Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Tipo de documento: | Dissertação |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFS |
Texto Completo: | http://ri.ufs.br/jspui/handle/riufs/15712 |
Resumo: | Schistosomiasis mansoni is a parasitic disease with wide distribution worldwide. In Brazil, it is a serious public health problem and Sergipe is one of the states with the highest prevalence. Several factors can contribute to its transmission and the Social Determinants of Health (SDH) influence the occurrence of risk factors in the population. It is essential to assess which SDH are associated with the transmission of schistosomiasis in Sergipe, in addition to spatially characterizing the entire state, in order to identify the municipalities that require more attention. The aim of the study was to analyze the positivity rates of schistosomiasis mansoni and its association with social determinants of health in Sergipe, Northeast Brazil. The study is an ecological of time series type with a spatial approach, using the municipalities as the unit of analysis. Epidemiological data were collected from the Schistosomiasis Control Program [Programa de Controle da Esquistossomose (PCE)], from 2008 to 2017. Socioeconomic and environmental variables were collected from the Brazilian Institute of Geography and Statistics [Instituto Brasileiro de Geografia e Estatística (IBGE)], digitally. Descriptive data were tabulated and analyzed in Microsoft Excel 2013. Linear regression analyzes were performed to explain the association of SDH in relation to the positivity of schistosomiasis by the BioEstat program. To calculate the temporal trend, the JoinPoint Regression Program was used. Spatial analysis was performed using the Kernel estimator per centroid and the Moran Global and Local Indices, using the TerraView program. The number of municipalities registered annually varied, with 2011 having the highest number (42) and 2017 having the lowest number (26). 646,088 tests were performed and a total of 54,541 were positive for the presence of the Schistosoma mansoni egg, totaling a positivity of 8.4% in Sergipe. The greatest positivity occurred in 2008 (10.5%) and the lowest in 2014 (6.4%). Most cases had a low intensity of infection (69.1%) and most of the endemic municipalities were found to be in the middle range of positivity (5 to 15%). The temporal analysis of schistosomiasis positivity showed a decreasing trend (APC = -3.68; CI = -6.0 to -1.3; p <0.05). The areas with the highest density of infected people were the coastal region of the state, with the highest concentration in the south. The variables demographic density, MHDI, GDP per capita, illiteracy rate and Gini Index together explained the occurrence of the positivity rate. The Moran Indices showed that all variables analyzed showed positive spatial autocorrelation, except for households with sewage, GDP per capita and rural population. The malacological investigation was not recorded regularly and only nine municipalities provided information. There were records of Biomphalaria glabrata and B. straminea in the state, the majority of the first specie. Therefore, Sergipe showed a high rate of positivity, with a decreasing trend and positive spatial autocorrelation, and there are DSS associated with schistosomiasis, which should be analyzed for prevention strategies. |
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Jesus, Damyres Menezes Santos deAraújo, Karina Conceição Gomes Machado de2022-05-17T21:38:34Z2022-05-17T21:38:34Z2020-03-12JESUS, Damyres Menezes Santos de. Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil. 2020. 69 f. Dissertação (Mestrado em Biologia Parasitária) - Universidade Federal de Sergipe, São Cristóvão, 2020.http://ri.ufs.br/jspui/handle/riufs/15712Schistosomiasis mansoni is a parasitic disease with wide distribution worldwide. In Brazil, it is a serious public health problem and Sergipe is one of the states with the highest prevalence. Several factors can contribute to its transmission and the Social Determinants of Health (SDH) influence the occurrence of risk factors in the population. It is essential to assess which SDH are associated with the transmission of schistosomiasis in Sergipe, in addition to spatially characterizing the entire state, in order to identify the municipalities that require more attention. The aim of the study was to analyze the positivity rates of schistosomiasis mansoni and its association with social determinants of health in Sergipe, Northeast Brazil. The study is an ecological of time series type with a spatial approach, using the municipalities as the unit of analysis. Epidemiological data were collected from the Schistosomiasis Control Program [Programa de Controle da Esquistossomose (PCE)], from 2008 to 2017. Socioeconomic and environmental variables were collected from the Brazilian Institute of Geography and Statistics [Instituto Brasileiro de Geografia e Estatística (IBGE)], digitally. Descriptive data were tabulated and analyzed in Microsoft Excel 2013. Linear regression analyzes were performed to explain the association of SDH in relation to the positivity of schistosomiasis by the BioEstat program. To calculate the temporal trend, the JoinPoint Regression Program was used. Spatial analysis was performed using the Kernel estimator per centroid and the Moran Global and Local Indices, using the TerraView program. The number of municipalities registered annually varied, with 2011 having the highest number (42) and 2017 having the lowest number (26). 646,088 tests were performed and a total of 54,541 were positive for the presence of the Schistosoma mansoni egg, totaling a positivity of 8.4% in Sergipe. The greatest positivity occurred in 2008 (10.5%) and the lowest in 2014 (6.4%). Most cases had a low intensity of infection (69.1%) and most of the endemic municipalities were found to be in the middle range of positivity (5 to 15%). The temporal analysis of schistosomiasis positivity showed a decreasing trend (APC = -3.68; CI = -6.0 to -1.3; p <0.05). The areas with the highest density of infected people were the coastal region of the state, with the highest concentration in the south. The variables demographic density, MHDI, GDP per capita, illiteracy rate and Gini Index together explained the occurrence of the positivity rate. The Moran Indices showed that all variables analyzed showed positive spatial autocorrelation, except for households with sewage, GDP per capita and rural population. The malacological investigation was not recorded regularly and only nine municipalities provided information. There were records of Biomphalaria glabrata and B. straminea in the state, the majority of the first specie. Therefore, Sergipe showed a high rate of positivity, with a decreasing trend and positive spatial autocorrelation, and there are DSS associated with schistosomiasis, which should be analyzed for prevention strategies.A esquistossomose mansoni é uma doença parasitária de ampla distribuição mundial. No Brasil, é um grave problema de saúde pública e Sergipe é um dos estados com maior prevalência. Diversos fatores podem contribuir em sua transmissão e os Determinantes Sociais da Saúde (DSS) influenciam a ocorrência de fatores de risco na população. É essencial avaliar quais DSS estão associados com a transmissão da esquistossomose em Sergipe, além de caracterizar espacialmente todo o estado, para assim identificar os municípios que requerem maior atenção. O objetivo do estudo foi analisar a taxa de positividade da esquistossomose mansoni e sua associação com determinantes sociais da saúde em Sergipe, nordeste do Brasil. O estudo é do tipo ecológico de série temporal com abordagem espacial, utilizando os municípios como unidades de análise. Os dados epidemiológicos foram coletados do Programa de Controle da Esquistossomose (PCE), no período de 2008 a 2017. As variáveis socioeconômicas e ambientais foram coletadas do Instituto Brasileiro de Geografia e Estatística (IBGE), por meio digital. Os dados descritivos foram tabulados e analisados no Microsoft Excel 2013. Foram realizadas análises de regressão linear para explicar a associação dos DSS em relação à positividade da esquistossomose pelo programa BioEstat. Para o cálculo da tendência temporal, foi utilizado o Programa de Regressão JoinPoint. A análise espacial foi realizada por meio do estimador de Kernel por centroide e dos Índices de Moran Global e Local, através do programa TerraView. A quantidade de municípios registrados anualmente apresentou variações, sendo o ano de 2011 o que teve o maior número (42) e o ano de 2017 o que teve o menor número (26). Foram realizados 646.088 exames e um total de 54.541 foram positivos para a presença do ovo de Schistosoma mansoni, totalizando uma positividade de 8,4% em Sergipe. A maior positividade ocorreu no ano de 2008 (10,5%) e a menor no ano de 2014 (6,4%). A maioria dos casos apresentou baixa intensidade de infecção (69,1%) e a maioria dos municípios endêmicos encontrou-se na faixa intermediária de positividade (5 a 15%). A análise temporal da positividade de esquistossomose apresentou uma tendência decrescente (APC= -3,68; IC= -6,0 a -1,3; p<0,05). As áreas com maior densidade de pessoas infectadas foram na região litorânea do estado, com maior concentração no sul. As variáveis densidade demográfica, IDHM, PIB per capita, taxa de analfabetismo e Índice de Gini explicaram conjuntamente a ocorrência da taxa de positividade. Os Índices de Moran mostraram que todas as variáveis analisadas apresentaram autocorrelação espacial positiva, exceto domicílios com esgotamento sanitário, PIB per capita e população rural. A investigação malacológica não foi registrada regularmente e apenas nove municípios forneceram informações. Houve registros de Biomphalaria glabrata e B. straminea no estado, sendo a maioria da primeira espécie. Portanto, Sergipe apresentou uma alta taxa de positividade, com tendência decrescente e autocorrelação espacial positiva, e há DSS associados com a esquistossomose, que devem ser analisados para estratégias de prevenção.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESSão CristóvãoporEsquistossomose mansoniEpidemiologiaAnálise espacial (Estatística)GeoprocessamentoSchistosomiasis mansoniEpidemiologyGeoprocessingSpatial analysisCIENCIAS BIOLOGICAS::PARASITOLOGIAAnálise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do BrasilSpatial and temporal analysis of schistosomiasis mansoni and its association with social determinants of health in the state of Sergipe, northeast Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisPós-Graduação em Biologia ParasitáriaUniversidade Federal de Sergipereponame:Repositório Institucional da UFSinstname:Universidade Federal de Sergipe (UFS)instacron:UFSinfo:eu-repo/semantics/openAccessLICENSElicense.txtlicense.txttext/plain; charset=utf-81475https://ri.ufs.br/jspui/bitstream/riufs/15712/1/license.txt098cbbf65c2c15e1fb2e49c5d306a44cMD51ORIGINALDAMYRES_MENEZES_SANTOS_JESUS.pdfDAMYRES_MENEZES_SANTOS_JESUS.pdfapplication/pdf3819031https://ri.ufs.br/jspui/bitstream/riufs/15712/2/DAMYRES_MENEZES_SANTOS_JESUS.pdf1a5e1ad26cfe7febe0fca51cf31a4666MD52TEXTDAMYRES_MENEZES_SANTOS_JESUS.pdf.txtDAMYRES_MENEZES_SANTOS_JESUS.pdf.txtExtracted texttext/plain133922https://ri.ufs.br/jspui/bitstream/riufs/15712/3/DAMYRES_MENEZES_SANTOS_JESUS.pdf.txtfc38a1c84953d63804d3ccc57520ef8bMD53THUMBNAILDAMYRES_MENEZES_SANTOS_JESUS.pdf.jpgDAMYRES_MENEZES_SANTOS_JESUS.pdf.jpgGenerated Thumbnailimage/jpeg1377https://ri.ufs.br/jspui/bitstream/riufs/15712/4/DAMYRES_MENEZES_SANTOS_JESUS.pdf.jpga904237b6b6717b4f15b671c2eb8cc86MD54riufs/157122022-05-17 18:38:52.354oai:ufs.br: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Repositório InstitucionalPUBhttps://ri.ufs.br/oai/requestrepositorio@academico.ufs.bropendoar:2022-05-17T21:38:52Repositório Institucional da UFS - Universidade Federal de Sergipe (UFS)false |
dc.title.pt_BR.fl_str_mv |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
dc.title.alternative.eng.fl_str_mv |
Spatial and temporal analysis of schistosomiasis mansoni and its association with social determinants of health in the state of Sergipe, northeast Brazil |
title |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
spellingShingle |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil Jesus, Damyres Menezes Santos de Esquistossomose mansoni Epidemiologia Análise espacial (Estatística) Geoprocessamento Schistosomiasis mansoni Epidemiology Geoprocessing Spatial analysis CIENCIAS BIOLOGICAS::PARASITOLOGIA |
title_short |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
title_full |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
title_fullStr |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
title_full_unstemmed |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
title_sort |
Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil |
author |
Jesus, Damyres Menezes Santos de |
author_facet |
Jesus, Damyres Menezes Santos de |
author_role |
author |
dc.contributor.author.fl_str_mv |
Jesus, Damyres Menezes Santos de |
dc.contributor.advisor1.fl_str_mv |
Araújo, Karina Conceição Gomes Machado de |
contributor_str_mv |
Araújo, Karina Conceição Gomes Machado de |
dc.subject.por.fl_str_mv |
Esquistossomose mansoni Epidemiologia Análise espacial (Estatística) Geoprocessamento |
topic |
Esquistossomose mansoni Epidemiologia Análise espacial (Estatística) Geoprocessamento Schistosomiasis mansoni Epidemiology Geoprocessing Spatial analysis CIENCIAS BIOLOGICAS::PARASITOLOGIA |
dc.subject.eng.fl_str_mv |
Schistosomiasis mansoni Epidemiology Geoprocessing Spatial analysis |
dc.subject.cnpq.fl_str_mv |
CIENCIAS BIOLOGICAS::PARASITOLOGIA |
description |
Schistosomiasis mansoni is a parasitic disease with wide distribution worldwide. In Brazil, it is a serious public health problem and Sergipe is one of the states with the highest prevalence. Several factors can contribute to its transmission and the Social Determinants of Health (SDH) influence the occurrence of risk factors in the population. It is essential to assess which SDH are associated with the transmission of schistosomiasis in Sergipe, in addition to spatially characterizing the entire state, in order to identify the municipalities that require more attention. The aim of the study was to analyze the positivity rates of schistosomiasis mansoni and its association with social determinants of health in Sergipe, Northeast Brazil. The study is an ecological of time series type with a spatial approach, using the municipalities as the unit of analysis. Epidemiological data were collected from the Schistosomiasis Control Program [Programa de Controle da Esquistossomose (PCE)], from 2008 to 2017. Socioeconomic and environmental variables were collected from the Brazilian Institute of Geography and Statistics [Instituto Brasileiro de Geografia e Estatística (IBGE)], digitally. Descriptive data were tabulated and analyzed in Microsoft Excel 2013. Linear regression analyzes were performed to explain the association of SDH in relation to the positivity of schistosomiasis by the BioEstat program. To calculate the temporal trend, the JoinPoint Regression Program was used. Spatial analysis was performed using the Kernel estimator per centroid and the Moran Global and Local Indices, using the TerraView program. The number of municipalities registered annually varied, with 2011 having the highest number (42) and 2017 having the lowest number (26). 646,088 tests were performed and a total of 54,541 were positive for the presence of the Schistosoma mansoni egg, totaling a positivity of 8.4% in Sergipe. The greatest positivity occurred in 2008 (10.5%) and the lowest in 2014 (6.4%). Most cases had a low intensity of infection (69.1%) and most of the endemic municipalities were found to be in the middle range of positivity (5 to 15%). The temporal analysis of schistosomiasis positivity showed a decreasing trend (APC = -3.68; CI = -6.0 to -1.3; p <0.05). The areas with the highest density of infected people were the coastal region of the state, with the highest concentration in the south. The variables demographic density, MHDI, GDP per capita, illiteracy rate and Gini Index together explained the occurrence of the positivity rate. The Moran Indices showed that all variables analyzed showed positive spatial autocorrelation, except for households with sewage, GDP per capita and rural population. The malacological investigation was not recorded regularly and only nine municipalities provided information. There were records of Biomphalaria glabrata and B. straminea in the state, the majority of the first specie. Therefore, Sergipe showed a high rate of positivity, with a decreasing trend and positive spatial autocorrelation, and there are DSS associated with schistosomiasis, which should be analyzed for prevention strategies. |
publishDate |
2020 |
dc.date.issued.fl_str_mv |
2020-03-12 |
dc.date.accessioned.fl_str_mv |
2022-05-17T21:38:34Z |
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2022-05-17T21:38:34Z |
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info:eu-repo/semantics/masterThesis |
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dc.identifier.citation.fl_str_mv |
JESUS, Damyres Menezes Santos de. Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil. 2020. 69 f. Dissertação (Mestrado em Biologia Parasitária) - Universidade Federal de Sergipe, São Cristóvão, 2020. |
dc.identifier.uri.fl_str_mv |
http://ri.ufs.br/jspui/handle/riufs/15712 |
identifier_str_mv |
JESUS, Damyres Menezes Santos de. Análise espacial e temporal da esquistossomose mansoni e sua associação com determinantes sociais da saúde no estado de Sergipe, nordeste do Brasil. 2020. 69 f. Dissertação (Mestrado em Biologia Parasitária) - Universidade Federal de Sergipe, São Cristóvão, 2020. |
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