Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/145567 |
Resumo: | OBJECTIVE: Describe and compare variations of the factors associated with the prevalence of diarrhea in children under five years old in the state of Pernambuco. METHODS: We used the databases of two population-based surveys from the years 1997 and 2006, with 2,078 and 1,650 children, respectively, evaluated in 18 municipalities of Pernambuco (Metropolitan Region of Recife, urban and rural interior). The variables, allocated at hierarchical levels, were analyzed using prevalence and Poisson regression ratios. RESULTS: Only four variables were independently associated and were included in the final hierarchical model: geographical area, number of people per room, maternal age and the age of the child. In 1997: urban interior = 1.33 (95%CI 1.06–1.66), rural interior = 1.22 (95%CI 0.97–1.53) and in 2006: urban interior = 1.87 (95%CI 1.31–2.66), rural interior = 2.07 (95%CI 1.50–2.85); number of persons per room (1997): 1 to less than 2 = 1.29 (95%CI 0.98–1.68), two or more = 1.47 (95%CI 1.11–1.95) and in 2006: 1 to less than 2 = 0.86 (95%CI 0.68–1.09), two or more = 1.29 (95%CI 0.94–1.75); maternal age (1997): 10 to 19 years = 1.48 (95%CI 1.05–2.08), 20 to 24 years = 1.23 (95%CI 0.94–1.60), 25 to 34 years = 1.01 (95%CI 0.78–1.30) and in 2006: 10 to 19 years old = 1.70 (95%CI 1.08–2.66), 20 to 24 years old = 1.64 (95%CI 1.16–2.32), 25 to 34 years = 1.20 (95%CI 0.89–1.62); and age of the child (1997): 0–11 months = 1.57 (95%CI 1.27–1.94), 12–23 months = 1.73 (95%CI 1.41–2.12) and in 2006: 0–11 months = 1.04 (95%CI 0.76–1.41), 12–23 months = 1.77 (95%CI 1.41–2.23). CONCLUSIONS: There was a great variability of the conditioners of diarrhea in children between the two periods analyzed. At the public policy level, despite changes in terms of people, time sequences, and geographic spaces, diarrhea remains on an important scale in the ranking of government power. |
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Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006Fatores associados à diarreia em menores de cinco anos, no estado de Pernambuco, segundo inquéritos realizados em 1997 e 2006Pré-Escolar. Diarreia Infantilepidemiologia. Diarreiaepidemiologia. Prevalência. Fatores de Risco. Fatores Socioeconômicos. Estudos de Séries Temporais.ChildPreschool. DiarrheaInfantileepidemiology. Diarrheaepidemiology. Prevalence. Risk Factors. Socioeconomic Factors. Time Series Studies.OBJECTIVE: Describe and compare variations of the factors associated with the prevalence of diarrhea in children under five years old in the state of Pernambuco. METHODS: We used the databases of two population-based surveys from the years 1997 and 2006, with 2,078 and 1,650 children, respectively, evaluated in 18 municipalities of Pernambuco (Metropolitan Region of Recife, urban and rural interior). The variables, allocated at hierarchical levels, were analyzed using prevalence and Poisson regression ratios. RESULTS: Only four variables were independently associated and were included in the final hierarchical model: geographical area, number of people per room, maternal age and the age of the child. In 1997: urban interior = 1.33 (95%CI 1.06–1.66), rural interior = 1.22 (95%CI 0.97–1.53) and in 2006: urban interior = 1.87 (95%CI 1.31–2.66), rural interior = 2.07 (95%CI 1.50–2.85); number of persons per room (1997): 1 to less than 2 = 1.29 (95%CI 0.98–1.68), two or more = 1.47 (95%CI 1.11–1.95) and in 2006: 1 to less than 2 = 0.86 (95%CI 0.68–1.09), two or more = 1.29 (95%CI 0.94–1.75); maternal age (1997): 10 to 19 years = 1.48 (95%CI 1.05–2.08), 20 to 24 years = 1.23 (95%CI 0.94–1.60), 25 to 34 years = 1.01 (95%CI 0.78–1.30) and in 2006: 10 to 19 years old = 1.70 (95%CI 1.08–2.66), 20 to 24 years old = 1.64 (95%CI 1.16–2.32), 25 to 34 years = 1.20 (95%CI 0.89–1.62); and age of the child (1997): 0–11 months = 1.57 (95%CI 1.27–1.94), 12–23 months = 1.73 (95%CI 1.41–2.12) and in 2006: 0–11 months = 1.04 (95%CI 0.76–1.41), 12–23 months = 1.77 (95%CI 1.41–2.23). CONCLUSIONS: There was a great variability of the conditioners of diarrhea in children between the two periods analyzed. At the public policy level, despite changes in terms of people, time sequences, and geographic spaces, diarrhea remains on an important scale in the ranking of government power.OBJETIVO: Descrever e comparar variações dos fatores associados à prevalência de diarreia em menores de cinco anos no estado de Pernambuco. MÉTODOS: Foram utilizados os bancos de dados de dois inquéritos de base populacional nos anos de 1997 e 2006, com 2.078 e 1.650 crianças, respectivamente, avaliadas em 18 municípios de Pernambuco (Região Metropolitana do Recife, interior urbano e rural). As variáveis, alocadas em níveis hierárquicos, foram analisadas por meio de razões de prevalência e regressão de Poisson. RESULTADOS: Apenas quatro variáveis se mostraram independentemente associadas e constaram no modelo final hierarquizado: área geográfica, número de pessoas por cômodo, idade materna e idade da criança. Em 1997: interior urbano = 1,33 (IC95% 1,06–1,66), interior rural = 1,22 (IC95% 0,97–1,53) e em 2006: interior urbano = 1,87 (IC95% 1,31–2,66), interior rural = 2.07 (IC95% 1.50–2.85); número de pessoas por cômodo (1997): 1 a menos de 2 = 1,29 (IC95% 0,98-1,68), dois ou mais = 1,47 (IC95% 1,11–1,95) e em 2006: 1 a menos de 2 = 0.86 (IC95% 0,68–1,09), dois ou mais = 1,29 (IC95% 0,94–1,75); idade materna (1997): 10 a 19 anos = 1,48 (IC95% 1,05–2,08), 20 a 24 anos = 1,23 (IC95% 0,94–1,60), 25 a 34 anos = 1,01 (IC95% 0,78–1,30) e em 2006: 10 a 19 anos = 1,70 (IC95% 1,08–2,66), 20 a 24 anos = 1,64 (IC95% 1,16–2,32), 25 a 34 anos = 1,20 (IC95% 0,89–1,62); e idade da criança (1997): 0–11 meses = 1,57 (IC95% 1,27–1,94), 12–23 meses = 1,73 (IC95% 1,41–2,12) e em 2006: 0–11 meses = 1,04 (IC95% 0,76–1,41), 12–23 meses = 1,77 (IC95% 1,41–2,23). CONCLUSÕES: Houve uma grande variabilidade dos condicionantes das diarreias em crianças entre os dois períodos analisados. Em nível de políticas públicas, apesar de mudanças em termos de pessoas, sequências temporais e espaços geográficos, as diarreias continuam em uma escala importante no elenco de prioridades do poder governamental.Universidade de São Paulo. Faculdade de Saúde Pública2018-04-24info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/14556710.11606/S1518-8787.2018052016094Revista de Saúde Pública; Vol. 52 (2018); 48Revista de Saúde Pública; Vol. 52 (2018); 48Revista de Saúde Pública; v. 52 (2018); 481518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/145567/139552https://www.revistas.usp.br/rsp/article/view/145567/139553https://www.revistas.usp.br/rsp/article/view/145567/148328Copyright (c) 2018 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessVasconcelos, Maria Josemere de Oliveira BorbaRissin, AneteFigueiroa, José NatalLira, Pedro Israel Cabral deBatista Filho, Malaquias2018-07-20T11:44:52Zoai:revistas.usp.br:article/145567Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-07-20T11:44:52Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 Fatores associados à diarreia em menores de cinco anos, no estado de Pernambuco, segundo inquéritos realizados em 1997 e 2006 |
title |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 |
spellingShingle |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 Vasconcelos, Maria Josemere de Oliveira Borba Pré-Escolar. Diarreia Infantil epidemiologia. Diarreia epidemiologia. Prevalência. Fatores de Risco. Fatores Socioeconômicos. Estudos de Séries Temporais. Child Preschool. Diarrhea Infantile epidemiology. Diarrhea epidemiology. Prevalence. Risk Factors. Socioeconomic Factors. Time Series Studies. |
title_short |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 |
title_full |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 |
title_fullStr |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 |
title_full_unstemmed |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 |
title_sort |
Factors associated with diarrhea in children under five years old in the state of Pernambuco, according to surveys conducted in 1997 and 2006 |
author |
Vasconcelos, Maria Josemere de Oliveira Borba |
author_facet |
Vasconcelos, Maria Josemere de Oliveira Borba Rissin, Anete Figueiroa, José Natal Lira, Pedro Israel Cabral de Batista Filho, Malaquias |
author_role |
author |
author2 |
Rissin, Anete Figueiroa, José Natal Lira, Pedro Israel Cabral de Batista Filho, Malaquias |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Vasconcelos, Maria Josemere de Oliveira Borba Rissin, Anete Figueiroa, José Natal Lira, Pedro Israel Cabral de Batista Filho, Malaquias |
dc.subject.por.fl_str_mv |
Pré-Escolar. Diarreia Infantil epidemiologia. Diarreia epidemiologia. Prevalência. Fatores de Risco. Fatores Socioeconômicos. Estudos de Séries Temporais. Child Preschool. Diarrhea Infantile epidemiology. Diarrhea epidemiology. Prevalence. Risk Factors. Socioeconomic Factors. Time Series Studies. |
topic |
Pré-Escolar. Diarreia Infantil epidemiologia. Diarreia epidemiologia. Prevalência. Fatores de Risco. Fatores Socioeconômicos. Estudos de Séries Temporais. Child Preschool. Diarrhea Infantile epidemiology. Diarrhea epidemiology. Prevalence. Risk Factors. Socioeconomic Factors. Time Series Studies. |
description |
OBJECTIVE: Describe and compare variations of the factors associated with the prevalence of diarrhea in children under five years old in the state of Pernambuco. METHODS: We used the databases of two population-based surveys from the years 1997 and 2006, with 2,078 and 1,650 children, respectively, evaluated in 18 municipalities of Pernambuco (Metropolitan Region of Recife, urban and rural interior). The variables, allocated at hierarchical levels, were analyzed using prevalence and Poisson regression ratios. RESULTS: Only four variables were independently associated and were included in the final hierarchical model: geographical area, number of people per room, maternal age and the age of the child. In 1997: urban interior = 1.33 (95%CI 1.06–1.66), rural interior = 1.22 (95%CI 0.97–1.53) and in 2006: urban interior = 1.87 (95%CI 1.31–2.66), rural interior = 2.07 (95%CI 1.50–2.85); number of persons per room (1997): 1 to less than 2 = 1.29 (95%CI 0.98–1.68), two or more = 1.47 (95%CI 1.11–1.95) and in 2006: 1 to less than 2 = 0.86 (95%CI 0.68–1.09), two or more = 1.29 (95%CI 0.94–1.75); maternal age (1997): 10 to 19 years = 1.48 (95%CI 1.05–2.08), 20 to 24 years = 1.23 (95%CI 0.94–1.60), 25 to 34 years = 1.01 (95%CI 0.78–1.30) and in 2006: 10 to 19 years old = 1.70 (95%CI 1.08–2.66), 20 to 24 years old = 1.64 (95%CI 1.16–2.32), 25 to 34 years = 1.20 (95%CI 0.89–1.62); and age of the child (1997): 0–11 months = 1.57 (95%CI 1.27–1.94), 12–23 months = 1.73 (95%CI 1.41–2.12) and in 2006: 0–11 months = 1.04 (95%CI 0.76–1.41), 12–23 months = 1.77 (95%CI 1.41–2.23). CONCLUSIONS: There was a great variability of the conditioners of diarrhea in children between the two periods analyzed. At the public policy level, despite changes in terms of people, time sequences, and geographic spaces, diarrhea remains on an important scale in the ranking of government power. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-04-24 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145567 10.11606/S1518-8787.2018052016094 |
url |
https://www.revistas.usp.br/rsp/article/view/145567 |
identifier_str_mv |
10.11606/S1518-8787.2018052016094 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/145567/139552 https://www.revistas.usp.br/rsp/article/view/145567/139553 https://www.revistas.usp.br/rsp/article/view/145567/148328 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 52 (2018); 48 Revista de Saúde Pública; Vol. 52 (2018); 48 Revista de Saúde Pública; v. 52 (2018); 48 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
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Universidade de São Paulo (USP) |
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USP |
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USP |
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Revista de Saúde Pública |
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Revista de Saúde Pública |
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Revista de Saúde Pública - Universidade de São Paulo (USP) |
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revsp@org.usp.br||revsp1@usp.br |
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1800221799779139584 |