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https://www.arca.fiocruz.br/handle/icict/53613
SOCIOECONOMIC STUDIES OF SCHISTOSOMIASIS IN BRAZIL: A REVIEW
Socioeconomic conditions and impacts
Health services
Brazil
Autor(es)
Afiliação
Department of Epidemiology and Biostatistics. University of California Medical Center. San Francisco, CA, USA
Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Laboratório de Immunologia Celular e Molecular. Belo Horizonte, MG, Brazil
Universidade Federal de Minas Gerais. c Escola de Enfermagem. Belo Horizonte, MG, Brazil
Universidade Federal de Minas Gerais. c Escola de Enfermagem. Belo Horizonte, MG, Brazil
Universidade Federal de Minas Gerais. c Escola de Enfermagem. Belo Horizonte, MG, Brazil
Fundação Oswaldo Cruz. Centro de Pesquisas René Rachou. Laboratório de Immunologia Celular e Molecular. Belo Horizonte, MG, Brazil
Universidade Federal de Minas Gerais. c Escola de Enfermagem. Belo Horizonte, MG, Brazil
Universidade Federal de Minas Gerais. c Escola de Enfermagem. Belo Horizonte, MG, Brazil
Universidade Federal de Minas Gerais. c Escola de Enfermagem. Belo Horizonte, MG, Brazil
Resumo em Inglês
This review finds considerable evidence that socioeconomic status has significantly influenced the transmission, spread and treatment of schistosomiasis in Brazil. High infection rates persist among both the rural and urban poor. Rural living, poor housing and water supplies and low educational level were major factors in schistosomiasis occurrence among agricultural populations. In urban areas, prevailing living conditions in shantytowns and labor migrations from and periodic return movements to rural areas were predictive of schistosomiasis. The risk of the establishment of new transmission foci exists in both rural and urban areas, conferred by and affecting poorer people. Associations between schistosomiasis and socioeconomic parameters, persisting inequities in health services accessibility, prevailing health impacts of schistosomiasis, and the ongoing decentralization of health services point to opportunities and strategies for focused interventions aimed at promoting health-enhancing behavior and living conditions and improving access to health care. The authors call for multidisciplinary studies to better examine the complexities of the socioeconomic environment in relation to schistosomiasis and for economic programs to reduce prevailing socioeconomic inequalities. (c) 2008 Elsevier B.V. All rights reserved
Palavras-chave em inglês
SchistosomiasisSocioeconomic conditions and impacts
Health services
Brazil
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