Hepatite A em população imigrante e refugiada residente na região do centro goiano, Goiás: conhecer para intervir
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2021-03-08
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Universidade Federal de Goiás
Resumo
Brazil has become an important destination country for immigrants and refugees. This migrant
population represents a group at potential risk group for the acquisition and spread of enteral
diseases such as infection with the Hepatitis A virus (HAV), as a consequence of the migratory
process. The aim of this study was to investigate the epidemiological profile of Hepatitis A in
foreign immigrants and refugees living in the region of Centro Goiano, Goiás. This is a crosssectional,
analytical study, carried out from July 2019 to January 2020 in the cities of Goiânia,
Aparecida de Goiânia, Senador Canedo and Anápolis, Goiás, Brazil. For this, 383 participants
identified themselves as immigrants or refugees. All were interviewed and tested for detection
of total anti-HAV antibody (IgM and IgG), as positive in participants under five years of age
were retested for anti-HAV IgM and previous history of vaccination for Hepatitis A was
investigated. From the total of participants, most were from Haiti (50.1%) and Venezuela
(39.4%), male (56.1%), aged 20 years or over (79.9%), self-declared color black (63.0%),
single (51.1%), evangelical religion (73.3%), education equal to or greater than 13 years of
study (36.9%) and monthly income greater than a minimum wage (61.5%). Of the total owners,
68.7% were immigrants and 30% refugees. The language was the greatest difficulty (63.0%)
found in Brazil, although a significant portion already speak (71.4%) and write (53.2%) the
Portuguese language. Church related associations (32.9%) were the main support they
received. The prevalence of total anti-HAV was estimated of 87.3% (95% CI :83.4-90.4), with
79.1% in South American countries and 93.5% in Central American countries. Regarding
vaccination as a preventive measure, only 2.9% of them were a historical source of vaccination
against Hepatitis A, and their ages ranged from 2 to 47 years, the majority being female (6/11)
and coming from Venezuela (7/11). The total of 21 children were eligible for vaccination against
HAV when they arrived in Brazil, but only 7 (33.3%) were immunized. The results of this study
confirm the importance for health managers to knowing the state of the migrant population for
the development of public policies at national and regional levels that qualify t
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Hepatite A , Migração , Refugiados , Epidemiologia , Prevalência , Hepatitis A , Migration , Refugees , Epidemiology , Prevalence
Citação
Silva, G. R. C. Hepatite A em população imigrante e refugiada residente na região do centro goiano, Goiás: conhecer para intervir. 2021. 123 f. Dissertação (Mestrado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2021.