Socioeconomic, hygienic, and sanitation factors in reducing diarrhea in the Amazon.


OBJECTIVE:To analyze the contributions of the socioeconomic, hygienic, and sanitation improvements in reducing the prevalence of diarrhea in a city of the Amazon. METHODS:In this population-based cross-sectional study, we analyzed data from surveys conducted in the city of Jordão, Acre. In 2005 and 2012, these surveys evaluated, respectively, 466 and 826 children under five years old. Questionnaires were applied on the socioeconomic conditions, construction of houses, food and hygienic habits, and environmental sanitation. We applied Pearson's Chi-squared test and Poisson regression to verify the relationship between origin of water, construction of homes, age of introduction of cow's milk in the diet, place of birth and the prevalence of diarrhea. RESULTS:The prevalence of diarrhea was reduced from 45.1% to 35.4%. We identified higher probability of diarrhea in children who did not use water from the public network, in those receiving cow's milk in the first month after birth, and in those living in houses made of paxiúba. Children born at home presented lower risk of diarrhea when compared to those who were born in hospital, with this difference reversing for the 2012 survey. CONCLUSIONS:Sanitation conditions improved with the increase of bathrooms with toilets, implementation of the Programa de Saúde da Família (PSF - Family Health Program), and water treatment in the city. The multivariate regression model identified a statistically significant association between use of water from the public network, construction of houses, late introduction of cow's milk, and access to health service with occurrence of diarrhea. OBJETIVO:Analisar as contribuições das melhorias socioeconômicas, higiênicas e de saneamento na redução da prevalência de diarreia em uma cidade na Amazônia. MÉTODOS:Neste estudo transversal de base populacional, foram analisados dados dos inquéritos realizados no município de Jordão, Acre. Em 2005 e 2012, foram avaliadas, respectivamente, 466 e 826 crianças menores de cinco anos. Foram aplicados questionários sobre as condições socioeconômicas, construção dos domicílios, hábitos higiênicos e alimentares e saneamento ambiental. Foi aplicado o teste Qui-quadrado de Pearson e a Regressão de Poisson para verificar a relação existente entre procedência da água, tipo de construção do domicílio, idade de introdução de leite de vaca na dieta e local de nascimento e a prevalência de diarreia. RESULTADOS:A prevalência de diarreia foi reduzida de 45,1% para 35,4%. Foi identificada maior probabilidade de desenvolvimento de diarreia em crianças que não utilizaram água da rede pública, as que receberam leite de vaca no primeiro mês após o nascimento e as residentes em domicílios de paxiúba. As crianças que nasceram no domicílio apresentaram menor risco de diarreia quando comparadas às que nasceram em hospital, com essa diferença se invertendo para o inquérito de 2012. CONCLUSÕES:Ocorreu melhora nas condições de saneamento com aumento no número de banheiro com vasos sanitários, implantação do Programa de Saúde da Família e tratamento de água na sede do município. O modelo de regressão multivariada identificou associação estatisticamente significativa entre utilização de água da rede pública, construção da moradia, introdução tardia de leite de vaca e acesso a serviço de saúde com ocorrência de diarreia.


Rev Saude Publica


Revista de saude publica


Imada KS,Araújo TS,Muniz PT,Pádua VL




Has Abstract


2016-12-22 00:00:00












  • [Evaluation of fluoride content of bottled drinking waters in Brazil].

    abstract::The utilization of a systemic fluoride method must be controlled in terms of risks and benefits. The reason for this is that while a small dose will not be effective in preventing dental caries, a larger dose may cause dental fluorosis. Therefore the knowledge of the fluoride concentration found in the bottled mineral...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Villena RS,Borges DG,Cury JA

    更新日期:1996-12-01 00:00:00

  • [Surveillance of risk factors for chronic diseases through telephone interviews].

    abstract:OBJECTIVE:To describe methods and initial findings of a surveillance system of risk factors for chronic non-communicable diseases (CNCDs) based on telephone interviews. METHODS:Interviews undertaken in a random sample of the adult population of the Municipality of Sao Paulo living in households with telephone. Samplin...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Monteiro CA,de Moura EC,Jaime PC,Lucca A,Florindo AA,Figueiredo IC,Bernal R,da Silva NN

    更新日期:2005-02-01 00:00:00

  • Dietary patterns and risk of oral cancer: a case-control study in São Paulo, Brazil.

    abstract:OBJECTIVE:To analyze the association between dietary patterns and oral cancer. METHODS:The study, part of a Latin American multicenter hospital-based case-control study, was conducted in São Paulo, Southeastern Brazil, between November 1998 and March 2002 and included 366 incident cases of oral cancer and 469 controls...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,多中心研究


    authors: Marchioni DM,Fisberg RM,Francisco de Góis Filho J,Kowalski LP,Brasilino de Carvalho M,Abrahão M,Latorre Mdo R,Eluf-Neto J,Wünsch Filho V

    更新日期:2007-02-01 00:00:00

  • Factors associated with the contraindicated use of oral contraceptives in Brazil.

    abstract:OBJECTIVE:To estimate the prevalence of the contraindicated use of oral contraceptives and the associated factors in Brazilian women. METHODS:20,454 women who answered the VIGITEL survey in 2008 also participated in this study, of which 3,985 reported using oral contraceptives. We defined the following conditions for ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Corrêa DA,Felisbino-Mendes MS,Mendes MS,Malta DC,Velasquez-Melendez G

    更新日期:2017-01-12 00:00:00

  • Predictive model of unfavorable outcomes for multidrug-resistant tuberculosis.

    abstract:OBJECTIVE:to analyze the temporal trend, identify the factors related and elaborate a predictive model for unfavorable treatment outcomes for multidrug-resistant tuberculosis (MDR-TB). METHODS:Retrospective cohort study with all cases diagnosed with MDR-TB between the years 2006 and 2015 in the state of São Paulo. The...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Arroyo LH,Ramos ACV,Yamamura M,Berra TZ,Alves LS,Belchior AS,Santos DT,Alves JD,Campoy LT,Arcoverde MAM,Bollela VR,Bombarda S,Nunes C,Arcêncio RA

    更新日期:2019-09-23 00:00:00

  • Night work and BMI: is it related to on-shift napping?

    abstract::On-shift napping can benefit night workers regarding sleep loss, synchronization of circadian rhythms, and alertness. However, few studies on napping can be found in the literature focused on possible health benefits. This cross-sectional study has investigated the role of on-shift napping on the association between n...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silva-Costa A,Griep RH,Rotenberg L

    更新日期:2017-11-17 00:00:00

  • Ordinance 3992/2017: challenges and advances for resource management in the Brazilian Unified Health System (SUS).

    abstract::To advance in order to overcome the challenge of enabling greater autonomy in the use of financial resources in the Unified Health System (SUS), system managers agreed that transfers from the Union to other federated entities will be carried out through a financial investment account and a costing account. Over the pa...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Pereira BLS,Oliveira Junior ACR,Faleiros DR

    更新日期:2019-07-18 00:00:00

  • [Female sterilization among low income women in a metropolitan region of southeastern Brazil and factors related to its prevalence].

    abstract::A survey carried out in the metropolitan region of S. Paulo between March and July, 1992, shows that of 3,149 low income women aged from 15 to 49, 21.8% had been sterilized. Of those women living in marital union 29.2% had been sterilized and 34.4% were on the pill. Four hundred and seven sterilized women under 40 yea...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Vieira EM

    更新日期:1994-12-01 00:00:00

  • Polypharmacy: a challenge for the primary health care of the Brazilian Unified Health System.

    abstract:OBJECTIVE:To characterize the polypharmacy in primary health care patients and to identify its associated factors. METHODS:This is a cross-sectional, exploratory, and evaluative study, part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos - Serviços, 2015 (PNAUM - National S...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Nascimento RCRMD,Álvares J,Guerra AA Junior,Gomes IC,Silveira MR,Costa EA,Leite SN,Costa KS,Soeiro OM,Guibu IA,Karnikowski MGO,Acurcio FA

    更新日期:2017-11-13 00:00:00

  • [Maternal perception of premature birth and the experience of pre-eclampsia pregnancy].

    abstract:OBJECTIVE:To analyze maternal experiences of preeclampsia pregnancy with premature birth at a neonatal intensive care unit. METHODS:A qualitative study using the focus group technique was conducted with 28 women in a facility specialized in high-risk pregnancies in the state of Rio Grande do Norte, Northeastern Brazil...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Lima de Souza N,Fernandes Araújo AC,Dantas de Azevedo G,Bezerra Jerônimo SM,Barbosa Lde M,Lima de Sousa NM

    更新日期:2007-10-01 00:00:00

  • [Current epidemiological status of visceral leishmaniasis in Northeastern Brazil].

    abstract::The objective was to describe the current epidemiological status of visceral leishmaniasis in the State of Pernambuco, Northeastern Brazil. For that, a search for scientific production on epidemiology of visceral leishmaniasis in Pernambuco was carried out in electronic databases MEDLINE, SciELO and LILACS. Additional...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,评审


    authors: Dantas-Torres F

    更新日期:2006-06-01 00:00:00

  • Direct treatment costs of HIV/AIDS in Portugal.

    abstract:OBJECTIVE:To analyze the direct medical costs of HIV/AIDS in Portugal from the perspective of the National Health Service. METHODS:A retrospective analysis of medical records was conducted for 150 patients from five specialized centers in Portugal in 2008. Data on utilization of medical resources during 12 months and ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Perelman J,Alves J,Miranda AC,Mateus C,Mansinho K,Antunes F,Oliveira J,Poças J,Doroana M,Marques R,Teófilo E,Pereira J

    更新日期:2013-10-01 00:00:00

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    abstract:OBJECTIVE:To evaluate the role of psychiatric disorders and alcohol dependence as possible risk factors for cocaine abuse/dependence. METHODS:The case-control study used the "snowball" technique in order to select untreated cocaine users (cases) and to match sex, age and friendship. Information was gathered using the ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Lopes CS,Coutinho ES

    更新日期:1999-10-01 00:00:00

  • [Delayed effects of organochlorine pesticides in man].

    abstract::Available information on organochlorines and the chronic effects of exposure to them are set out. Organochlorinated compounds are the most persistent pesticides and can be found in all ecosystems. Although they are generally efficient in pest control, they are also a potent environment pollutant and can provoke health...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,评审


    authors: Nunes MV,Tajara EH

    更新日期:1998-08-01 00:00:00

  • [Migration and ruralization of AIDS: reports on vulnerability of indigenous communities in Mexico].

    abstract:OBJECTIVE:To evaluate the vulnerability for STI/HIV among Mexican indigenous women in common law marriage with men who practice sex without condom. METHODS:Ethnography study undertaken in indigenous villages of Michoacán and Oaxaca, Mexico, in February 2004 and December 2005. These rural communities are characterized ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Hernández-Rosete D,García OM,Bernal E,Castañeda X,Lemp G

    更新日期:2008-02-01 00:00:00

  • Aging and health: Self-efficacy for Self-direction in Health Scale.

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    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Oliveira AL,Silva JT,Lima MP

    更新日期:2016-07-04 00:00:00

  • Does socioeconomic inequality occur in the multimorbidity among Brazilian adults?

    abstract:OBJECTIVE:To assess the prevalence of multimorbidity among Brazilian adults and its association with socioeconomic indicators. METHODS:Cross-sectional study that used data from the Pesquisa Nacional Sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos no Brasil (PNAUM - Brazilian National Survey on Acce...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Costa ÂK,Bertoldi AD,Fontanella AT,Ramos LR,Arrais PSD,Luiza VL,Mengue SS,Nunes BP

    更新日期:2020-12-14 00:00:00

  • Knowledge, attitudes and practices of university adolescents about syphilis: a cross-sectional study in the Northeast.

    abstract:OBJECTIVE:To analyze knowledge, attitudes and practices of university adolescents about syphilis. METHODS:Cross-sectional, analytical, census-type study, developed with the universe of adolescents aged 18 and 19 years (n = 598), enrolled in three institutions of higher education in a municipality of Piauí (n = 598), w...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Carvalho RXDC,Araújo TME

    更新日期:2020-12-04 00:00:00

  • Arboviruses emerging in Brazil: challenges for clinic and implications for public health.

    abstract::Arboviruses have been emerging in different parts of the world due to genetic changes in the virus, alteration of the host and vector population dynamics, or because of anthropogenic environmental factors. These viruses' capacity for adaptation is notable, as well as the likelihood of their emergence and establishment...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Donalisio MR,Freitas ARR,Zuben APBV

    更新日期:2017-04-10 00:00:00

  • Impact of the Staying Alive Program on the reduction of homicides in a community in Belo Horizonte.

    abstract:OBJECTIVE:To evaluate the impact of a homicide prevention program. METHODS:A quasi-experimental study was performed using time series analysis of homicide incidence in the Morro das Pedras area in the city of Belo Horizonte, Southeastern Brazil, from 2002 to 2006. The number of homicides occurring in this location was...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silveira AM,Assunção RM,Silva BA,Beato Filho CC

    更新日期:2010-06-01 00:00:00

  • [Health insurance coverage of the elderly and socioepidemiological characteristics associated].

    abstract:OBJECTIVE:To examine sociodemographic and epidemiological factors associated with private health insurance coverage in the elderly. METHODS:A total of 2,143 individuals aged 60 years or more were interviewed in the city of São Paulo in 2000 and 2006. Having private health insurance was the dichotomous dependent variab...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Hernandes ES,Lebrão ML,Duarte YA,Santos JL

    更新日期:2012-12-01 00:00:00

  • [Intake recommendations and labeling of trans fat in processed foods in Brazil: analysis of official documents].

    abstract::Consumption of trans fat has been proven to be harmful to human health. This lipid is found mainly in partially hydrogenated vegetable fat, which is widely used in processed foods. The aim of this study was to analyze official publications on maximum limits for consumption of trans fat and the regulations for its mand...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Silveira BM,Proença RP

    更新日期:2012-10-01 00:00:00

  • [Assessment of the promotion of breastfeeding in public and private maternities of São Paulo city, Brazil].

    abstract:OBJECTIVE:The World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) carried out a study to compare and evaluate the practices of protecting, promoting and supporting breastfeeding in public and private hospitals using the "ten steps" of the Hospital Initiative (BFHI) as a reference parameter. ...

    journal_title:Revista de saude publica

    pub_type: 杂志文章,多中心研究


    authors: Toma TS,Monteiro CA

    更新日期:2001-10-01 00:00:00

  • [Miracidial attraction by Biomphalaria tenagophila genetically selected for susceptibility].

    abstract::The attraction of Schistosoma mansoni miracidea by snails genetically selected for susceptibility to infection is considered. Miracidea were exposed to snails or to snail conditioned water in a specially devised three-chamber glass apparatus. Ten miracidea were used for each test and were deposited in the middle chamb...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Zanotti-Magalhães EM,Magalhães LA,de Carvalho JF

    更新日期:1991-04-01 00:00:00

  • Outpatient health service utilization and associated factors: a population-based study.

    abstract:OBJECTIVE:To identify factors that lead people to visit a doctor in Brazil and assess differences between socioeconomic groups. METHODS:A cross-sectional study comprising 1,260 subjects aged 15 or more was carried out in southern Brazil. Demographic, socioeconomic, health needs and regular source of care data were ana...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Mendoza-Sassi R,Béria JU,Barros AJ

    更新日期:2003-06-01 00:00:00

  • Yellow fever: profile of cases and factors associated with death in a hospital in the State of Rio de Janeiro, 2017-2018.

    abstract:OBJECTIVE:Describe the clinical and epidemiological profile of confirmed cases of yellow fever whose patients were hospitalized in a general hospital for infectious diseases in the State of Rio de Janeiro, Brazil, from March 11, 2017 to June 15, 2018, during a recent outbreak and factors associated with death. METHODS...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Escosteguy CC,Pereira AGL,Marques MRVE,Lima TRA,Galliez RM,Medronho RA

    更新日期:2019-10-21 00:00:00

  • Pediculus capitis infestation according to sex and social factors in Argentina.

    abstract:OBJECTIVE:To determine the intensity of Pediculus capitis infestation (abundance) among Argentinean schoolchildren. Children's sex and social stratum were analyzed as modifiers of the general prevalence and degree of parasitism. METHODS:The study included 1,370 schoolchildren (692 girls, 678 boys) from 26 schools of t...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Catalá S,Junco L,Vaporaky R

    更新日期:2005-06-01 00:00:00

  • [Culicidae mosquitoes as emerging vectors of diseases].

    abstract::A review is presented of the relationships between the so-called emerging infectious diseases and what may be defined as emerging vectors. These include not only those that have recently appeared but also those that present remarkable behavioral changes. Specific factors leading to that emergence can be associated wit...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Forattini OP

    更新日期:1998-12-01 00:00:00

  • [Characteristics of adolescent pregnancy in São Luís, Maranhão, Brazil].

    abstract:OBJECTIVE:To identify the main socioeconomic, demographic, anthropometric and behavioral characteristics, and pregnancy outcomes of adolescent pregnancy and to assess health services used by pregnant adolescents. METHODS:Data were collected from a cross-section of 2,429 deliveries by women residing in the municipality...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Simões VM,da Silva AA,Bettiol H,Lamy-Filho F,Tonial SR,Mochel EG

    更新日期:2003-10-01 00:00:00

  • [Psychiatric emergency service in a university general hospital: a prospective study].

    abstract:OBJECTIVES:The aim was to carry out a prospective study about the characteristics of the public seen at a psychiatric emergency room and of its service. METHODS:The data were acquired though a protocol developed for this study and applied to all the patients seen during two months. RESULTS:600 protocols were filled o...

    journal_title:Revista de saude publica

    pub_type: 杂志文章


    authors: Santos ME,do Amor JA,Del-Ben CM,Zuardi AW

    更新日期:2000-10-01 00:00:00