BackgroundTo evaluate the HPV vaccination coverage in Boa Vista, Roraima (Brazil) and to identify personal and socioeconomic factors related to non-compliance to HPV vaccination.MethodsA school-based, cross-sectional study was conducted by distributing a self-administered questionnaire to the parents or guardians of pre-adolescent girls. The questionnaire addressed compliance to, knowledge about and perception of HPV and the HPV vaccine. Between July and November 2015, 13 private and public schools were visited based on a random cluster sampling method.ResultsA total of 1337 questionnaires were distributed to all female students in the target age group, and 797 were completed and returned (the participation rate was 59.6 %). The vaccination coverage rate was 82.7 % and was higher among public school students than among private school students (84.1 % vs 56.3 %; p = 0.003). Most parents (60 %) incorrectly answered more than half of the questions related to HPV knowledge, and limited knowledge about HPV and the HPV vaccine correlated with lower compliance to vaccination (adjusted OR = 1.42; 95 % CI: 1.01 to 2.76). In the perception analysis, the belief that the HPV vaccine is important for the daughter was an important protective factor (adjusted OR = 0.62; 95 % CI: 0.23 to 0.93), and concern about adverse effects of the HPV vaccine was a risk factor for non-compliance (adjusted OR = 1.66; 95 % CI: 1.01 to 2.71). Family income, religion and education level of the parents or guardians did not correlate with compliance to vaccination.ConclusionHPV vaccination coverage was high in Boa Vista, Brazil, but knowledge about the vaccine was deficient. This deficiency was associated with a distorted perception and was negatively associated with compliance to vaccination. Actions aimed at informing the public about the HPV vaccine, including its risks and benefits, are needed to attain higher vaccination coverage in Brazil.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-016-1677-y) contains supplementary material, which is available to authorized users.
Introduction: The Apgar score evaluate the vitality of newborns. The Born Alive Declaration (BAD) is a questionnaire with the purpose of showing the distribution of clinical and epidemiological variables. Objective: To evaluate the association between variables in the Health Ministry's BAD and low Apgar score. Methods: It is a retrospective transversal study where data from 39.408 BAD from January 1st, 2008 to December, 31st 2012 in Roraima's public maternity hospital were analyzed. The statistical analysis used the chi-square method to compare differences between proportions of categorical variables. RR and CI95% were calculated under univariated analysis. The data were tabled and analyzed using the Epi Info® 7.0 version software. Results:Among the most associated factors to low Apgar at birth are: women above 20 years old (RR 1.69; CI95%: 1.34 – 2.13), first time mothers (RR 1.44, CI 95% 1.29 – 1.60, p<0.05), pregnant women who didn't had pre-natal care (RR 1.41, CI 95% 1.25 a 1.60, p <0.001), male newborns, newborns weighting less than 1.499g (RR 6.51, CI 95% 1.79 – 2.23), children born with gestational age (GA) smaller than 31 weeks, and GA from 32 to 36 weeks (RR 1.63, CI 95% 1.49 – 1.79). Conclusion: The BAD has proven to be a great instrument in evaluating Apgar and apprehending its risk factors. As expected, the age extremes, prematurity and insufficient pre-natal consults are related to low Apgar on the first minute. But, surprisingly, poorly educated mother didn't appear to be related to low Apgar score. We believe that it's necessary to better stratificate maternal age levels.
O artigo objetiva analisar os programas de remuneração variável por desempenho implantado pela Administração Pública Brasileira nos Estados do Ceará (CE), Minas Gerais (MG) e Pará (PA). Para tanto, foi realizada pesquisa com os servidores públicos dos três Estados. A estratégia metodológica consistiu em pesquisa de campo, com abordagem quantitativa, com pesquisa descritiva e explicativa e realização de survey com uso de questionário estruturado, disponibilizado através da INTERNET. A população pesquisada compõem a amostra nas seguintes proporções: Ceará, 30.79%; Minas Gerais, 42.21% e Pará, 22.78%. Os resultados indicam a eficiência do programa como instrumento de motivação e melhoria do desempenho e também a necessidade de alguns ajustes e aprimoramentos, principalmente na melhoria da percepção de equidade do programa e na periodicidade da avaliação do desempenho e distribuição das recompensas.
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