Please use this identifier to cite or link to this item: http://ds.saudeindigena.icict.fiocruz.br/handle/bvs/1387
Title: 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
Authors: Cardoso, Andrey Moreira
Coimbra Junior, Carlos E. A.
Werneck, Guilherme L.
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
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.
Keywords: 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
DeCS: Brasil
Saúde de Populações Indígenas
Índios Sul-Americanos
Mortalidade
Infecções Respiratórias
Doenças Respiratórias
Características dos Domicílios
Estudo de Caso
Estado Nutricional
Pneumonia
Issue Date: 2013
Publisher: Blackwell Publishing Ltda
Citation: CARDOSO, Andrey M.; COIMBRA JR, Carlos E. A.; 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.
ISSN: 1365-3156
Other Identifiers: 10.1111/tmi.12081
1365-3156
Copyright: open access
Appears in Collections:DIP - Artigos de Periódicos
EPI - Artigos de Periódicos

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