Hepatite A em população imigrante e refugiada residente na região do centro goiano, Goiás: conhecer para intervir

• Ano de defesa: 2021
• Autor(a) principal: Silva, Grazielle Rosa da Costa e
• Orientador(a): Teles, Sheila Araujo
• Banca de defesa: Teles, Sheila Araujo, Caetano, Karlla Antonieta Amorim, Carneiro, Megmar Aparecida dos Santos
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Goiás
• Programa de Pós-Graduação: Programa de Pós-graduação em Enfermagem (FEN)
• Departamento: Faculdade de Enfermagem - FEN (RMG)
• País: Brasil
• Palavras-chave em Português: Hepatite A; Migração; Refugiados; Epidemiologia; Prevalência
• Palavras-chave em Inglês: Hepatitis A; Migration; Refugees; Epidemiology
• Área do conhecimento CNPq: CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE SAUDE PUBLICA
• Link de acesso: http://repositorio.bc.ufg.br/tede/handle/tede/12659

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