Situação vacinal e associação com a qualidade de vida, a funcionalidade e a motivação para o autocuidado em idosos

Abstract

This study aimed to identify the immunization status of the elderly in relation to the influenza, diphtheria-tetanus and pneumococcal polysaccharide 23-valent vaccines, relating status to demographic aspects, quality of life, level of functionality and motivation for self-care. The study had a sample of 509 individuals. The mean age was 70.30 years and the female gender prevailed. The immunization status was: influenza-76.4%; diphtheria-tetanus-73.9%; and pneumococcal polysaccharide 23-valent -6.7%. No significant difference was found in the relation between the prevalence of vaccination and gender, but there was a considerable difference between the groups who had or had not received the diphtheria-tetanus vaccine and some areas of Quality of Life. The results also showed a significant difference in terms of functional independence between the group that received and the group that did not receive the pneumococcal polysaccharide 23-valent vaccine.Keywords: Health of the Elderly, Immunization, Quality of Life.

Effectiveness of the Brazilian influenza vaccination policy, a systematic review

“…The other ten studies analyzed vaccine coverage among the senior population. The majority of them were surveys conducted in representative samples of the target population, 7,9,13,16,17,20,24 and the remaining three among outpatients of a primary care clinic and reference hospitals 22,23,30 . Five surveys detected vaccine coverage similar to the Ministry of Health's (MOH) administrative data 9,13,16,17,30 .…”

“…The majority of them were surveys conducted in representative samples of the target population, 7,9,13,16,17,20,24 and the remaining three among outpatients of a primary care clinic and reference hospitals 22,23,30 . Five surveys detected vaccine coverage similar to the Ministry of Health's (MOH) administrative data 9,13,16,17,30 . On the other hand, large differences were observed by the other three: among the elderly of two low income communities ("favelas") in the city of Rio de Janeiro, survey coverage was 50.2% and 38.3%, compared to MOH 75.7% coverage for the whole city; 66.3% coverage in Belo Horizonte, the country's third largest city, compared to 85.5% according to MOH data; and 83.8% among outpatients of a primary care clinic in Botucatu, state of São Paulo, compared to 62.2% (MOH) 7,22,24 .…”

“…When morbidity and mortality data are analyzed together, a marked peak of influenza-related mortality and morbidity in South and Southeastern states in late autumn/early winter months become evident, while seasonality is not so evident in North and Northeastern regions 28,29,30 . One study concluded that influenza activity in the North peaks earlier in the year, and heads South as it gradually shifts to the winter months, a movement that has been described by authors as a "seasonal southward traveling wave, originating in equatorial and low-populated regions in March-April, and moving towards temperate and highly populous regions in a three-month period" 1 .…”

Eventos adversos pós-vacinação em idosos no Estado de São Paulo, Brasil, de 2015 a 2017

“…Estado de São Paulo, Brasil, 2015-2017. apresentados neste estudo, porém, ainda com falhas no preenchimento das variáveis da ficha de notificação que foram deixadas em branco. Em relação às variáveis sociodemográficas, o estudo constatou que os eventos adversos pós--vacinação foram verificados em maior quantidade nas mulheres do que nos homens, resultado que corrobora outros trabalhos 6,12,20,21,22,23 . Esse resultado pode estar relacionado à maior presença das mulheres na população idosa, pois a superioridade desta população aumenta com a idade e a maior longevidade delas em comparação aos homens 6,24 .…”

Fatores associados à vacinação anti-influenza em idosos: um estudo baseado na pesquisa Saúde, Bem-Estar e Envelhecimento - SABE

“…O calendário de vacinação do idoso é composto pelas vacinas Difteria e Tétano (dT), Febre Amarela (FA), Influenza e Pneumocócica 23-valente. Todas as vacinas são gratuitas, distribuídas principalmente nos serviços de Atenção Básica à Saúde integrantes do SUS, bem como seus respectivos atestados 1(BRASIL, 2006b; REIS e NOZAWA, 2007;SANTOS et al, 2009). Essa política constitui-se num importante desafio para implantação, pois apenas, a vacinação em massa na infância era reconhecida e 6% em Santo Antonio do Tauá (Pará) .…”