Desigualdades sociais na distribuição espacial das hospitalizações por doenças respiratórias

Antunes, Fernanda Pedro; Costa, Maria da Conceição Nascimento; Paim, Jairnilson Silva; Vieira-da-Silva, Lígia Maria; Cruz, Álvaro Augusto; Natividade, Márcio Santos da; Barreto, Maurício L.

doi:10.1590/s0102-311x2013000700009

Cited by 17 publications

(17 citation statements)

References 24 publications

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“…Pneumonias are an important cause of mortality worldwide and in Brazil, thus the global action plan for the prevention and control of pneumonia (GAPP) highlights the importance of vaccines as a protective factor for the health of children. It reinforces that the use of the BCG, combined with the pertussis and Hib components, MMR, and PCV-10 vaccines is related to the reduction of disease incidence 1 , 9 , 24 .…”

Section: Discussionsupporting

confidence: 57%

Cumprimento do esquema vacinal em crianças internadas por pneumonia e fatores associados

et al. 2018

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OBJECTIVE:To verify the adequacy and factors associated with compliance with the immunization schedule (BCG, DTP-Hib, MMR, PCV-10) in children hospitalized with pneumonia at a pediatric referral hospital in Northeast Brazil.METHODS:This is a cross-sectional, descriptive study with an analytical component, with a sample of 452 children hospitalized with pneumonia at the Instituto de Medicina Integral Prof. Fernando Figueira, between 2010 and 2013. The inclusion criterion was children aged from one month to less than five years of age with proof in the immunization record. The exclusion criterion was the presence of hospital-acquired pneumonia or concomitant disease. We have evaluated the adequacy of the immunization schedule for the BCG, tetravalent, MMR, and 10-valent pneumococcal conjugate (PCV-10) vaccines. We used the chi-square test and Fisher's exact test followed by multivariate Poisson regression, estimating the crude and adjusted prevalence ratios and respective 95% confidence intervals. The variables with p < 0.20 in the univariate analysis were included in the multivariate analysis.RESULTS:There was good adequacy in the immunization schedule, except for PCV-10, which presented a percentage lower than 85%. We have observed an association between adequate compliance with the immunization schedule and education level of the mother (89.9% complete high school), sex of the child (87.2% female), age of the child (94.2% younger than six months), and breastfeeding (84.3% breastfed).CONCLUSIONS:Given the high rate of education level of the mother and the high percentage of breastfeeding, we can understand that there is a better understanding of the health of the child by the mothers studied in this study, showing the effectiveness of public policies for infant feeding. However, children did not have good adequacy of the immunization schedule of PCV-10, one of the main vaccines against pneumonia, which can be one of the main factors in the causes of hospitalization, with no influence on the classification of the severity of the disease. In this way, we emphasize that the causes of pneumonia morbidity are not associated with a single factor.

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Section: Discussionsupporting

confidence: 57%

Cumprimento do esquema vacinal em crianças internadas por pneumonia e fatores associados

et al. 2018

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“…The existence of spatial self-correlation of HIV detection rates in pregnant women demonstrates that neighboring areas tend to present more similar rates as, differently from what happens among distant regions, they tend to share the same characteristics, thus favoring the development of clusters. Case clusters do not only result from people's chosen approximation, but are mainly the product of a series of urban and political factors that favor the spatial segregation 23 .…”

Section: Discussionmentioning

confidence: 99%

Spatial analysis of infection by the human immunodeficiency virus among pregnant women

Holanda

Galvão

Pedrosa

et al. 2015

Rev. Latino-Am. Enfermagem

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OBJECTIVES: to analyze the spatial distribution of reported cases of pregnant women infected by the human immunodeficiency virus and to identify the urban areas with greater social vulnerability to the infection among pregnant women. METHOD: ecological study, developed by means of spatial analysis techniques of area data. Secondary data were used from the Brazilian National Disease Notification System for the city of Recife, Pernambuco. Birth data were obtained from the Brazilian Information System on Live Births and socioeconomic data from the 2010 Demographic Census. RESULTS: the presence of spatial self-correlation was verified. Moran's Index was significant for the distribution. Clusters were identified, considered as high-risk areas, located in grouped neighborhoods, with equally high infection rates among pregnant women. A neighborhood located in the Northwest of the city was distinguished, considered in an epidemiological transition phase. CONCLUSION: precarious living conditions, as evidenced by the indicators illiteracy, absence of prenatal care and poverty, were relevant for the risk of vertical HIV transmission, converging to the grouping of cases among disadvantaged regions.

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“…Policies conceived 40 years ago can be considered as precursors of the so-called 'healthy' public policies in the field of Health Promotion, as they can be considered precursors of more recent movements 7 . From the discussion emerge two strands: one focused on the social and one grounded in biological determination 8,9 .…”

Section: Sociocultural Aspects Of Health and Diseasementioning

confidence: 99%

Sociocultural aspects of health and disease and their pragmatic impact

Alves

Oliveira

2018

J. Hum. Growth Dev.

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Introdução: Diversos fatores estão envolvidos no processo de saúde e doença e importantes pontos se relacionam a aspectos socioculturais os quais necessitam ser entendidos e interpretados para entendimento de um arcabouço mais geral que envolve a saúde.Objetivo: Analisar os aspectos socioculturais relacionados ao processo de saúde e doença.Método: Trata-se de um estudo de revisão reflexiva. Foram construídas categorias temáticas para o desenvolvimento dos resultados e discussão segundo a análise de Bardin.Resultados: Os aspectos socioculturais influenciam na saúde da população fundamentado na criação de trabalho no campo da saúde pública.Conclusão: Muitos aspectos estão envolvidos no processo de saúde e doença. Todos impactam de alguma forma em algum contexto na saúde pública e por isso devem ser analisados e considerados.

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Desigualdades sociais na distribuição espacial das hospitalizações por doenças respiratórias

Cited by 17 publications

References 24 publications

Cumprimento do esquema vacinal em crianças internadas por pneumonia e fatores associados

Cumprimento do esquema vacinal em crianças internadas por pneumonia e fatores associados

Spatial analysis of infection by the human immunodeficiency virus among pregnant women

Sociocultural aspects of health and disease and their pragmatic impact

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