Urbanization is associated with increased asthma morbidity and mortality in Brazil

Detalhes bibliográficos
Autor(a) principal: Ponte, Eduardo Vieira
Data de Publicação: 2016
Outros Autores: Cruz Filho, Alvaro Augusto Souza, Athanazio, Rodrigo, Pinto, Regina Maria de Carvalho, Fernandes, Frederico Leon Arrabal, Barreto, Maurício Lima, Stelmach, Rafael
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/18781
Resumo: CNPq/FAPESB financial support - Founds 020/2009 (PRONEX) – 6353 – PNX0018/2009
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spelling Ponte, Eduardo VieiraCruz Filho, Alvaro Augusto SouzaAthanazio, RodrigoPinto, Regina Maria de CarvalhoFernandes, Frederico Leon ArrabalBarreto, Maurício LimaStelmach, Rafael2017-05-08T14:34:25Z2017-05-08T14:34:25Z2016PONTE, E. V. et al. Urbanization is associated with increased asthma morbidity and mortality in Brazil. The Clinical Respiratory Journal, 2016.1752-6981https://www.arca.fiocruz.br/handle/icict/1878110.1111/crj.12530CNPq/FAPESB financial support - Founds 020/2009 (PRONEX) – 6353 – PNX0018/20092017-07-10Faculdade de Medicina de Jundiaí. São Paulo, SP, BrasilUniversidade Federal da Bahia. ProAR. N ucleo de Excelência em Asma. Salvador, BA, BrasilUniversidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, BrasilUniversidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, BrasilUniversidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, BrasilUniversidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, BrasilUniversidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, BrasilPrevious cross-sectional studies could establish an association between prevalence of self-reported wheeze and urban-rural environment, but the impact of urbanization on meaningful outcomes of asthma for public health is not established yet. Objectives: Evaluate the effect of urbanization on asthma burden. Methods: A time series study of 5,505 Brazilian municipalities. The unit of analysis was the municipality. Two time frames were evaluated: from 1999 to 2001 and from 2009 to 2011. Trends from the first to the second time frame were evaluated. Governmental databases were the source of information. Multivariate binary logistic regression models were used. Results: In the age range from 5 to 24 years old, municipalities with increase in the proportion of individuals living in urban area had lower odds to reduce hospital admission rate from asthma (OR: .93) and lower odds to reduce death rate from asthma (OR: .88). In the age range from 25 to 39 years old, municipalities with increase in the proportion of individuals living in urban area had lower odds to reduce hospital admission rate from asthma (OR: .93) and lower odds to reduce death rate from asthma (OR: .82). Municipalities that increased access to physicians and that supplied inhaled corticosteroids free of charge for asthma since year 2003 had increased odds to reduce hospital admission and death rates from asthma. Conclusions: Increase in urban population was associated with lower odds to reduce hospital admission and death rates from asthma in children and young adults living in a transition society.engWileyAsmaEpidemiologiaHospitalizaçãoMortalidadeTratamentoUrbanizaçãoAsthmaEpidemiologyHospitalizationMortalityTreatmentUrbanizationAsmaEpidemiologiaHospitalizaçãoMortalidadeTratamentoUrbanizaçãoUrbanization is associated with increased asthma morbidity and mortality 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:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/18781/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALPonte EV Urbanization is associated....pdfPonte EV Urbanization is 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dc.title.pt_BR.fl_str_mv Urbanization is associated with increased asthma morbidity and mortality in Brazil
title Urbanization is associated with increased asthma morbidity and mortality in Brazil
spellingShingle Urbanization is associated with increased asthma morbidity and mortality in Brazil
Ponte, Eduardo Vieira
Asma
Epidemiologia
Hospitalização
Mortalidade
Tratamento
Urbanização
Asthma
Epidemiology
Hospitalization
Mortality
Treatment
Urbanization
Asma
Epidemiologia
Hospitalização
Mortalidade
Tratamento
Urbanização
title_short Urbanization is associated with increased asthma morbidity and mortality in Brazil
title_full Urbanization is associated with increased asthma morbidity and mortality in Brazil
title_fullStr Urbanization is associated with increased asthma morbidity and mortality in Brazil
title_full_unstemmed Urbanization is associated with increased asthma morbidity and mortality in Brazil
title_sort Urbanization is associated with increased asthma morbidity and mortality in Brazil
author Ponte, Eduardo Vieira
author_facet Ponte, Eduardo Vieira
Cruz Filho, Alvaro Augusto Souza
Athanazio, Rodrigo
Pinto, Regina Maria de Carvalho
Fernandes, Frederico Leon Arrabal
Barreto, Maurício Lima
Stelmach, Rafael
author_role author
author2 Cruz Filho, Alvaro Augusto Souza
Athanazio, Rodrigo
Pinto, Regina Maria de Carvalho
Fernandes, Frederico Leon Arrabal
Barreto, Maurício Lima
Stelmach, Rafael
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Ponte, Eduardo Vieira
Cruz Filho, Alvaro Augusto Souza
Athanazio, Rodrigo
Pinto, Regina Maria de Carvalho
Fernandes, Frederico Leon Arrabal
Barreto, Maurício Lima
Stelmach, Rafael
dc.subject.other.pt_BR.fl_str_mv Asma
Epidemiologia
Hospitalização
Mortalidade
Tratamento
Urbanização
topic Asma
Epidemiologia
Hospitalização
Mortalidade
Tratamento
Urbanização
Asthma
Epidemiology
Hospitalization
Mortality
Treatment
Urbanization
Asma
Epidemiologia
Hospitalização
Mortalidade
Tratamento
Urbanização
dc.subject.en.pt_BR.fl_str_mv Asthma
Epidemiology
Hospitalization
Mortality
Treatment
Urbanization
dc.subject.decs.pt_BR.fl_str_mv Asma
Epidemiologia
Hospitalização
Mortalidade
Tratamento
Urbanização
description CNPq/FAPESB financial support - Founds 020/2009 (PRONEX) – 6353 – PNX0018/2009
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2017-05-08T14:34:25Z
dc.date.available.fl_str_mv 2017-05-08T14:34:25Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.citation.fl_str_mv PONTE, E. V. et al. Urbanization is associated with increased asthma morbidity and mortality in Brazil. The Clinical Respiratory Journal, 2016.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/18781
dc.identifier.issn.pt_BR.fl_str_mv 1752-6981
dc.identifier.doi.none.fl_str_mv 10.1111/crj.12530
identifier_str_mv PONTE, E. V. et al. Urbanization is associated with increased asthma morbidity and mortality in Brazil. The Clinical Respiratory Journal, 2016.
1752-6981
10.1111/crj.12530
url https://www.arca.fiocruz.br/handle/icict/18781
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
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