Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil

Detalhes bibliográficos
Autor(a) principal: Lima, Deanna dos Santos
Data de Publicação: 2022
Outros Autores: da Paz, Wandklebson Silva, Lopes de Sousa, Álvaro Francisco, de Andrade, Denise, Conacci, Beatriz Juliana, Damasceno, Flávia Silva, Bezerra-Santos, Márcio
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/148173
Resumo: Funding Information: Coordenação de Aperfeiçoamento de Pessoal do Nível Superior—CAPES. Code: 001. Publisher Copyright: © 2022 by the authors.
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spelling Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern BrazilA 20-Year Population-Based StudyBrazildiarrheagastroenteritispublic healthspatial analysisRA0421 Public health. Hygiene. Preventive MedicineRC Internal medicineHV Social pathology. Social and public welfareImmunology and Microbiology(all)Public Health, Environmental and Occupational HealthInfectious DiseasesSDG 3 - Good Health and Well-beingSDG 10 - Reduced InequalitiesSDG 1 - No PovertyFunding Information: Coordenação de Aperfeiçoamento de Pessoal do Nível Superior—CAPES. Code: 001. Publisher Copyright: © 2022 by the authors.Acute diarrhea is the second leading cause of death among children in developing countries and is strongly related with the socioeconomic conditions of the population. In Brazil, data show a drop in the diarrhea mortality rate. Nevertheless, the northeastern region still has the most deaths. Considering this, we analyze high-risk areas for diarrhea- and gastroenteritis-related deaths, and their association with social determinants of health (SDH) in the state with one of the worst human development indicators in Brazil (Alagoas) between 2000 and 2019. We applied temporal, spatial, and space–time risk modelling. We used a log-linear regression model to assess temporal trends and the local empirical Bayesian estimator, the global and local Moran indices for spatial analysis. Spearman’s correlation was used to correlate mortality rates with SDH. A total of 3472 diarrhea-related deaths were reported during this period in Alagoas. We observed a decreasing time trend of deaths in the state (9.41/100,000 in 2000 to 2.21 in 2019; APC = −6.7; p-value < 0.001), especially in children under one year of age. However, there was stability among adults and the elderly. We identified two high-risk spatiotemporal clusters of mortality in inland municipalities. Lastly, mortality rates correlated significantly with 90% of SDH. Taken together, these findings indicate that diarrhea diseases remain a serious public health concern in Alagoas, mainly in the poorest and inland municipalities. Thereby, it is urgently necessary to invest in measures to control and prevent cases, and improve the living conditions of the poorest populations and those with the highest social vulnerability index.Population health, policies and services (PPS)Global Health and Tropical Medicine (GHTM)Instituto de Higiene e Medicina Tropical (IHMT)Universidade NOVA de LisboaRUNLima, Deanna dos Santosda Paz, Wandklebson SilvaLopes de Sousa, Álvaro Franciscode Andrade, DeniseConacci, Beatriz JulianaDamasceno, Flávia SilvaBezerra-Santos, Márcio2023-01-25T22:16:55Z2022-102022-10-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/148173eng2414-6366PURE: 50665250https://doi.org/10.3390/tropicalmed7100312info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T05:29:33Zoai:run.unl.pt:10362/148173Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:53:13.965693Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
A 20-Year Population-Based Study
title Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
spellingShingle Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
Lima, Deanna dos Santos
Brazil
diarrhea
gastroenteritis
public health
spatial analysis
RA0421 Public health. Hygiene. Preventive Medicine
RC Internal medicine
HV Social pathology. Social and public welfare
Immunology and Microbiology(all)
Public Health, Environmental and Occupational Health
Infectious Diseases
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 1 - No Poverty
title_short Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
title_full Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
title_fullStr Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
title_full_unstemmed Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
title_sort Space–Time Clustering and Socioeconomic Factors Associated with Mortality from Diarrhea in Alagoas, Northeastern Brazil
author Lima, Deanna dos Santos
author_facet Lima, Deanna dos Santos
da Paz, Wandklebson Silva
Lopes de Sousa, Álvaro Francisco
de Andrade, Denise
Conacci, Beatriz Juliana
Damasceno, Flávia Silva
Bezerra-Santos, Márcio
author_role author
author2 da Paz, Wandklebson Silva
Lopes de Sousa, Álvaro Francisco
de Andrade, Denise
Conacci, Beatriz Juliana
Damasceno, Flávia Silva
Bezerra-Santos, Márcio
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv Population health, policies and services (PPS)
Global Health and Tropical Medicine (GHTM)
Instituto de Higiene e Medicina Tropical (IHMT)
Universidade NOVA de Lisboa
RUN
dc.contributor.author.fl_str_mv Lima, Deanna dos Santos
da Paz, Wandklebson Silva
Lopes de Sousa, Álvaro Francisco
de Andrade, Denise
Conacci, Beatriz Juliana
Damasceno, Flávia Silva
Bezerra-Santos, Márcio
dc.subject.por.fl_str_mv Brazil
diarrhea
gastroenteritis
public health
spatial analysis
RA0421 Public health. Hygiene. Preventive Medicine
RC Internal medicine
HV Social pathology. Social and public welfare
Immunology and Microbiology(all)
Public Health, Environmental and Occupational Health
Infectious Diseases
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 1 - No Poverty
topic Brazil
diarrhea
gastroenteritis
public health
spatial analysis
RA0421 Public health. Hygiene. Preventive Medicine
RC Internal medicine
HV Social pathology. Social and public welfare
Immunology and Microbiology(all)
Public Health, Environmental and Occupational Health
Infectious Diseases
SDG 3 - Good Health and Well-being
SDG 10 - Reduced Inequalities
SDG 1 - No Poverty
description Funding Information: Coordenação de Aperfeiçoamento de Pessoal do Nível Superior—CAPES. Code: 001. Publisher Copyright: © 2022 by the authors.
publishDate 2022
dc.date.none.fl_str_mv 2022-10
2022-10-01T00:00:00Z
2023-01-25T22:16:55Z
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.uri.fl_str_mv http://hdl.handle.net/10362/148173
url http://hdl.handle.net/10362/148173
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2414-6366
PURE: 50665250
https://doi.org/10.3390/tropicalmed7100312
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
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