Social determinants of childhood asthma symptoms: an ecological study in urban Latin America

Detalhes bibliográficos
Autor(a) principal: Fattore, Gisel Lorena
Data de Publicação: 2014
Outros Autores: Santos, Carlos Antonio de Souza Teles, Barreto, Mauricio Lima
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFBA
Texto Completo: http://repositorio.ufba.br/ri/handle/ri/17886
Resumo: Asthma is an important public health problem in urban Latin America. This study aimed to analyze the role of socioeconomic and environmental factors as potential determinants of asthma symptoms prevalence in children from Latin American (LA) urban centers. We selected 31 LA urban centers with complete data, and an ecological analysis was performed. According to our theoretical framework, the explanatory variables were classified in three levels: distal, intermediate, and proximate. The association between variables in the three levels and prevalence of asthma symptoms was examined by bivariate and multivariate linear regression analysis weighed by sample size. In a second stage, we fitted several linear regression models introducing sequentially the variables according to the predefined hierarchy. In the final hierarchical model Gini Index, crowding, sanitation, variation in infant mortality rates and homicide rates, explained great part of the variance in asthma prevalence between centers (R(2) = 75.0 %). We found a strong association between socioeconomic and environmental variables and prevalence of asthma symptoms in LA urban children, and according to our hierarchical framework and the results found we suggest that social inequalities (measured by the Gini Index) is a central determinant to explain high prevalence of asthma in LA.
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spelling Fattore, Gisel LorenaSantos, Carlos Antonio de Souza TelesBarreto, Mauricio LimaFattore, Gisel LorenaSantos, Carlos Antonio de Souza TelesBarreto, Mauricio Lima2015-06-15T15:07:54Z20141573-3610http://repositorio.ufba.br/ri/handle/ri/17886J Community Health, v.39, n.2, p.355-62. .Asthma is an important public health problem in urban Latin America. This study aimed to analyze the role of socioeconomic and environmental factors as potential determinants of asthma symptoms prevalence in children from Latin American (LA) urban centers. We selected 31 LA urban centers with complete data, and an ecological analysis was performed. According to our theoretical framework, the explanatory variables were classified in three levels: distal, intermediate, and proximate. The association between variables in the three levels and prevalence of asthma symptoms was examined by bivariate and multivariate linear regression analysis weighed by sample size. In a second stage, we fitted several linear regression models introducing sequentially the variables according to the predefined hierarchy. In the final hierarchical model Gini Index, crowding, sanitation, variation in infant mortality rates and homicide rates, explained great part of the variance in asthma prevalence between centers (R(2) = 75.0 %). We found a strong association between socioeconomic and environmental variables and prevalence of asthma symptoms in LA urban children, and according to our hierarchical framework and the results found we suggest that social inequalities (measured by the Gini Index) is a central determinant to explain high prevalence of asthma in LA.Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2015-06-15T15:07:54Z No. of bitstreams: 1 Barreto ML. 2014 et al.pdf: 659151 bytes, checksum: bcde5b86cd78d218e638164c0c4fd051 (MD5)Made available in DSpace on 2015-06-15T15:07:54Z (GMT). No. of bitstreams: 1 Barreto ML. 2014 et al.pdf: 659151 bytes, checksum: bcde5b86cd78d218e638164c0c4fd051 (MD5) Previous issue date: 2014New YorkHuman Sciences PressAsthmaSocial InequalitiesUrbanChildrenSocial determinants of childhood asthma symptoms: an ecological study in urban Latin Americainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article10000-01-01info:eu-repo/semantics/openAccessengreponame:Repositório Institucional da UFBAinstname:Universidade Federal da Bahia (UFBA)instacron:UFBAORIGINALBarreto ML. 2014 et al.pdfBarreto ML. 2014 et al.pdfapplication/pdf659151https://repositorio.ufba.br/bitstream/ri/17886/1/Barreto%20ML.%202014%20et%20al.pdfbcde5b86cd78d218e638164c0c4fd051MD51LICENSElicense.txtlicense.txttext/plain1345https://repositorio.ufba.br/bitstream/ri/17886/2/license.txtff6eaa8b858ea317fded99f125f5fcd0MD52TEXTBarreto ML. 2014 et al.pdf.txtBarreto ML. 2014 et al.pdf.txtExtracted texttext/plain29197https://repositorio.ufba.br/bitstream/ri/17886/3/Barreto%20ML.%202014%20et%20al.pdf.txt37a34ff263b7cdd7c1f49ab51be8a16dMD53ri/178862022-08-08 13:17:55.988oai:repositorio.ufba.br:ri/17886VGVybW8gZGUgTGljZW7vv71hLCBu77+9byBleGNsdXNpdm8sIHBhcmEgbyBkZXDvv71zaXRvIG5vIFJlcG9zaXTvv71yaW8gSW5zdGl0dWNpb25hbCBkYSBVRkJBLgoKIFBlbG8gcHJvY2Vzc28gZGUgc3VibWlzc++/vW8gZGUgZG9jdW1lbnRvcywgbyBhdXRvciBvdSBzZXUgcmVwcmVzZW50YW50ZSBsZWdhbCwgYW8gYWNlaXRhciAKZXNzZSB0ZXJtbyBkZSBsaWNlbu+/vWEsIGNvbmNlZGUgYW8gUmVwb3NpdO+/vXJpbyBJbnN0aXR1Y2lvbmFsIGRhIFVuaXZlcnNpZGFkZSBGZWRlcmFsIGRhIEJhaGlhIApvIGRpcmVpdG8gZGUgbWFudGVyIHVtYSBj77+9cGlhIGVtIHNldSByZXBvc2l077+9cmlvIGNvbSBhIGZpbmFsaWRhZGUsIHByaW1laXJhLCBkZSBwcmVzZXJ2Ye+/ve+/vW8uIApFc3NlcyB0ZXJtb3MsIG7vv71vIGV4Y2x1c2l2b3MsIG1hbnTvv71tIG9zIGRpcmVpdG9zIGRlIGF1dG9yL2NvcHlyaWdodCwgbWFzIGVudGVuZGUgbyBkb2N1bWVudG8gCmNvbW8gcGFydGUgZG8gYWNlcnZvIGludGVsZWN0dWFsIGRlc3NhIFVuaXZlcnNpZGFkZS4KCiBQYXJhIG9zIGRvY3VtZW50b3MgcHVibGljYWRvcyBjb20gcmVwYXNzZSBkZSBkaXJlaXRvcyBkZSBkaXN0cmlidWnvv73vv71vLCBlc3NlIHRlcm1vIGRlIGxpY2Vu77+9YSAKZW50ZW5kZSBxdWU6CgogTWFudGVuZG8gb3MgZGlyZWl0b3MgYXV0b3JhaXMsIHJlcGFzc2Fkb3MgYSB0ZXJjZWlyb3MsIGVtIGNhc28gZGUgcHVibGljYe+/ve+/vWVzLCBvIHJlcG9zaXTvv71yaW8KcG9kZSByZXN0cmluZ2lyIG8gYWNlc3NvIGFvIHRleHRvIGludGVncmFsLCBtYXMgbGliZXJhIGFzIGluZm9ybWHvv73vv71lcyBzb2JyZSBvIGRvY3VtZW50bwooTWV0YWRhZG9zIGVzY3JpdGl2b3MpLgoKIERlc3RhIGZvcm1hLCBhdGVuZGVuZG8gYW9zIGFuc2Vpb3MgZGVzc2EgdW5pdmVyc2lkYWRlIGVtIG1hbnRlciBzdWEgcHJvZHXvv73vv71vIGNpZW5077+9ZmljYSBjb20gCmFzIHJlc3Ryae+/ve+/vWVzIGltcG9zdGFzIHBlbG9zIGVkaXRvcmVzIGRlIHBlcmnvv71kaWNvcy4KCiBQYXJhIGFzIHB1YmxpY2Hvv73vv71lcyBzZW0gaW5pY2lhdGl2YXMgcXVlIHNlZ3VlbSBhIHBvbO+/vXRpY2EgZGUgQWNlc3NvIEFiZXJ0bywgb3MgZGVw77+9c2l0b3MgCmNvbXB1bHPvv71yaW9zIG5lc3NlIHJlcG9zaXTvv71yaW8gbWFudO+/vW0gb3MgZGlyZWl0b3MgYXV0b3JhaXMsIG1hcyBtYW5077+9bSBhY2Vzc28gaXJyZXN0cml0byAKYW8gbWV0YWRhZG9zIGUgdGV4dG8gY29tcGxldG8uIEFzc2ltLCBhIGFjZWl0Ye+/ve+/vW8gZGVzc2UgdGVybW8gbu+/vW8gbmVjZXNzaXRhIGRlIGNvbnNlbnRpbWVudG8KIHBvciBwYXJ0ZSBkZSBhdXRvcmVzL2RldGVudG9yZXMgZG9zIGRpcmVpdG9zLCBwb3IgZXN0YXJlbSBlbSBpbmljaWF0aXZhcyBkZSBhY2Vzc28gYWJlcnRvLgo=Repositório InstitucionalPUBhttp://192.188.11.11:8080/oai/requestopendoar:19322022-08-08T16:17:55Repositório Institucional da UFBA - Universidade Federal da Bahia (UFBA)false
dc.title.pt_BR.fl_str_mv Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
title Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
spellingShingle Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
Fattore, Gisel Lorena
Asthma
Social Inequalities
Urban
Children
title_short Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
title_full Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
title_fullStr Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
title_full_unstemmed Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
title_sort Social determinants of childhood asthma symptoms: an ecological study in urban Latin America
author Fattore, Gisel Lorena
author_facet Fattore, Gisel Lorena
Santos, Carlos Antonio de Souza Teles
Barreto, Mauricio Lima
author_role author
author2 Santos, Carlos Antonio de Souza Teles
Barreto, Mauricio Lima
author2_role author
author
dc.contributor.author.fl_str_mv Fattore, Gisel Lorena
Santos, Carlos Antonio de Souza Teles
Barreto, Mauricio Lima
Fattore, Gisel Lorena
Santos, Carlos Antonio de Souza Teles
Barreto, Mauricio Lima
dc.subject.por.fl_str_mv Asthma
Social Inequalities
Urban
Children
topic Asthma
Social Inequalities
Urban
Children
description Asthma is an important public health problem in urban Latin America. This study aimed to analyze the role of socioeconomic and environmental factors as potential determinants of asthma symptoms prevalence in children from Latin American (LA) urban centers. We selected 31 LA urban centers with complete data, and an ecological analysis was performed. According to our theoretical framework, the explanatory variables were classified in three levels: distal, intermediate, and proximate. The association between variables in the three levels and prevalence of asthma symptoms was examined by bivariate and multivariate linear regression analysis weighed by sample size. In a second stage, we fitted several linear regression models introducing sequentially the variables according to the predefined hierarchy. In the final hierarchical model Gini Index, crowding, sanitation, variation in infant mortality rates and homicide rates, explained great part of the variance in asthma prevalence between centers (R(2) = 75.0 %). We found a strong association between socioeconomic and environmental variables and prevalence of asthma symptoms in LA urban children, and according to our hierarchical framework and the results found we suggest that social inequalities (measured by the Gini Index) is a central determinant to explain high prevalence of asthma in LA.
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-06-15T15:07:54Z
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dc.identifier.issn.none.fl_str_mv 1573-3610
dc.identifier.number.pt_BR.fl_str_mv J Community Health, v.39, n.2, p.355-62. .
identifier_str_mv 1573-3610
J Community Health, v.39, n.2, p.355-62. .
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