Importance of vaccination against human papillomavirus in a rural settlement in Terenos, Mato Grosso do Sul

Authors

DOI:

https://doi.org/10.11606/s1518-8787.2023057004339

Keywords:

Rural Population, Papillomavirus infections, prevention & control, Vaccination Coverage, Refusal of Vaccination, Knowledge, Attitudes and Practice in Health, Family Health

Abstract

OBJECTIVE: To understand health professionals’ perceptions about vaccination against human papillomavirus (HPV) in the Santa Mônica rural settlement in Terenos, Mato Grosso do Sul. METHODS: Quantitative and qualitative methodologies, consultations on vaccination cards, records of community health agents and the focus group technique were used. The main factors of hesitation and vaccine refusal were analyzed, as well as the health team’s strategies for the process of immunization against HPV, from June to August 2018. RESULTS: Of 121 children and adolescents, 81 (66.94%) received the complete vaccination schedule. Complete vaccination coverage for women was 73.17% (60/82) and for men, 53.8% (21/39). It was observed that, although strategies are adopted for vaccine promotion, such as mobile actions, the public is resistant due to superficial knowledge about the vaccine and its use in an early age group, showing itself to be susceptible to the negative influence of the media and to society’s taboos. In addition, difficulties regarding the use of the Unified Health System card and the shortage of professionals were also observed. CONCLUSION: The results explain the immunization coverage below the target and reinforce the need to strengthen the family health strategy, as well as the permanent and continuing education of professionals, in order to increase parental confidence and adherence to vaccination.

References

Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: J Clin. 2018;68(6):394-424. https://doi.org/10.3322/caac.21492 GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer

PATH. Global HPV vaccine introduction overview: projected and current national introductions, demonstration/pilot projects, gender-neutral vaccination programs, and global HPV vaccine introduction maps (2006-2022). Washington PATH ;2019 [citado 4 fev 2022]. Disponível em: https://togetherforhealth.org/wp-content/uploads/Global_HPV_Vaccine_Intro_Overview_Slides_webversion_2020May.pdf

Instituto Nacional do Câncer. Controle do câncer do colo do útero: conceito e magnitude. Rio de Janeiro: INCA; 2022 [citado 21 out 2022]. Disponível em: https://www.gov.br/inca/pt-br/assuntos/gestor-e-profissional-de-saude/controle-do-cancer-do-colo-do-utero/conceito-e-magnitude

Ministério da Saúde (BR), Secretaria de Gestão Estratégica e Participativa, Departamento de Apoio à Gestão Participativa. Política Nacional de Saúde Integral das Populações do Campo e da Floresta. Brasília, DF; 2013 [citado 19 jan 2021]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/politica_nacional_saude_populacoes_campo.pdf

Instituto Nacional de Colonização e Reforma Agrária, Coordenação-Geral de Tecnologia da Informação. Incra nos Estados: informações gerais sobre os assentamentos da Reforma Agrária: Superintendência Regional de Mato Grosso do Sul. - SR 16: painel de assentamentos. Brasília, DF: INCRA; 2017 [citado 6 jun 2019]. Disponível em: http://painel.incra.gov.br/sistemas/index.php

Tobias GC, Iwamoto KOFI, Teixeira LMB. Estratégia de vacinação contra HPV. Rev Enferm UFPE On Line. 2017;11(12):5282-8. https://doi.org/10.5205/1981-8963-v11i12a22841p5282-5288-2017

Ministério da Saúde (BR), Secretaria de Vigilância em Saúde, Departamento de Vigilância de Doenças Transmissíveis, Coordenação-Geral do Programa Nacional de Imunizações. Informe Técnico da Vacina Papilomavírus Humano 6, 11, 16 e 18 (Recombinante) segunda dose. Brasília, DF; 2015 [citado 12 abril 2019]. Disponível em: https://saude.es.gov.br/Media/sesa/PEI/Informe_Tecnico_vacina_papilomavirus_humano_6_11_16_18_recombinante_agosto_2015.pdf

Ministério da Saúde (BR). Meninos começam a ser vacinados contra HPV na rede pública de saúde. Rio de Janeiro; 2017 [citado 10 jan 2019]. Disponível em: http://portalms.saude.gov.br/noticias/svs/27184-meninos-comecam-a-ser-vacinados-contra-hpv-na-rede-publica-de-saude

Canfell K, Egger S, Velentzis LS, Brown JD, O'Connell DL, Banks E, et al. Factors related to vaccine uptake by young adult women in the catch-up phase of the national HPV vaccination program in Australia: results from an observational study. Vaccine. 2015;33(200):2387-94. https://doi.org/10.1016/j.vaccine.2015.01.024

Ruiz-Sternberg AM, Pinzón-Rondón A. Risk perception and sexual behavior in HPV-vaccinated and unvaccinated young Colombian women. Int J Gynaecol Obstet. 2014;126(3):205-8. https://doi.org/10.1016/j.ijgo.2014.03.033

Hansen BT, Kjær SK, Arnheim-Dahlström L, Liaw KL, Jensen KE, Thomsen LT, et al. Human papillomavirus (HPV) vaccination and subsequent sexual behaviour: evidence from a large survey of Nordic women. Vaccine. 2014;32(39):4945-53. https://doi.org/10.1016/j.vaccine.2014.07.025

Faisal-Cury A, Levy RB, Tourinho MF, Grangeiro A, Eluf-Neto J. Vaccination coverage rates and predictors of HPV vaccination among eligible and non-eligible female adolescents at the Brazilian HPV vaccination public program. BMC Public Health. 2020;20:458. https://doi.org/10.1186/s12889-020-08561-4

Silva PMC, Silva IMB, Interaminense INCS, Linhares FMP, Serrano SQ, Pontes CM. Conhecimento e atitudes sobre o Papilomavírus humano e a vacinação. Escola Anna Nery. 2018;22(2):e20170390. https://doi.org/10.1590/2177-9465-EAN-2017-0390

Abbey B Berenson's research while affiliated with University of Texas Medical Branch at Galveston and other places: overview. Berlin (DE): ResearchGate; 2015 [citado 6 jul 2018]. Disponível em: https://www.researchgate.net/scientific-contributions/38787644_Abbey_B_Berenson

Moura LL, Codeço CT, Luz PM. Cobertura da vacina papilomavírus humano (HPV) no Brasil: heterogeneidade espacial e entre coortes etárias. Rev Bras Epidemiol. 2021;24:E210001. https://doi.org/10.1590/1980-549720210001

Abreu LS, Andrade TSO, Nunes ZM, Rufino NS, Martins KP. Conhecimento de mulheres da zona rural sobre o papilomavírus humano. Rev Enferm Contemp. 2021;10(1):43-50. https://doi.org/10.17267/2317-3378rec.v10i1.3243

Sato APS. Qual a importância da hesitação vacinal na queda das coberturas vacinais no Brasil? Rev Saude Publica. 2018;52:96. https://doi.org/10.11606/S1518-8787.2018052001199

MacDonald NE; SAGE Working Group on Vaccine Hesitancy. Vaccine hesitancy: definition, scope and determinants. Vaccine. 2015;33(34):4161-4. https://doi.org/10.1016/j.vaccine.2015.04.036

Gefenaite G, Smit M, Nijman HW, Tami A, Drijfhout IH, Pascal A, et al. Comparatively low attendance during Human Papillomavirus catch-up vaccination among teenage girls in the Netherlands: insights from a behavioral survey among parents. BMC Public Health. 2012;12:498. https://doi.org/10.1186/1471-2458-12-498

Moro A, Santos CL, Couto MP, Ávila LB, Ditterich RG, Mazon LM. Coberturas vacinais do papiloma vírus humano no contexto brasileiro. Rev Saude Meio Ambiente. 2017;6(2):124-32. https://doi.org/10.24302/sma.v6i2.1528

Maier C, Maier T, Neagu CE, Vlădăreanu R. Romanian adolescents’ knowledge and attitudes towards human papillomavirus infection and prophylactic vaccination. Eur J Obstet Gynecol Reprod Biol. 2015;195:77-82. https://doi.org/10.1016/j.ejogrb.2015.09.029

Poerschke de Quevedo J, Inácio M, Wieczorkievicz AM, Invernizzi N. A política de vacinação contra o HPV no Brasil: a comunicação pública oficial e midiática face à emergência de controvérsias. Rev Tecnol Soc. 2016;12(24):1-26. https://doi.org/10.3895/rts.v12n24.3206

Teoh D. The Power of Social Media for HPV Vaccination-Not Fake News! Am Soc Clin Oncol Educ Book. 2019 Jan;39:75-78. doi: 10.1200/EDBK_239363. Epub 2019 May 17. PMID: 31099637.

Navarro-Illana P, Caballero P, Tuells J, Puig-Barberá J, Diez-Domingo J. Aceptabilidad de la vacuna contra el virus del papiloma humano en madres de la provincia de Valencia (España). An Pediatria. 2015;83(5):318-27. https://doi.org/10.1016/j.anpedi.2014.11.018

Remschmidt C, Walter D, Schmich P, Wetzstein M, Deleré Y, Wichmann O. Knowledge, attitude, and uptake related to human papillomavirus vaccination among young women in Germany recruited via a social media site. Hum Vaccin Immunother. 2014;10(9):2527-35. https://doi.org/10.4161/21645515.2014.970920

Korfage IJ, Essink-Bot ML, Daamen R, Mols F, Ballegooijen M. Women show mixed intentions regarding the uptake of HPV vaccinations in pre-adolescents: a questionnaire study. Eur J Cancer. 2008;44(9):1186-92. https://doi.org/10.1016/j.ejca.2008.03.018

Lobão WM, Duarte FG, Burns JD, Santos CAST, Almeida MCC, Reingold AJ, et al. Low coverage of HPV vaccination in the national immunization programme in Brazil: parental vaccine refusal or barriers in health-service based vaccine delivery? PLoS One. 2018;13(11):e0206726. https://doi.org/10.1371/journal.pone.0206726

Conselho Nacional de Secretários de Saúde. Para entender a gestão do SUS. Brasília, DF: Conass; 2003 [citado 19 jan 2021]. Disponível em: https://bvsms.saude.gov.br/bvs/publicacoes/para_entender_gestao.pdf

Ngcobo NJ, Burnett RJ, Cooper S, Wiysonge CS. Human papillomavirus vaccination acceptance and hesitancy In South Africa: research and policy agenda. S Afr Med J. 2019;109(1):13-5. https://doi.org/10.7196/samj.2019.v109i1.13723

Andrade EF. A Estratégia de Saúde da Família (ESF) em assentamento de Reforma Agrária: o caso da unidade básica de Saúde do Assentamento Bela Vista do Chibarro [dissertação]. Rio de Janeiro: Escola Nacional de Saúde Pública Sérgio Arouca- Fiocruz; 2017.

Published

2023-03-15

Issue

Section

Original Articles

How to Cite

Souza, Z. A. de, Puga, M. A. M., Tozetti, . I. A., Lima, M. N. de O. ., Souza, M. S. de, Farias, M. de F. L. de, Scandola, E. M. R., & Padovani, C. T. J. (2023). Importance of vaccination against human papillomavirus in a rural settlement in Terenos, Mato Grosso do Sul. Revista De Saúde Pública, 57(1), 10. https://doi.org/10.11606/s1518-8787.2023057004339

Funding data