–3877. Available from: https://revistas.ufg.br/fen/article/download/42468/24010/0
