Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/51427 |
Resumo: | London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. Health Equity Action Lab. London, UK. |
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Lobkowicz, LudmilaPower, Grace M.Souza, Wayner Vieira deMontarroyos, Ulisses RamosMartelli, Celina Maria TurchiAraùjo, Thalia Velho Barreto deBezerra, Luciana Caroline AlbuquerqueDhalia, RafaelMarques, Ernesto T. A.Miranda-Filho, Demócrito de BarrosBrickley, Elizabeth B.Ximenes, Ricardo Arraes de Alencar2022-02-23T13:39:30Z2022-02-23T13:39:30Z2021LOBKOWICZ, Ludmila et al. Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017. BMJ Global Health, v. 6, p. 1-7, e006811, 2021.2059-7908https://www.arca.fiocruz.br/handle/icict/5142710.1136/bmjgh-2021-006811porNeighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleLondon School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. Health Equity Action Lab. London, UK.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. Health Equity Action Lab. London, UK / London School of Hygiene & Tropical Medicine. Department of Disease Control. London, UK / Bristol Medical School. MRC Integrative Epidemiology Unit. Department of Population Health Sciences. Bristol, UK.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.Universidade de Pernambuco. Instituto de Ciências Biológicas. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.Universidade Federal de Pernambuco. Departamento de Medicina Social. Recife, PE, Brasil.Secretaria Estadual de Saúde. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil.Fundação Oswaldo Cruz. Instituto Aggeu Magalhães. Recife, PE, Brasil / University of Pittsburgh. Department of Infectious Diseases and Microbiology. Pittsburgh, PA, USA.Universidade de Pernambuco. Departamento de Medicina Interna. Recife, PE, Brasi.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. Health Equity Action Lab. London, UK.Universidade de Pernambuco. Departamento de Medicina Interna. Recife, PE, Brasil / Universidade Federal de Pernambuco. Departamento de Medicina Tropical. Recife, PE, Brasil.Zika virus (ZIKV) infections during pregnancy can lead to adverse neurodevelopmental and clinical outcomes in congenitally infected offspring. As the city of Recife in Pernambuco State, Brazil—the epicentre of the Brazilian microcephaly epidemic—has considerable disparities in living conditions, this study used an ecological approach to investigate the association between income at the neighbourhood level and the risk of ZIKV infections in pregnant individuals between December 2015 and April 2017. The spatial distribution of pregnant individuals with ZIKV infection was plotted on a map of Recife stratified into four categories based on mean monthly income of household heads. Additionally, a Poisson regression model with robust variance was fitted to compare proportions of ZIKV infections among pregnant individuals in relation to the mean monthly income of household heads, based on the 2010 census data, across 94 neighbourhoods in Recife. The results provide evidence that the risk of ZIKV infection to pregnant individuals was higher among those residing in lower-income neighbourhoods: relative to neighbourhoods that had a mean monthly income of ≥5 times minimum wage, neighbourhoods with <1 and 1 to <2 times minimum wage had more than four times the risk (incidence rate ratio, 95% CI 4.08, 1.88 to 8.85 and 4.30, 2.00 to 9.20, respectively). This study provides evidence of a strong association between neighbourhood-level income and ZIKV infection risks in the pregnant population of Recife. In settings prone to arboviral outbreaks, locally targeted interventions to improve living conditions, sanitation, and mosquito control should be a key focus of governmental interventions to reduce risks associated with ZIKV infections during pregnancy.ArbovirusesDiseasesDisordersEpidemiologyInfectionsInjuriesObstetricsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83088https://www.arca.fiocruz.br/bitstream/icict/51427/1/license.txt7b043faf2a6ad46e5344ca8d54801d8cMD51ORIGINALNeighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil an ecological perspective, 2015–2017.pdfNeighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil an ecological perspective, 2015–2017.pdfapplication/pdf632638https://www.arca.fiocruz.br/bitstream/icict/51427/2/Neighbourhood-level%20income%20and%20Zika%20virus%20infection%20during%20pregnancy%20in%20Recife%2c%20Pernambuco%2c%20Brazil%20an%20ecological%20perspective%2c%202015%e2%80%932017.pdf493f6dafdd2e700e52d4d1e22dc4f5d8MD52icict/514272022-02-28 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Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| title |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| spellingShingle |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 Lobkowicz, Ludmila Arboviruses Diseases Disorders Epidemiology Infections Injuries Obstetrics |
| title_short |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| title_full |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| title_fullStr |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| title_full_unstemmed |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| title_sort |
Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017 |
| author |
Lobkowicz, Ludmila |
| author_facet |
Lobkowicz, Ludmila Power, Grace M. Souza, Wayner Vieira de Montarroyos, Ulisses Ramos Martelli, Celina Maria Turchi Araùjo, Thalia Velho Barreto de Bezerra, Luciana Caroline Albuquerque Dhalia, Rafael Marques, Ernesto T. A. Miranda-Filho, Demócrito de Barros Brickley, Elizabeth B. Ximenes, Ricardo Arraes de Alencar |
| author_role |
author |
| author2 |
Power, Grace M. Souza, Wayner Vieira de Montarroyos, Ulisses Ramos Martelli, Celina Maria Turchi Araùjo, Thalia Velho Barreto de Bezerra, Luciana Caroline Albuquerque Dhalia, Rafael Marques, Ernesto T. A. Miranda-Filho, Demócrito de Barros Brickley, Elizabeth B. Ximenes, Ricardo Arraes de Alencar |
| author2_role |
author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Lobkowicz, Ludmila Power, Grace M. Souza, Wayner Vieira de Montarroyos, Ulisses Ramos Martelli, Celina Maria Turchi Araùjo, Thalia Velho Barreto de Bezerra, Luciana Caroline Albuquerque Dhalia, Rafael Marques, Ernesto T. A. Miranda-Filho, Demócrito de Barros Brickley, Elizabeth B. Ximenes, Ricardo Arraes de Alencar |
| dc.subject.en.pt_BR.fl_str_mv |
Arboviruses Diseases Disorders Epidemiology Infections Injuries Obstetrics |
| topic |
Arboviruses Diseases Disorders Epidemiology Infections Injuries Obstetrics |
| description |
London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. Health Equity Action Lab. London, UK. |
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2021 |
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2021 |
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2022-02-23T13:39:30Z |
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2022-02-23T13:39:30Z |
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LOBKOWICZ, Ludmila et al. Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017. BMJ Global Health, v. 6, p. 1-7, e006811, 2021. |
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2059-7908 |
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10.1136/bmjgh-2021-006811 |
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LOBKOWICZ, Ludmila et al. Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015-2017. BMJ Global Health, v. 6, p. 1-7, e006811, 2021. 2059-7908 10.1136/bmjgh-2021-006811 |
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