Risk factors for hospital admission due to acute lower respiratory tract infection in Guarani indigenous children in southern Brazil: a population-based case-control study
Copyright
open access
Type
Article
Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Blackwell Publishing Ltda
Alternative Title
Affilliation
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sérgio Arouca. Rio de Janeiro, RJ, Brasil / Universidade do Estado do Rio de Janeiro. Instituto de Medicina Social. Rio de Janeiro, RJ, Brasil
Advisor
Co-Advisor
Committee Member
Organizer
Coordinator(s)
Institutional author
Director
item.page.production
Screenplay
Producer
Recorder
Abstract
Abstract
objective To assess risk factors associated with hospital admission due to acute lower respiratory tract infection (ALRTI) in indigenous Guarani children < 5 years of age in southern Brazil. methods Population-based matched case–control study from May 2007 to June 2008 in 81 Guarani villages. Cases were defined as hospital admissions due to confirmed ALRTI. Two controls free from acute respiratory infection, matched according to age, sex and place of residence, were selected for each case at the time of the case’s hospitalisation. Both cases and controls were recruited by a surveillance routine established for the study. results The analysis was performed on 120 cases and 201 controls. The risk factors that remained significantly associated with hospitalisation due to ALRTI in the hierarchical multivariate conditional logistic regression were: low stable monthly per capita household income (< US$30.00 = OR: 2.77, IC95%: 1.51–5.10; no income= OR: 1.88, IC95%: 1.02–3.47); large number of persons in the household (6–9 = OR: 2.03, IC95%: 1.06–3.88; 10–16 = OR: 5.00, IC95%: 1.81–13.86); indoor exposure to fumes from burning firewood used for cooking (OR: 3.08, IC95%: 1.39–6.84);low maternal age (OR: 2.77, IC95%: 1.42–5.39); and low birthweight (OR: 6.12, IC95%: 1.44–26.13). conclusion Acute respiratory infections are a major cause of morbidity and mortality among Guarani children. Our study provides the first evidence about their determinants in indigenous peoples in Brazil that can help to better understand the epidemiology of respiratory infections in indigenous children.
Abstract in Spanish
Abstract in French
Description
Keywords in Portuguese
Brasil, Saúde de Populações Indígenas, Epidemiologia, Paraná, Região Sul, Região Sudeste, Guarani, Índio Sul-Americanos, Mortalidade, São Paulo, Santa Catarina, Rio Grande do Sul, Morbidade, Fatores de Risco, Pneumonia, Rio de Janeiro, Estado Nutricional, Hospitalização, Infecções Respiratórias, Condições Socioeconômicas, Internação Hospitalar, Características dos Domicílios, Doenças Respiratórias, Estudo de Casos e Controles, Poluição Intradomiciliar, Qualidade do Ambiente Doméstico
Keywords
Keywords in Spanish
Keywords in French
DeCS
Brasil, Saúde de Populações Indígenas, Índios Sul-Americanos, Mortalidade, Infecções Respiratórias, Doenças Respiratórias, Características dos Domicílios, Estudo de Caso, Estado Nutricional, Pneumonia
Event Date
Previous version
Related Document
Means of dissemination
Duration
Duration
Original color system
Target audience context
Audience occupation
Educational Description
Evaluation
Peer Reviewed
Publication Status
Sponsorship
Latest version
Version
Event Location
Event title
Event Type
Citation
CARDOSO, Andrey Moreira; COIMBRA JUNIOR, Carlos Everaldo Alvares; WERNECK, Guilherme L. Risk factors for hospital admission due to acute lower respiratory tract infection in Guarani indigenous children in southern Brazil: a population-based case-control study. Tropical medicine & international health, v. 18, n. 5, p. 596-607, 2013.
ISBN
ISSN
1365-3156