Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk.
| Autor(a) principal: | |
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| Data de Publicação: | 2015 |
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| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/13759 |
Resumo: | Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil |
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Kikuti, MarianaCunha, Geraldo Marcelo daPaploski, Igor Adolfo DexheimerKasper, Amelia M.Silva, Monaise Madalena Oliveira eTavares, Aline da SilvaCruz, Jaqueline SilvaQueiroz, Tássia Lacerda deRodrigues, Moreno de SouzaSantana, Perla MachadoLima, Helena Cristina Alves VieiraCalcagno, Juan IgnacioTakahashi, DanieleGonçalves, André Henrique OliveiraAraújo, Josélio Maria Galvão deGauthier, KristineWasser, Maria A. DiukKitron, UrielKo, Albert IcksangReis, Mitermayer Galvão dosRibeiro, Guilherme de Sousa2016-04-14T12:36:37Z2016-04-14T12:36:37Z2015KIKUTI, M. et al. Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. PLoS Neglected Tropical Diseases, v. 9, n. 7, p. e0003937, 2015.1935-2735https://www.arca.fiocruz.br/handle/icict/1375910.1371/journal.pntd.0003937engPublic Library of ScienceDengueDengue graveComunidadesFavelasEmergênciaBrasilFatores de RiscoFatores SocioeconomicosTransmissãoÁreas de pobrezaSpatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk.info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilUniversidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, BrasilUniversidade Federal do Rio Grande do Norte. Departamento de Microbiologia e Parasitologia. Natal, RGN, BrasilYale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USAYale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USAEmory University. Department of Environmental Studies. Atlanta, Georgia, USAFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Yale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USAFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Yale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USA / Universidade Federal da Bahia. Faculdade de Medicina. Salvador, BA, BrasilFundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil / Yale University. School of Public Health. Department of Epidemiology of Microbial Diseases. New Haven, Connecticut, USABACKGROUND: Few studies of dengue have shown group-level associations between demographic, socioeconomic, or geographic characteristics and the spatial distribution of dengue within small urban areas. This study aimed to examine whether specific characteristics of an urban slum community were associated with the risk of dengue disease. METHODOLOGY/PRINCIPAL FINDINGS: From 01/2009 to 12/2010, we conducted enhanced, community-based surveillance in the only public emergency unit in a slum in Salvador, Brazil to identify acute febrile illness (AFI) patients with laboratory evidence of dengue infection. Patient households were geocoded within census tracts (CTs). Demographic, socioeconomic, and geographical data were obtained from the 2010 national census. Associations between CTs characteristics and the spatial risk of both dengue and non-dengue AFI were assessed by Poisson log-normal and conditional auto-regressive models (CAR). We identified 651 (22.0%) dengue cases among 2,962 AFI patients. Estimated risk of symptomatic dengue was 21.3 and 70.2 cases per 10,000 inhabitants in 2009 and 2010, respectively. All the four dengue serotypes were identified, but DENV2 predominated (DENV1: 8.1%; DENV2: 90.7%; DENV3: 0.4%; DENV4: 0.8%). Multivariable CAR regression analysis showed increased dengue risk in CTs with poorer inhabitants (RR: 1.02 for each percent increase in the frequency of families earning ≤1 times the minimum wage; 95% CI: 1.01-1.04), and decreased risk in CTs located farther from the health unit (RR: 0.87 for each 100 meter increase; 95% CI: 0.80-0.94). The same CTs characteristics were also associated with non-dengue AFI risk. CONCLUSIONS/SIGNIFICANCE: This study highlights the large burden of symptomatic dengue on individuals living in urban slums in Brazil. Lower neighborhood socioeconomic status was independently associated with increased risk of dengue, indicating that within slum communities with high levels of absolute poverty, factors associated with the social gradient influence dengue transmission. In addition, poor geographic access to health services may be a barrier to identifying both dengue and non-dengue AFI cases. Therefore, further spatial studies should account for this potential source of bias.info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALKikuti M Spatial....pdfKikuti M Spatial....pdfapplication/pdf4784830https://www.arca.fiocruz.br/bitstream/icict/13759/2/Kikuti%20M%20Spatial....pdfab23fa9c2372f936822e54ec9a26187fMD52Kikuti M Spatial....pdfKikuti M Spatial....pdfapplication/pdf4784830https://www.arca.fiocruz.br/bitstream/icict/13759/3/Kikuti%20M%20Spatial....pdfab23fa9c2372f936822e54ec9a26187fMD53LICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/13759/4/license.txt5a560609d32a3863062d77ff32785d58MD54TEXTKikuti M Spatial....pdf.txtKikuti M Spatial....pdf.txtExtracted texttext/plain61273https://www.arca.fiocruz.br/bitstream/icict/13759/5/Kikuti%20M%20Spatial....pdf.txtd60cb2b8e23e390255ce1b74a45d62c2MD55icict/137592023-03-15 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| dc.title.pt_BR.fl_str_mv |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| title |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| spellingShingle |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. Kikuti, Mariana Dengue Dengue grave Comunidades Favelas Emergência Brasil Fatores de Risco Fatores Socioeconomicos Transmissão Áreas de pobreza |
| title_short |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| title_full |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| title_fullStr |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| title_full_unstemmed |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| title_sort |
Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. |
| author |
Kikuti, Mariana |
| author_facet |
Kikuti, Mariana Cunha, Geraldo Marcelo da Paploski, Igor Adolfo Dexheimer Kasper, Amelia M. Silva, Monaise Madalena Oliveira e Tavares, Aline da Silva Cruz, Jaqueline Silva Queiroz, Tássia Lacerda de Rodrigues, Moreno de Souza Santana, Perla Machado Lima, Helena Cristina Alves Vieira Calcagno, Juan Ignacio Takahashi, Daniele Gonçalves, André Henrique Oliveira Araújo, Josélio Maria Galvão de Gauthier, Kristine Wasser, Maria A. Diuk Kitron, Uriel Ko, Albert Icksang Reis, Mitermayer Galvão dos Ribeiro, Guilherme de Sousa |
| author_role |
author |
| author2 |
Cunha, Geraldo Marcelo da Paploski, Igor Adolfo Dexheimer Kasper, Amelia M. Silva, Monaise Madalena Oliveira e Tavares, Aline da Silva Cruz, Jaqueline Silva Queiroz, Tássia Lacerda de Rodrigues, Moreno de Souza Santana, Perla Machado Lima, Helena Cristina Alves Vieira Calcagno, Juan Ignacio Takahashi, Daniele Gonçalves, André Henrique Oliveira Araújo, Josélio Maria Galvão de Gauthier, Kristine Wasser, Maria A. Diuk Kitron, Uriel Ko, Albert Icksang Reis, Mitermayer Galvão dos Ribeiro, Guilherme de Sousa |
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author author author author author author author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Kikuti, Mariana Cunha, Geraldo Marcelo da Paploski, Igor Adolfo Dexheimer Kasper, Amelia M. Silva, Monaise Madalena Oliveira e Tavares, Aline da Silva Cruz, Jaqueline Silva Queiroz, Tássia Lacerda de Rodrigues, Moreno de Souza Santana, Perla Machado Lima, Helena Cristina Alves Vieira Calcagno, Juan Ignacio Takahashi, Daniele Gonçalves, André Henrique Oliveira Araújo, Josélio Maria Galvão de Gauthier, Kristine Wasser, Maria A. Diuk Kitron, Uriel Ko, Albert Icksang Reis, Mitermayer Galvão dos Ribeiro, Guilherme de Sousa |
| dc.subject.other.pt_BR.fl_str_mv |
Dengue Dengue grave Comunidades Favelas Emergência Brasil Fatores de Risco Fatores Socioeconomicos Transmissão Áreas de pobreza |
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Dengue Dengue grave Comunidades Favelas Emergência Brasil Fatores de Risco Fatores Socioeconomicos Transmissão Áreas de pobreza |
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Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil |
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2015 |
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2015 |
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2016-04-14T12:36:37Z |
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2016-04-14T12:36:37Z |
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KIKUTI, M. et al. Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. PLoS Neglected Tropical Diseases, v. 9, n. 7, p. e0003937, 2015. |
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1935-2735 |
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10.1371/journal.pntd.0003937 |
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KIKUTI, M. et al. Spatial Distribution of Dengue in a Brazilian Urban Slum Setting: Role of Socioeconomic Gradient in Disease Risk. PLoS Neglected Tropical Diseases, v. 9, n. 7, p. e0003937, 2015. 1935-2735 10.1371/journal.pntd.0003937 |
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