A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country

Detalhes bibliográficos
Autor(a) principal: Ferrer, Suzana R.
Data de Publicação: 2008
Outros Autores: Strina, Agostino, Ribeiro, Hugo C., Cairncross, Sandy, Rodrigues, Laura Cunha, Barreto, Mauricio Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://www.repositorio.ufba.br/ri/handle/ri/2066
Resumo: p.805-815
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spelling Ferrer, Suzana R.Strina, AgostinoRibeiro, Hugo C.Cairncross, SandyRodrigues, Laura CunhaBarreto, Mauricio LimaFerrer, Suzana R.Strina, AgostinoRibeiro, Hugo C.Cairncross, SandyRodrigues, Laura CunhaBarreto, Mauricio Lima2011-08-05T03:01:20Z2011-08-05T03:01:20Z2008-05-311935-2735http://www.repositorio.ufba.br/ri/handle/ri/206637p.805-815Objective To identify factors associated with diarrhoea occurrence in children inacityinamiddle income country,with high access to water and sanitation. Methods Acase–control study in the city of Salvador,north-eastern Brazil was conducted from November 2002 to August 2004.Thestudy population consisted of children presenting at health facility. A total of 1688 cases of diarrhoea and 1676 controls were selected. Data collecti on was by a questionnaire and structured observation during home visits.The explanatory variables were grouped according to aconceptual model defined previously. Analysis was done using a hierarchical approach,to provide a more dynamic view of the transmission characteristics of childhood diarrhoea.Non- conditional logistic regression was used,and odds ratio and population-attributable fractions were estimated. Results Socio economic factors contributed most to determining diarrhoea occurrence,followed by interpersonal contact,while factors related to food preparation,the environment and water and sanitation made a smaller contribution. Conclusion The finding sindicate that the transmission of diarrhoeais influenced by factors from all hierarchical levels,with interpersonal transmission playing a relatively higher role than previously thought.This is compatible with a predominance of viruses and other agents spread by interpersonal routes including Shigella, Giardia and Cryptosporidium.Diarrhoea control strategies in similar settings(middle-in come countries in which a large proportion of the population has access to water and sanitation)must give greater emphasis to policie sgeared towards reducing person-to- person transmission for the prevention of diarrhoea.Submitted by Rigaud Andréa (andrearigaud16@yahoo.com.br) on 2011-08-05T03:01:20Z No. of bitstreams: 1 per%20int2008.7[1].pdf: 114768 bytes, checksum: 232e963ab54f6928a059dce135441291 (MD5)Made available in DSpace on 2011-08-05T03:01:20Z (GMT). No. of bitstreams: 1 per%20int2008.7[1].pdf: 114768 bytes, checksum: 232e963ab54f6928a059dce135441291 (MD5) Previous issue date: 2008-05-31Diarrhoeaurbantransmissionperson-to-personrisk factorschildrenBrazilA hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income countryInternational Journal of Epidemiologyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAinfo:eu-repo/semantics/openAccessORIGINALper%20int2008.7[1].pdfper%20int2008.7[1].pdfapplication/pdf114768https://repositorio.ufba.br/bitstream/ri/2066/1/per%2520int2008.7%5b1%5d.pdf232e963ab54f6928a059dce135441291MD51LICENSElicense.txtlicense.txttext/plain1906https://repositorio.ufba.br/bitstream/ri/2066/2/license.txta71448ed4d5c425350fe67257176e6e0MD52TEXTper%20int2008.7[1].pdf.txtper%20int2008.7[1].pdf.txtExtracted texttext/plain41602https://repositorio.ufba.br/bitstream/ri/2066/3/per%2520int2008.7%5b1%5d.pdf.txte46f670e82e056f73bd68a4602cf2553MD53ri/20662022-07-05 14:03:08.442oai:repositorio.ufba.br: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Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-07-05T17:03:08Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
dc.title.alternative.pt_BR.fl_str_mv International Journal of Epidemiology
title A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
spellingShingle A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
Ferrer, Suzana R.
Diarrhoea
urban
transmission
person-to-person
risk factors
children
Brazil
title_short A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
title_full A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
title_fullStr A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
title_full_unstemmed A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
title_sort A hierarchical model for studying risk factors for childhood diarrhoea:acase–control study in a middle-income country
author Ferrer, Suzana R.
author_facet Ferrer, Suzana R.
Strina, Agostino
Ribeiro, Hugo C.
Cairncross, Sandy
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
author_role author
author2 Strina, Agostino
Ribeiro, Hugo C.
Cairncross, Sandy
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Ferrer, Suzana R.
Strina, Agostino
Ribeiro, Hugo C.
Cairncross, Sandy
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
Ferrer, Suzana R.
Strina, Agostino
Ribeiro, Hugo C.
Cairncross, Sandy
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
dc.subject.por.fl_str_mv Diarrhoea
urban
transmission
person-to-person
risk factors
children
Brazil
topic Diarrhoea
urban
transmission
person-to-person
risk factors
children
Brazil
description p.805-815
publishDate 2008
dc.date.issued.fl_str_mv 2008-05-31
dc.date.accessioned.fl_str_mv 2011-08-05T03:01:20Z
dc.date.available.fl_str_mv 2011-08-05T03:01:20Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://www.repositorio.ufba.br/ri/handle/ri/2066
dc.identifier.issn.none.fl_str_mv 1935-2735
dc.identifier.number.pt_BR.fl_str_mv 37
identifier_str_mv 1935-2735
37
url http://www.repositorio.ufba.br/ri/handle/ri/2066
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.source.none.fl_str_mv reponame:Repositório Institucional da UFBA
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