Pesquisa | SciELO

Abstract Objective Advances in medicine have increased the life expectancy of pediatric patients with chronic illnesses, and challenges with the guided transition of adolescents and young adults from pediatric clinics to adult clinics have grown. The aim of this study was to better understand readiness and factors related to this transition process in Brazil. Method In this cross-sectional study of 308 patients aged from 16 to 21 years under follow-up in pediatric specialties, the degree of readiness for transition was assessed using the Transition Readiness Assessment Questionnaire (TRAQ) and its domains. Associations with demographic data, clinical data, socio-economic level, medication adherence, family functionality, and parental satisfaction with health care were evaluated. Results The median TRAQ score was 3.7 (3.2 - 4.2). Better readiness was associated with female patients, socio-economic class A-B, current active employment, higher level of education, not failing any school year, attending medical appointments alone, functional family, and a good knowledge of disease and medications. A low correlation was observed between TRAQ and age. TRAQ presented good internal consistency (alpha-Cronbach 0.86). In the multiple linear regression, TRAQ score showed a significant association with female gender, advanced age, socio-economic class A-B, better knowledge of disease and medications, and independence to attend appointments alone. Conclusion TRAQ instrument can guide healthcare professionals to identify specific areas of approach, in order to support adolescents with chronic disease to set goals for their own personal development and improve their readiness to enter into the adult healthcare system. In this study, some factors were related to better TRAQ scores.

https://doi.org/10.1016/j.jped.2022.10.006

Acerca del uso del término “sinbióticos” en lengua española
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Vázquez-Frias, Rodrigo

; Abraham, Analía G.

; Abreu, Ana Teresa

; Binetti, Ana Griselda

; Boggio-Marzet, Christian

; Carrió, Cintia

; Castro-Rodriguez, María Luisa

; Cruchet, Sylvia

; Ladino, Liliana

; Taranto, María Pía

; Vinderola, Gabriel

Revista chilena de nutrición

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Dez 2022, Volume 49 Nº 6 Páginas 775 - 776

Resumo: Es | Texto: Es | PDF: Es

Understanding user experience of an open design-clothing product.
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Perez, Iana Uliana

; Arakaki, Marina Granja

; Abreu, Ana Cláudia de

; Io, Vanessa Mayumi

; Zitkus, Emilene

; Paschoarelli, Luis Carlos

Convergências - Revista de Investigação e Ensino das Artes

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Nov 2022, Volume 15 Nº 30 Páginas 61 - 68

Resumo: En Pt | Texto: En Pt | PDF: En | PDF: Pt

Abstract Few studies related open design to the clothing sector, but none explored how users would experience it. The study reported here aimed to investigate how people with some or without prior sewing knowledge - advanced and amateur users - experience an open design-clothing product. Following four fashion design heuristics, a garment was created and distributed as DIY kits among advanced and amateur users. Data were collected in two stages: assembly and personalization. The results indicate that although skills play a significant role during assembly, other factors, like cross-generational differences and personal taste, influence how users experience an open design product. Furthermore, the study shows that given the necessary support, the open design can be used by a heterogeneous public, amplifying the participation of users with little or without prior sewing skills in clothing co-creation.

Resumo Poucos estudos relacionam o design aberto ao setor de vestuário, mas nenhum explora como a experiência dos usuários. O estudo aqui relatado teve como objetivo investigar como pessoas com ou sem conhecimento prévio de costura - usuários avançados e amadores - vivenciam um produto de vestuário de design aberto. Seguindo quatro heurísticas de design de moda, uma peça de vestuário foi criada e distribuída como kits de “faça você mesmo” entre usuários avançados e amadores. Os dados foram coletados seguindo duas etapas: montagem e personalização. Os resultados indicam que, embora as habilidades tenham um grande papel durante a montagem, existem outros fatores, como diferenças entre gerações e gosto pessoal, que influenciam a forma como os usuários experimentam um produto de design aberto. O estudo mostra que, com o suporte necessário, o design aberto pode ser explorado por um público heterogêneo, ampliando a participação de usuários com pouca ou nenhuma habilidade prévia em costura na cocriação de vestuário.

https://doi.org/10.53681/c1514225187514391s.30.144

Plataforma CLIMSS como herramienta de alfabetización en salud durante la crisis sanitaria de Covid-19
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Rosas-Magallanes, Cynthia

; Basto-Abreu, Ana

; Barrientos-Gutiérrez, Tonatiuh

; Ramírez-Martínez, José Luis

; Tamayo-Ortiz, Marcela

; Gutiérrez-Díaz, Héctor Osiris

; Magaña-Valladares, Laura

; Barros-Sierra Cordera, David

; Santamaría-Guasch, Carmen María

; Hernández-Ávila, Mauricio

Salud Pública de México

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Jun 2022, Volume 64 Nº 3 Páginas 320 - 327

Resumo: Es En | Texto: Es En | PDF: Es | PDF: En

Resumen: Objetivo: Describir a la plataforma Cursos en Línea Masivos del IMSS (CLIMSS) como herramienta de alfabetización en salud, a través de la evaluación de la eficiencia terminal, la ganancia de competencias y satisfacción de los usuarios de cursos en línea masivos en el tema de Covid-19. Material y métodos: Se analizaron datos de 20 cursos ofertados entre marzo y octubre de 2020. Se evaluaron las calificaciones pre y pos, el número total de registros, el total de cursos terminados y la satisfacción del usuario. Resultados: Se registraron un total de 4.9 millones de usuarios y 10 millones de inscripciones, en todos los estados de la República mexicana, con una eficiencia terminal de 85%, una ganancia de competencias de 30% y una satisfacción de 9.34 (10). Conclusiones: La plataforma CLIMSS ha mostrado ser una herramienta para la alfabetización en salud con un alcance de millones de mexicanos en temas relacionados con la crisis sanitaria Covid-19.

Abstract: Objective: To describe the Massive Online Open Courses (MOOC) or Cursos en Línea Masivos del IMSS (CLIMSS) platform as a health literacy tool by evaluating the terminal efficiency, the competence gains, and the users’ satisfaction of the massive online courses offered by the Mexican Institute of Social Security, on Covid- 19. Materials and methods: Data from 20 courses offered between March and October 2020 were analyzed. We evaluated scores from the pre and post-tests, the total number of registries, total courses completed, and users’ satisfaction. Results: We registered a total of 4.9 million users and 10 million registrations, in all Mexican states, with a terminal efficiency of 85%, a competence gain of 30%, and a users’ satisfaction of 9.34 (10). Conclusions: The CLIMSS platform has proven to be a tool for health literacy reaching millions of Mexicans on Covid-19 related topics.

https://doi.org/10.21149/13103

Qual é o Cenário Atual da Reabilitação Cardíaca no Brasil e em Portugal?
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Stein, Ricardo

; Milani, Mauricio

; Abreu, Ana

Arquivos Brasileiros de Cardiologia

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Mai 2022, Volume 118 Nº 5 Páginas 858 - 860

Resumo: Pt En | Texto: Pt En | PDF: Pt | PDF: En

https://doi.org/10.36660/abc.20220210

Effective recommendations towards healthy routines to preserve mental health during the COVID-19 pandemic
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Pilz, Luísa K.

; Couto Pereira, Natividade S.

; Francisco, Ana Paula

; Carissimi, Alicia

; Constantino, Débora B.

; Caus, Letícia B.

; Abreu, Ana Carolina O.

; Amando, Guilherme R.

; Bonatto, Fernanda S.

; Carvalho, Paula V.V.

; Cipolla-Neto, José

; Harb, Ana

; Lazzarotto, Gabriela

; Marafiga, Joseane Righes

; Minuzzi, Luciano

; Montagner, Francisco

; Nishino, Fernanda A.

; Oliveira, Melissa A.B.

; dos Santos, Bruno G.T.

; Steibel, Eduardo G.

; Tavares, Patrice S.

; Tonon, André C.

; Xavier, Nicóli B.

; Zanona, Querusche Klippel

; Amaral, Fernanda G.

; Calcagnotto, Maria Elisa

; Frey, Benicio N.

; Hidalgo, Maria Paz

; Idiart, Marco

; Russomano, Thais

Brazilian Journal of Psychiatry

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Abr 2022, Volume 44 Nº 2 Páginas 136 - 146

Resumo: En | Texto: En | PDF: En

Objective: To assess the adherence to a set of evidence-based recommendations to support mental health during the coronavirus disease 2019 (COVID-19) pandemic and its association with depressive and anxiety symptoms. Methods: A team of health workers and researchers prepared the recommendations, formatted into three volumes (1: COVID-19 prevention; 2: Healthy habits; 3: Biological clock and sleep). Participants were randomized to receive only Volume 1 (control), Volumes 1 and 2, Volumes 1 and 3, or all volumes. We used a convenience sample of Portuguese-speaking participants over age 18 years. An online survey consisting of sociodemographic and behavioral questionnaires and mental health instruments (Patient Health Questionnaire-9 [PHQ-9] and Generalized Anxiety Disorder-7 [GAD-7]) was administered. At 14 and 28 days later, participants were invited to complete follow-up surveys, which also included questions regarding adherence to the recommendations. A total of 409 participants completed the study – mostly young adult women holding university degrees. Results: The set of recommendations contained in Volumes 2 and 3 was effective in protecting mental health, as suggested by significant associations of adherence with PHQ-9 and GAD-7 scores (reflecting anxiety and depression symptoms, respectively). Conclusion: The recommendations developed in this study could be useful to prevent negative mental health effects in the context of the pandemic and beyond.

https://doi.org/10.1590/1516-4446-2021-2109

Full and empty nest syndromes in women in the climacteric period
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Abreu, Ana Carolina Gonçalves de

; Alves, Mayara Souza

; Zuchelo, Lea Tami Suzuki

; Santos, Sueli Vitorino dos

; Noll, Priscilla Rayanne e Silva

; Baracat, Edmund Chada

; Soares Júnior, José Maria

; Sorpreso, Isabel Cristina Esposito

Revista da Associação Médica Brasileira

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Jan 2022, Volume 68 Nº 1 Páginas 109 - 117

Resumo: En | Texto: En | PDF: En

https://doi.org/10.1590/1806-9282.20210830

Covid-19 vaccination priorities defined on machine learning
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Couto, Renato Camargos

; Pedrosa, Tania Moreira Grillo

; Seara, Luciana Moreira

; Couto, Carolina Seara

; Couto, Vitor Seara

; Giacomin, Karla

; Abreu, Ana Claudia Couto de

Revista de Saúde Pública

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2022, Volume 56 elocation 11

Resumo: En | Texto: En | PDF: En

ABSTRACT OBJECTIVE Defining priority vaccination groups is a critical factor to reduce mortality rates. METHODS We sought to identify priority population groups for covid-19 vaccination, based on in-hospital risk of death, by using Extreme Gradient Boosting Machine Learning (ML) algorithm. We performed a retrospective cohort study comprising 49,197 patients (18 years or older), with RT-PCR-confirmed for covid-19, who were hospitalized in any of the 336 Brazilian hospitals considered in this study, from March 19th, 2020, to March 22nd, 2021. Independent variables encompassed age, sex, and chronic health conditions grouped into 179 large categories. Primary outcome was hospital discharge or in-hospital death. Priority population groups for vaccination were formed based on the different levels of in-hospital risk of death due to covid-19, from the ML model developed by taking into consideration the independent variables. All analysis were carried out in Python programming language (version 3.7) and R programming language (version 4.05). RESULTS Patients’ mean age was of 60.5 ± 16.8 years (mean ± SD), mean in-hospital mortality rate was 17.9%, and the mean number of comorbidities per patient was 1.97 ± 1.85 (mean ± SD). The predictive model of in-hospital death presented area under the Receiver Operating Characteristic Curve (AUC - ROC) equal to 0.80. The investigated population was grouped into eleven (11) different risk categories, based on the variables chosen by the ML model developed in this study. CONCLUSIONS The use of ML for defining population priorities groups for vaccination, based on risk of in-hospital death, can be easily applied by health system managers

https://doi.org/10.11606/s1518-8787.2022056004045

Covid-19 vaccination priorities defined on machine learning
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Couto, Renato Camargos

; Pedrosa, Tania Moreira Grillo

; Seara, Luciana Moreira

; Couto, Carolina Seara

; Couto, Vitor Seara

; Giacomin, Karla

; Abreu, Ana Claudia Couto de

Revista de Saúde Pública

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2022, Volume 56 elocation 11

Resumo: En | Texto: En | PDF: En

https://doi.org/10.11606/s1518-8787.2022056004045

10.

The Phubbing Scale (PS-8) in the Portuguese population: psychometric properties
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García-Castro, F. Javier

; Abreu, Ana Maria

; Rando, Belén

; Blanca, María J.

Psicologia: Reflexão e Crítica

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2022, Volume 35 elocation 7

Resumo: En | Texto: En | PDF: En

Abstract Phubbing is defined as ignoring other individuals by using a mobile phone during a face-to-face conversation. The Phubbing Scale (PS) was developed to assess this practice. In this study, we analyze the psychometric properties of the 8-item version of the PS (PS-8) in the Portuguese population, providing validity evidence based on internal structure and on relationships with other variables, and examining item properties, reliability, and measurement invariance across gender. Participants were 391 Portuguese adults (132 men, 259 women) who completed a battery of questionnaires. Confirmatory factor analysis yielded satisfactory goodness-of-fit indices for the two-factor structure (communication disturbance and phone obsession), which was invariant across gender. Item homogeneity and reliability of factor scores (McDonald's omega) were satisfactory. Validity evidence based on relationships with other variables was provided by positive associations with time spent on the Internet on weekdays and at the weekend, time spent on social networking sites, number of social networks used, Internet addiction, problematic mobile phone use, Facebook intrusion, fear of missing out, and depression. These associations show the addictive component of phubbing and its relationship with mental health. The PS-8 is a short and easy-to-administer scale with adequate psychometric properties for measuring phubbing in the Portuguese population.

https://doi.org/10.1186/s41155-022-00209-z

11.

Evaluation of pulse wave velocity and central systolic blood pressure in children and adolescents with chronic kidney disease
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Brecheret, Ana Paula

; Abreu, Ana Lucia Cardoso Santos

; Lopes, Renata

; Fonseca, Francisco Antônio Helfenstein

; Solé, Dirceu

; Andrade, Maria Cristina de

einstein (São Paulo)

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2022, Volume 20 elocation eAO6758

Resumo: En | Texto: En | PDF: En

ABSTRACT Objective Investigate pulse wave velocity and central systolic blood pressure among pediatric population with chronic kidney disease. Methods In this cross-sectional study, 57 patients (61.4% male) aged 6.2 to 17.5 years old, 44 with nondialysis chronic kidney disease and 13 on chronic dialysis, were included in the analysis. The pulse wave velocity and the central systolic blood pressure were measured with an oscillometric device with an inbuilt ARC SolverⓇ algorithm and were compared with previously established percentiles. Results The prevalence of elevated pulse wave velocity was 21.1% (95%Cl: 11.4-33.9) and elevated central systolic blood pressure was 28.1% (95%CI: 17.0-41.5). According to the generalized linear model, there was a higher risk of elevated pulse wave velocity in patients undergoing chronic dialysis treatment than nondialysis chronic kidney disease patients (adjPR=4.24, 95%CI: 1.97-9.13, p=<0.001). Hypertensive patients (stage 2) had a higher risk of elevated pulse wave velocity than normotensive ones (adjPR=2.70, 95%CI: 1.05-6.95, p=0.040), as did patients younger than 12 years than the older patients (adjPR=2.95, 95%CI: 1.05-8.40, p=0.041). Hypertensive patients had a higher risk of elevated central systolic blood pressure than normotensives (adjPR=3.29, 95%Cl: 1.36-7.94), as did patients undergoing chronic dialysis treatment when comparing to nondialysis chronic kidney disease patients (adjPR=2.08, 95%Cl: 1.07-4.02). Conclusion Younger age, dialysis, and hypertension in children are independently associated with higher pulse wave velocity. Hypertension and dialysis are independently associated with higher central systolic blood pressure.

https://doi.org/10.31744/einstein_journal/2022ao6758

12.

Use of low-cost accelerometers for landslides monitoring: results from a flume experiment
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Otero, Malena D’Elia

; Abreu, Ana Elisa Silva de

; Askarinejad, Amin

; Guimarães, Marcela Penha Pereira

; Macedo, Eduardo Soares de

; Corsi, Alessandra Cristina

; Almeida, Rynaldo Zanotele Hemerly de

Soils and Rocks

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2022, Volume 45 Nº 3 elocation e2022078621

Resumo: En | Texto: En | PDF: En

Abstract Early Warning Systems (EWS) are non-structural measures for landslides disaster prevention. They are based on the detection of impending failure signals. The results of a landslide simulation experiment where accelerometers were used to identify pre-failure signals are presented in this paper. Landslide was simulated in a tilting flume filled with sandy soil. During the experiment, the flume was fixed at 30° inclination and water percolated through the soil until it slid. Accelerometers were embedded into the soil and recorded acceleration data from the beginning of the experiment until failure. Acceleration data were analyzed in time domain aiming at estimating translational velocity of the movement. Angular variation was also estimated from acceleration data. The experiment was recorded with a camera and pictures were used for Particle Image Velocimetry (PIV) analysis, in order to validate the estimated translational velocity. Results showed that accelerometers can identify pre-failure signals before any macroscopic movement could indicate impending failure in fast to very fast landslides, showing their potential to be used in EWS. Validation of estimated velocities was not always possible due to PIV setup constraints and the velocity of the mass movement simulated. In fact, the estimated translational velocities seem to be unreliable. On the other hand, the results suggest that acceleration data and angular position variation trend and rate can be incorporated into EWS.

https://doi.org/10.28927/sr.2022.078621

13.

Prevalence of diabetes and glycemic control in Mexico: national results from 2018 and 2020
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Basto-Abreu, Ana

; López-Olmedo, Nancy

; Rojas-Martínez, Rosalba

; Aguilar-Salinas, Carlos A

; Cruz-Góngora, Vanessa De la

; Rivera-Dommarco, Juan

; Shamah-Levy, Teresa

; Romero-Martínez, Martín

; Barquera, Simón

; Villalpando, Salvador

; Barrientos-Gutiérrez, Tonatiuh

Salud Pública de México

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Dez 2021, Volume 63 Nº 6 Páginas 725 - 733

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Objective: To estimate the prevalence of diabetes (diagnosed and undiagnosed), glycemic control in Mexico, and its associated factors. Materials and methods: We used data from Ensanut 2018 (n=12 648) and 2020 (n=2 309). We defined diabetes as fasting glucose ≥126 mg/dl or HbA1c≥6.5% or previously diagnosed; glycemic control was defined as HbA1c<7%. We fitted Poisson regression models to assess the association between diabetes, glycemic control, and potential associated factors. Results: The total prevalence of diabetes was 16.8% in 2018 and 15.7% in 2020. In 2018, 38% of adults with diabetes were unaware of their disease, while in 2020 this figure was 29%. Glycemic control was observed in 42% of participants in 2018 and 39% in 2020. Longer disease duration was associated with lower glycemic control, while older age, having a diet, and being affiliated to IMSS, Pemex, Sedena, or private healthcare were associated with better control. Conclusion: Mexico is among the countries with the highest diabetes prevalence. A high proportion of adults with diabetes did not have a previous diagnosis, and the proportion with glycemic control is low. Strengthening screening to achieve a timely diagnosis, and improving glycemic control, should be key actions in the management of diabetes.

Resumen: Objetivo: Estimar la prevalencia de diabetes total (diagnosticada y no diagnosticada), control glucémico en México y sus factores asociados. Material y métodos: Se analizó información de la Ensanut 2018 (n=12 648) y 2020 (n=2 309). Se definió diabetes como glucosa en ayunas ≥126 mg/dl o HbA1c≥6.5% o diagnóstico previo; se consideró control glucémico si HbA1c<7%. Usando modelos de regresión de Poisson, se estimaron los factores asociados con diabetes y control glucémico. Resultados: La prevalencia de diabetes fue de 16.8% en 2018 y 15.7% en 2020. En 2018, 38% de los adultos con diabetes desconocían su enfermedad, en 2020 fue 29%. El control glucémico se observó en 42% de los participantes en 2018 y en 39% en 2020. Mayor tiempo de diagnóstico se asoció con descontrol glucémico mientras que mayor edad, seguir una dieta y estar afiliado al IMSS, Pemex/Sedena o privados se asoció con control glucémico. Conclusión: México se encuentra entre los países con mayor prevalencia de diabetes. Una alta proporción de adultos con diabetes no tenía un diagnóstico previo y la proporción con control glucémico es baja. Fortalecer la detección, el diagnóstico oportuno y el control glucémico es clave para el manejo de la diabetes.

https://doi.org/10.21149/12842

14.

Seroprevalencia de SARS-CoV-2 en adultos y adultos mayores en México y su asociación con enfermedades crónicas. Ensanut 2020 Covid-19
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Sánchez-Pájaro, Andrés

; Pérez-Ferrer, Carolina

; Basto-Abreu, Ana

; Rivera-Dommarco, Juan

; Barquera, Simón

; Denova-Gutiérrez, Edgar

; Barrientos-Gutiérrez, Tonatiuh

Salud Pública de México

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Dez 2021, Volume 63 Nº 6 Páginas 705 - 712

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Objective: To analyze the association between seropositivity to SARS-CoV-2 and chronic diseases in Mexican adults and older adults. Materials and methods: We used the 2020 National Health and Nutrition Survey on Covid-19 to evaluate the association of seropositivity to SARS-CoV-2 with high blood pressure, type 2 diabetes, body mass index, elevated LDL-c, low HDL-c, high total cholesterol, and hypertriglyceridemia. Results: We observed a higher seropositivity at higher body mass index levels. In adjusted models, seroprevalence was 25% higher among adults with obesity compared to those of normal weight (PR: 1.25 95%CI: 1.08,1.46). We did not observe any association between seropositivity and other chronic diseases in adults or older adults. Conclusions: Adults with obesity could be at increased susceptibility of SARS-CoV2 infection. This observation needs to be confirmed through longitudinal studies. We did not find evidence of an association with other chronic diseases.

Resumen: Objetivo: Analizar la asociación entre seropositividad a SARS-CoV-2 y enfermedades crónicas en adultos y adultos mayores mexicanos. Material y métodos: Se utilizó la Encuesta Nacional de Salud y Nutrición 2020 sobre Covid-19 (Ensanut 2020 Covid-19) para evaluar la asociación de seropositividad a SARS-CoV-2 con hipertensión arterial sistémica, diabetes tipo 2, índice de masa corporal, LDL-c elevado, HDL-c bajo, colesterol total elevado e hipertrigliceridemia. Resultados: Se observó una mayor seropositividad en personas con mayor índice de masa corporal. La seroprevalencia fue 25% mayor entre los adultos que presentaban obesidad en comparación con aquellos de peso normal en modelos ajustados (RP: 1.25 IC95%: 1.08,1.46). No se observó asociación entre seropositividad y otras enfermedades crónicas en adultos o adultos mayores. Conclusiones: Las personas con obesidad podrían tener una mayor susceptibilidad a la infección por SARS-CoV-2. Este hallazgo debe ser confirmado con estudios longitudinales. No se encontró evidencia de asociación para otras enfermedades.

https://doi.org/10.21149/13163

15.

Acceptance, refusal, and hesitancy of Covid-19 vaccination in Mexico: Ensanut 2020 Covid-19
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Carnalla, Martha

; Basto-Abreu, Ana

; Stern, Dalia

; Bautista-Arredondo, Sergio

; Shamah-Levy, Teresa

; Alpuche-Aranda, Celia M

; Rivera-Dommarco, Juan

; Barrientos-Gutiérrez, Tonatiuh

Salud Pública de México

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Out 2021, Volume 63 Nº 5 Páginas 598 - 606

Resumo: En Es | Texto: En Es | PDF: En | PDF: Es

Abstract: Objective: To estimate the willingness to vaccinate against Covid-19 (acceptance) in the Mexican population and to identify socioeconomic factors associated with vaccine hesitancy and refusal. Materials and methods: We estimated the acceptance, refusal and hesitancy proportions using data from the Covid-19 National Health and Nutrition Survey conducted from August to November 2020. Factors associated with refusal and hesitancy were explored using multinomial logistic regression. Results: Covid-19 vaccination acceptance was 62.3%, refusal 28.2% and hesitancy 9.5%. Refusal and hesitancy were associated with being female, having older age, lower educational level, lower socioeconomic status and working in the informal sector. Conclusion: National campaigns to incentivize vaccine acceptance need to consider specific subgroups were the likelihood of hesitancy and refusal is high. In Mexico, refusal and hesitancy were higher in vulnerable groups, and people at a higher risk of Covid-19 complications and death.

Resumen: Objetivo: Estimar la aceptabilidad de la vacunación contra Covid-19 en la población mexicana e identificar factores socioeconómicos asociados con el rechazo o la duda. Material y métodos: Se estimó la proporción de aceptabilidad, rechazo y duda utilizando los datos de la Encuesta Nacional de Salud y Nutrición 2020 sobre Covid-19 levantada durante agosto y noviembre de 2020. Se exploraron los factores asociados con rechazo y duda mediante un modelo de regresión multinomial. Resultados: La aceptabilidad de la vacunación contra Covid-19 fue de 62.3%, el rechazo de 28.2% y la duda de 9.5%. El rechazo y la duda se asociaron con ser mujer, tener mayor edad, menor nivel de educación, menor nivel socioeconómico y trabajar en el sector informal. Conclusión: Las campañas para incentivar la aceptabilidad de la vacuna necesitan considerar los subgrupos específicos con una alta proporción de rechazo y duda. En México observamos un mayor rechazo y duda en grupos con mayor riesgo de complicaciones y muerte por Covid-19.

https://doi.org/10.21149/12696

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