The impact of <i>bolsonarismo</i> on COVID-19 vaccination coverage in Brazilian municipalities

Peixoto, Vitor de Moraes; Leal, João Gabriel Ribeiro Pessanha; Marques, Larissa Martins

doi:10.1590/0103-1104202313906

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL ARTICLE • Saúde debate 47 (139) • Oct-Dec 2023 • https://doi.org/10.1590/0103-1104202313906 copy

The impact of bolsonarismo on COVID-19 vaccination coverage in Brazilian municipalities

O impacto do bolsonarismo na cobertura vacinal de Covid-19 em municípios brasileiros

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The immunization campaign against COVID-19 started in Brazil in January 2021 after strong pressure from society on the federal government, which had created a series of ideological obstacles against vaccines, especially those produced with Chinese inputs. This article analyzes the impact of far-right ideology on the spatial distribution of vaccine coverage against COVID-19 in Brazilian municipalities. By means of hierarchical models, it was identified that, maintaining constant socio-demographic characteristics and the structures of the Unified Health System, the degree of bolsonarismo in the municipalities had a negative impact on the coverage rates of the first, second and, especially, of the third dose.

KEYWORDS
Vaccination coverage; COVID-19 Vaccines; Immunization programs; Attitude to health; Ideology

% coverage with at least one dose		% coverage with at least two doses			% coverage with at least three doses
Predictors	Estimates	CI	p	Estimates	CI	p	Estimates	CI	p
(Intercept)	72.41	65.99 - 78.83	< 0.001	67.26	61.11 - 73.41	< 0.001	53.81	48.29 - 59.32	< 0.001
Bolsonarismo (% of votes 2022)	-0.09	-0.12 - -0.06	< 0.001	-0.13	-0.16 - -0.10	< 0.001	-0.30	-0.33 - -0.27	< 0.001
GINI (2010)	3.67	-1.60 - 8.94	0.172	-1.60	-6.84 - 3.65	0.550	-13.89	-19.30 - -8.47	< 0.001
GPD per capita (2017)	0.00	0.00 - 0.00	< 0.001	0.00	0.00 - 0.00	< 0.001	0.00	0.00 - 0.00	< 0.001
Health equipment (provided)	0.43	0.31 - 0.56	< 0.001	0.44	0.32 - 0.57	< 0.001	0.34	0.22 - 0.47	< 0.001
Municipality center in health	3.88	2.75 - 5.00	< 0.001	4.13	3.00 - 5.25	< 0.001	4.52	3.35 - 5.68	< 0.001
Population log (2021)	-1.06	-1.41 - -0.70	< 0.001	-1.58	-1.94 - -1.23	< 0.001	-1.75	-2.12 - -1.39	< 0.001
% of people over 60	1.1	1.02 - 1.19	< 0.001	1.32	1.23 - 1.40	< 0.001	1.61	1.52 - 1.70	< 0.001
Random Effects
o2	100.05			100.24			107.94
t00	132.98 uf			110.84 uf			49.73 uf
ICC	0.57			0.53			0.32
N	27 uf			27 uf			27 uf
Observations	5453			5517			5550
Marginal R2 / Conditional R2	0.145 / 0.633			0.219 / 0.629			0.356 / 0.559

	Mean	SD	NA	Frequency (%)	Median	Minimum	Maximum	Histogram	Source	Expected effects
Dependent Variables
% Coverage at least one dose	85.30	16.73	115	-	87.88	3.98	119.93		Data-SUS	-
% Coverage at least two doses	75.57	17.12	52	-	78.33	1.44	119.77		Data-SUS	-
% Coverage at least booster doses	50.90	16.69	18	-	51.74	2.83	118.60		Data-SUS	-
Political Aspect
Bolsonarismo ( % votes in 1st round of 2022)	39.43	17.25	-	-	40.95	5.59	83.98		TSE	Negative
Sociodemografic Aspect
Gini (2010)	0.50	0.07	5	-	0.50	0.28	0.81		IBGE	Negative
Population (2021)	38.297.60	224.288.15	-	-	11732	771	12.396.372		IBGE	Negative
GPD per capita (2017)	21990.76	20946.32	-	-	16598.85	505954	344847.17		IBGE	Positive
Percentage of people over 60 years old	15.98	4.84	-	-	15.66	2.46	39.30		IBGE	Positive
Institutional Aspects (SUS)
Health equipament (Basic Units)	4.81	2.79	1	-	4.28	0.00	34.84		Data-SUS	Positive
Pole Municipality in health	-	-	-	483 cases (1%)	-	-	-	-	Data-SUS	Positive

Centro Brasileiro de Estudos de Saúde Av. Brasil, 4036, sala 802, 21040-361 Rio de Janeiro - RJ Brasil, Tel. 55 21-3882-9140, Fax.55 21-2260-3782 - Rio de Janeiro - RJ - Brazil
E-mail: revista@saudeemdebate.org.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Conflict of interests: non-existent