prevalência e fatores associados às geo-helmintíases em crianças residentes em municípios com baixo idh no norte e nordeste brasileiros prevalence and factors associated with geohelminth infections in children living in municipalities with low hdi in north and northeast brazil

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ID: 227147
2010
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Abstract
Para determinar a prevalência de geo-helmintíases e identificar fatores associados a sua ocorrência, foram realizados inquéritos coprológicos em amostra de crianças entre 5 e 14 anos de idade, residentes em dez municípios brasileiros com baixo Índice de Desenvolvimento Humano. Aplicou-se questionário aos responsáveis, obtendo-se informações sócio-econômicas e ambientais e foi feita coleta de fezes. Estimaram-se prevalências de geohelmintos segundo variáveis de interesse e se avaliaram os fatores de risco mediante regressão logística multinível. Das 2.523 crianças estudadas, 36,5% eram portadoras de um ou mais geohelmintos (Ascaris lumbricoides 25,1%; ancilostomídeos 15,3%, Trichuris trichiura 12,2%). A proporção de geo-helmintíases para o conjunto na zona rural foi 45,7%; na urbana, 32,2%. Baixa renda familiar (OR = 1,75; 1,38-2,23), baixa escolaridade materna (OR = 1,69; 1,39-2,06), presença de lixo próximo ao domicílio (OR = 1,50; 1,22-1,84) e maior número de pessoas no domicílio (OR = 1,41; 1,17-1,71) mostraram-se associadas a tais infecções. Conclui-se que a ocorrência destas parasitoses está relacionada às condições sócio-econômicas e evidencia a importância de intervenções públicas direcionadas à melhoria das condições de vida para sua prevenção.
Stool surveys were conducted to estimate the prevalence and identify risk factors for geohelminth infections among children in ten Brazilian municipalities with low human development indices (HDI). Socioeconomic and environmental data were obtained from the children's parents or guardians, and stool samples were examined. The proportion of geohelminth infections according to target variables was calculated. Risk factors were evaluated using multilevel logistic regression. Of the 2,523 children, 36.5% were infected with one or more geohelminths (Ascaris lumbricoides, 25.1%; hookworm, 15.3%; Trichuris trichiura, 12.2%). Overall prevalence of geohelminth infections was 45.7% in rural areas and 32.2% in urban areas. Low family income (OR = 1.75; 1.38-2.23), low maternal schooling (OR = 1.69; 1.39-2.06), presence of garbage near the home (OR = 1.50; 1.22-1.84), and number of individuals in the household (OR = 1.41; 1.17-1.71) were associated with infection. In conclusion, geohelminth infections were closely related to socioeconomic conditions, thus emphasizing the importance of targeted public interventions to improve living conditions as part of sustainable prevention.
Reference Key
fonseca2010cadernosprevalncia Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Eduardo Oyama Lins Fonseca;Maria Glória Teixeira;Maurício L. Barreto;Eduardo Hage Carmo;Maria da Conceição N. Costa
Journal iberian conference on information systems and technologies, cisti
Year 2010
DOI
10.1590/S0102-311X2010000100015
URL
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2010000100015
Keywords
criança parasitic diseases childmedicinepublic aspects of medicine doenças parasitárias

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