| Author | Ponte, Eduardo Vieira | |
| Author | Cruz Filho, Alvaro Augusto Souza | |
| Author | Athanazio, Rodrigo | |
| Author | Pinto, Regina Maria de Carvalho | |
| Author | Fernandes, Frederico Leon Arrabal | |
| Author | Barreto, Maurício Lima | |
| Author | Stelmach, Rafael | |
| Access date | 2017-05-08T14:34:25Z | |
| Available date | 2017-05-08T14:34:25Z | |
| Document date | 2016 | |
| Citation | PONTE, E. V. et al. Urbanization is associated with increased asthma morbidity and mortality in Brazil. The Clinical Respiratory Journal, 2016. | pt_BR |
| ISSN | 1752-6981 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/18781 | |
| Sponsorship | CNPq/FAPESB financial support - Founds 020/2009 (PRONEX) – 6353 – PNX0018/2009 | pt_BR |
| Language | eng | pt_BR |
| Publisher | Wiley | pt_BR |
| Rights | open access | pt_BR |
| Subject in Portuguese | Asma | pt_BR |
| Subject in Portuguese | Epidemiologia | pt_BR |
| Subject in Portuguese | Hospitalização | pt_BR |
| Subject in Portuguese | Mortalidade | pt_BR |
| Subject in Portuguese | Tratamento | pt_BR |
| Subject in Portuguese | Urbanização | pt_BR |
| Title | Urbanization is associated with increased asthma morbidity and mortality in Brazil | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1111/crj.12530 | |
| Abstract | Previous cross-sectional studies could establish an association between prevalence of self-reported wheeze and urban-rural environment, but the impact of urbanization on meaningful outcomes of asthma for public health is not established yet. Objectives: Evaluate the effect of urbanization on asthma burden.
Methods: A time series study of 5,505 Brazilian municipalities. The unit of analysis
was the municipality. Two time frames were evaluated: from 1999 to 2001 and from
2009 to 2011. Trends from the first to the second time frame were evaluated. Governmental
databases were the source of information. Multivariate binary logistic
regression models were used.
Results: In the age range from 5 to 24 years old, municipalities with increase in the
proportion of individuals living in urban area had lower odds to reduce hospital
admission rate from asthma (OR: .93) and lower odds to reduce death rate from
asthma (OR: .88). In the age range from 25 to 39 years old, municipalities with
increase in the proportion of individuals living in urban area had lower odds to
reduce hospital admission rate from asthma (OR: .93) and lower odds to reduce death
rate from asthma (OR: .82). Municipalities that increased access to physicians and
that supplied inhaled corticosteroids free of charge for asthma since year 2003 had
increased odds to reduce hospital admission and death rates from asthma.
Conclusions: Increase in urban population was associated with lower odds to reduce
hospital admission and death rates from asthma in children and young adults living
in a transition society. | pt_BR |
| Affilliation | Faculdade de Medicina de Jundiaí. São Paulo, SP, Brasil | pt_BR |
| Affilliation | Universidade Federal da Bahia. ProAR. N ucleo de Excelência em Asma. Salvador, BA, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, Brasil | pt_BR |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil | pt_BR |
| Affilliation | Universidade de São Paulo. Faculdade de Medicina. Hospital das Clínicas. Pulmonary Divison Heart Institute. São Paulo, SP, Brasil | pt_BR |
| Subject | Asthma | pt_BR |
| Subject | Epidemiology | pt_BR |
| Subject | Hospitalization | pt_BR |
| Subject | Mortality | pt_BR |
| Subject | Treatment | pt_BR |
| Subject | Urbanization | pt_BR |
| DeCS | Asma | pt_BR |
| DeCS | Epidemiologia | pt_BR |
| DeCS | Hospitalização | pt_BR |
| DeCS | Mortalidade | pt_BR |
| DeCS | Tratamento | pt_BR |
| DeCS | Urbanização | pt_BR |
| Embargo date | 2017-07-10 | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
| xmlui.metadata.dc.subject.ods | 11 Cidades e comunidades sustentáveis | |
