Use este identificador para citar ou linkar para este item: http://repositorio.bc.ufg.br/handle/ri/15236
Tipo do documento: Artigo
Título: Pneumonia and poverty: a prospective population-based study among children in Brazil
Autor: Thörn, Lícia Kam
Minamisava, Ruth
Nouer, Simonne S.
Ribeiro, Luiza Helena Vilela
Andrade, Ana Lúcia Sampaio Sgambatti de
Abstract: Background: Children in developing country suffer the highest burden of pneumonia. However, few studies have evaluated associations between poverty and pneumonia. Methods: A prospective population-based study on pneumonia was carried out as part of the Latin America Epidemiological Assessment of Pneumococcus (LEAP study). Chest x-rays were obtained for children one to 35 months old with suspected pneumonia presenting to emergency care centers and hospital emergency rooms in Goiania, Brazil. Chest radiographs were evaluated according to WHO guidelines. Clustering of radiologicallyconfirmed pneumonia were evaluated using a Poisson-based spatial scan statistic. Associations between census socioeconomic indicators and pneumonia incidence rates were analyzed using generalized linear models. Results: From May, 2007 to May, 2009, chest radiographs were obtained from 11 521 children with clinical pneumonia; 3955 episodes were classified as radiologically-confirmed. Incidence rates were significantly higher in very low income areas (4825.2 per 105) compared to high income areas (1637.3 per 105). Spatial analysis identified clustering of confirmed pneumonia in Western (RR 1.78; p = 0.001) and Southeast (RR 1.46; p = 0.001) regions of the city, and clustering of hospitalized pneumonia in the Western region (RR 1.69; p = 0.001). Lower income households and illiteracy were associated with pneumonia incidence. Conclusions: In infants the risk of developing pneumonia is inversely associated with the head of household income and with the woman educational level. Areas with deprived socioeconomic conditions had higher incidence of pneumonia and should be targeted for high vaccination coverage.
País: Gra-bretanha
Unidade acadêmica: Instituto de Patologia Tropical e Saúde Pública - IPTSP (RG)
Citação: THORN, Licia Kam et. al. Pneumonia and poverty: a prospective population-based study among children in Brazil. BMC Infectious Diseases, London, v. 11, n. 180, 2011.
Tipo de acesso: Acesso Aberto
Identificador do documento: 10.1186/1471-2334-11-180
Identificador do documento: 10.1186/1471-2334-11-180
URI: http://repositorio.bc.ufg.br/handle/ri/15236
Data de publicação: 2011
Aparece nas coleções:IPTSP - Artigos publicados em periódicos

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