Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2022 |
| Outros Autores: | , , , , , , , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng |
| Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
| Texto Completo: | https://www.arca.fiocruz.br/handle/icict/57107 |
Resumo: | Secretaria de Vigilância em Saúde do Ministério da Saúde do Brasil. British Council Newton Fund. Wellcome Trust. |
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Paixão, Enny S.Fernandes, Qeren Hapuk R FerreiraCardim, Luciana L.Pescarini, Julia M.Costa, Maria Conceicao N.Falcão, Ila R.Brickley, Elizabeth B.Santos, Andreia CostaSouza, André PortelaSauer, Rita de Cassia Oliveira CarvalhoSmeeth, LiamRodrigues, Laura C.Barreto, Mauricio L.Teixeira, Maria Gloria2023-02-24T14:11:29Z2023-02-24T14:11:29Z2022PAIXÃO, Enny S. et al. Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil. BMJ Global Health, v. 7, p. 1-10, 2022.2059-7908https://www.arca.fiocruz.br/handle/icict/5710710.1136/ bmjgh-2022-009600Secretaria de Vigilância em Saúde do Ministério da Saúde do Brasil. British Council Newton Fund. Wellcome Trust.Department of Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, UK / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Department of Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, UK.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Department of Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, UK.Department of Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, UK.Fundação Getúlio Vargas. Escola de Economia e Centro de Estudos Microeconômicos Aplicados. São Paulo, SP, Brasil.Núcleo Regional de Saúde Leste da Secretaria de Estado da Saúde da Bahia. Santo Antônio de Jesus, BA, Brasil.Faculty of Epidemiology and Population Health. London School of Hygiene and Tropical Medicine. London, UK.Department of Infectious Disease Epidemiology. London School of Hygiene & Tropical Medicine. London, UK.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.While it is well known that socioeconomic markers are associated with a higher risk of arbovirus infections, research on the relationship between socioeconomic factors and congenital Zika syndrome (CZS) remains limited. This study investigates the relationship between socioeconomic risk markers and live births with CZS in Brazil. We conducted a population-based study using data from all registered live births in Brazil (Live Births Information System) linked with the Public Health Event Record from 1 January 2015 to 31 December 2018. We used logistic regression models to estimate the OR and 95% CIs of CZS based on a three-level framework. In an analysis of 11 366 686 live births, of which 3353 had CZS, we observed that live births of self-identified black or mixed race/brown mothers (1.72 (95% CI 1.47 to 2.01) and 1.37 (95% CI 1.24 to 1.51)) were associated with a higher odds of CZS. Live births from single women compared with married women and those from women with less than 12 years of education compared with those with more than 12 years of education also had higher odds of CZS. In addition, live births following fewer prenatal care appointments had increased odds of CZS in the nationwide data. However, in the analyses conducted in the Northeast region (where the microcephaly epidemic started before the link with Zika virus was established and before preventive measures were known or disseminated), no statistical association was found between the number of prenatal care appointments and the odds of CZS. This study shows that live births of the most socially vulnerable women in Brazil had the greatest odds of CZS. This disproportionate distribution of risk places an even greater burden on already socioeconomically disadvantaged groups, and the lifelong disabilities caused by this syndrome may reinforce existing social and health inequalities.engBMJ Publishing GroupMarcadores de riscoFatores SocioeconômicosSíndrome congênita do zikaRisk markersSocioeconomic factorsCongenital zika syndromeFatores socioeconômicosSíndromeInfecção por Zika virusSocioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZORIGINALPaixão, E.S. Socioeconomic risk markers...2022.pdfPaixão, E.S. Socioeconomic risk markers...2022.pdfapplication/pdf400514https://www.arca.fiocruz.br/bitstream/icict/57107/2/Paix%c3%a3o%2c%20E.S.%20Socioeconomic%20risk%20markers...2022.pdfb21bb1f29e845f1a64941e9062fc32b8MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/57107/1/license.txt5a560609d32a3863062d77ff32785d58MD51icict/571072023-03-15 14:32:52.55oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-03-15T17:32:52Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
| dc.title.en_US.fl_str_mv |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| title |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| spellingShingle |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil Paixão, Enny S. Marcadores de risco Fatores Socioeconômicos Síndrome congênita do zika Risk markers Socioeconomic factors Congenital zika syndrome Fatores socioeconômicos Síndrome Infecção por Zika virus |
| title_short |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| title_full |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| title_fullStr |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| title_full_unstemmed |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| title_sort |
Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil |
| author |
Paixão, Enny S. |
| author_facet |
Paixão, Enny S. Fernandes, Qeren Hapuk R Ferreira Cardim, Luciana L. Pescarini, Julia M. Costa, Maria Conceicao N. Falcão, Ila R. Brickley, Elizabeth B. Santos, Andreia Costa Souza, André Portela Sauer, Rita de Cassia Oliveira Carvalho Smeeth, Liam Rodrigues, Laura C. Barreto, Mauricio L. Teixeira, Maria Gloria |
| author_role |
author |
| author2 |
Fernandes, Qeren Hapuk R Ferreira Cardim, Luciana L. Pescarini, Julia M. Costa, Maria Conceicao N. Falcão, Ila R. Brickley, Elizabeth B. Santos, Andreia Costa Souza, André Portela Sauer, Rita de Cassia Oliveira Carvalho Smeeth, Liam Rodrigues, Laura C. Barreto, Mauricio L. Teixeira, Maria Gloria |
| author2_role |
author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Paixão, Enny S. Fernandes, Qeren Hapuk R Ferreira Cardim, Luciana L. Pescarini, Julia M. Costa, Maria Conceicao N. Falcão, Ila R. Brickley, Elizabeth B. Santos, Andreia Costa Souza, André Portela Sauer, Rita de Cassia Oliveira Carvalho Smeeth, Liam Rodrigues, Laura C. Barreto, Mauricio L. Teixeira, Maria Gloria |
| dc.subject.other.en_US.fl_str_mv |
Marcadores de risco Fatores Socioeconômicos Síndrome congênita do zika |
| topic |
Marcadores de risco Fatores Socioeconômicos Síndrome congênita do zika Risk markers Socioeconomic factors Congenital zika syndrome Fatores socioeconômicos Síndrome Infecção por Zika virus |
| dc.subject.en.en_US.fl_str_mv |
Risk markers Socioeconomic factors Congenital zika syndrome |
| dc.subject.decs.en_US.fl_str_mv |
Fatores socioeconômicos Síndrome Infecção por Zika virus |
| description |
Secretaria de Vigilância em Saúde do Ministério da Saúde do Brasil. British Council Newton Fund. Wellcome Trust. |
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2022 |
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2022 |
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2023-02-24T14:11:29Z |
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2023-02-24T14:11:29Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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article |
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PAIXÃO, Enny S. et al. Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil. BMJ Global Health, v. 7, p. 1-10, 2022. |
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https://www.arca.fiocruz.br/handle/icict/57107 |
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2059-7908 |
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10.1136/ bmjgh-2022-009600 |
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PAIXÃO, Enny S. et al. Socioeconomic risk markers of congenital Zika syndrome: a nationwide, registry-based study in Brazil. BMJ Global Health, v. 7, p. 1-10, 2022. 2059-7908 10.1136/ bmjgh-2022-009600 |
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