| Author | Rodriguez, Alejandro | |
| Author | Vaca, Maritza G | |
| Author | Chico, Martha E | |
| Author | Rodrigues, Laura C | |
| Author | Barreto, Maurício Lima | |
| Author | Cooper, Philip J | |
| Access date | 2017-08-03T17:19:14Z | |
| Available date | 2017-08-03T17:19:14Z | |
| Document date | 2015 | |
| Citation | RODRIGUEZ, A. et al. Lifestyle domains as determinants of wheeze prevalence in urban and rural schoolchildren in Ecuador: cross sectional analysis. Environmental Health, v. 14, p. 15, 2015. | pt_BR |
| ISSN | 1476-069X | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/20511 | |
| Description | Barreto, Mauricio Lima “Documento produzido em parceria ou por autor vinculado à Fiocruz, mas não consta à informação no documento”. | pt_BR |
| Sponsorship | Wellcome Trust (072405/Z/03/Z and 088862/Z/09/Z). | pt_BR |
| Language | eng | pt_BR |
| Publisher | BioMed Central | pt_BR |
| Rights | open access | pt_BR |
| Subject in Portuguese | Estilo de vida | pt_BR |
| Subject in Portuguese | Crianças pré-escolares | pt_BR |
| Subject in Portuguese | Urbano | pt_BR |
| Subject in Portuguese | Área rural | pt_BR |
| Subject in Portuguese | América Latina | pt_BR |
| Subject in Portuguese | Trópicos | pt_BR |
| Title | Lifestyle domains as determinants of wheeze prevalence in urban and rural schoolchildren in Ecuador: cross sectional analysis | pt_BR |
| Type | Article | pt_BR |
| DOI | 10.1186/1476-069X-14-15 | |
| Abstract | The acquisition of a modern lifestyle may explain variations in asthma prevalence between urban and rural areas in developing countries. However, the effects of lifestyle on asthma have been investigated as individual factors with little consideration given to the effects of lifestyle as a set of attributes. The aim of the present study was to identify modern lifestyle domains and assess how these domains might explain wheeze prevalence in urban and rural areas. Methods: We analysed data from cross-sectional studies of urban and rural schoolchildren in Esmeraldas Province,
Ecuador. Variables were grouped as indicators of socioeconomic factors, sedentarism, agricultural activities and
household characteristics to represent the main lifestyle features of the study population. We used multiple
correspondence analyses to identify common lifestyle domains and cluster analysis to allocate children to each
domain. We evaluated associations between domains and recent wheeze by logistic regression.
Results: We identified 2–3 lifestyle domains for each variable group. Although wheeze prevalence was similar
in urban (9.4%) and rural (10.3%) schoolchildren, lifestyle domains presented clear associations with wheeze
prevalence. Domains relating to home infrastructure (termed transitional, rudimentary, and basic urban) had the
strongest overall effect on wheeze prevalence in both urban (rudimentary vs. basic urban, OR = 2.38, 95% CI
1.12-5.05, p = 0.024) and rural areas (transitional vs. basic urban, OR = 2.02, 95% CI 1.1-3.73, p = 0.024; rudimentary
vs. basic urban, OR = 1.88, 95% CI 1.02-3.47, p = 0.043). A high level of sedentarism was associated with wheeze in
the rural areas only (OR = 1.64, 95% CI 1.23-2.18, p = 0.001).
Conclusions: We identified lifestyle domains associated with wheeze prevalence, particularly living in substandard
housing and a high level of sedentarism. Such factors could be modified through programmes of improved
housing and education. The use of lifestyle domains provides an alternative methodology for the evaluation of
variations in wheeze prevalence in populations with different levels of development | pt_BR |
| Affilliation | Laboratorio de Investigación FEPIS. Quinindé, Ecuador / Universidad Católica del Ecuador. Centro de Investigación en Enfermedades Infecciosas y Crónicas, Pontificia. Quito, Ecuador / London School of Hygiene and Tropical Medicine. Faculty of Epidemiology and Population Health. London, UK | pt_BR |
| Affilliation | Laboratorio de Investigación FEPIS. Quinindé, Ecuador | pt_BR |
| Affilliation | Laboratorio de Investigación FEPIS. Quinindé, Ecuador | pt_BR |
| Affilliation | London School of Hygiene and Tropical Medicine. Faculty of Epidemiology and Population Health. London, UK | pt_BR |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil | pt_BR |
| Affilliation | Laboratorio de Investigación FEPIS. Quinindé, Ecuador / Universidad Católica del Ecuador. Centro de Investigación en Enfermedades Infecciosas y Crónicas, Pontificia. Quito, Ecuador / St George’s University of London. Clinical Sciences. London, UK | pt_BR |
| Subject | Lifestyle domains | pt_BR |
| Subject | Wheeze | pt_BR |
| Subject | School children | pt_BR |
| Subject | Urban | pt_BR |
| Subject | Rural | pt_BR |
| Subject | Tropics | pt_BR |
| Subject | Latin America | pt_BR |
| xmlui.metadata.dc.subject.ods | 04 Educação de qualidade | |
| xmlui.metadata.dc.subject.ods | 11 Cidades e comunidades sustentáveis | |
