Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/35826
Title: Occurrence of severe dengue in Rio de Janeiro: an ecological study
Authors: Gibson, Gerusa
Santos, Reinaldo Souza
Pedro, Alexandre San
Honório, Nildimar Alves
Carvalho, Marilia Sá
Affilliation: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Transmissores de Hematozoários. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Presidência. Programa de Computação Científica. Rio de Janeiro, RJ, Brasil.
Abstract: Introduction: This study aimed to analyze the relationship between the incidence of severe dengue during the 2008 epidemic in Rio de Janeiro, Brazil, and socioeconomic indicators, as well as indicators of health service availability and previous circulation of the dengue virus serotype-3 (DENV-3). Methods: In this ecological study, the units of analysis were the districts of Rio de Janeiro. The data were incorporated into generalized linear models, and the incidence of severe dengue in each district was the outcome variable. Results: The districts with more cases of dengue fever in the 2001 epidemic and a higher percentage of residents who declared their skin color or race as black had higher incidence rates of severe dengue in the 2008 epidemic [incidence rate ratio (IRR)= 1.21; 95% confi dence interval (95%CI)= 1.05-1.40 and IRR= 1.34; 95%CI= 1.16-1.54, respectively]. In contrast, the districts with Family Health Strategy (FHS) clinics were more likely to have lower incidence rates of severe dengue in the 2008 epidemic (IRR= 0.81; 95%CI= 0.70-0.93). Conclusions: At the ecological level, our fi ndings suggest the persistence of health inequalities in this region of Brazil that are possibly due to greater social vulnerability among the selfdeclared black population. Additionally, the protective effect of FHS clinics may be due to the ease of access to other levels of care in the health system or to a reduced vulnerability to dengue transmission that is afforded by local practices to promote health.
Keywords: Severe dengue
Health inequities
Self-declared skin color
Family Health Strategy
Epidemiology
Brazil
keywords: Dengue grave
Iniquidades em saúde
Cor da pele autodeclarada
Estratégia Saúde da Família
Epidemiologia
Rio de Janeiro
Issue Date: 2014
Publisher: Sociedade Brasileira de Medicina Tropical
Citation: GIBSON, Gerusa et al. Occurrence of severe dengue in Rio de Janeiro: an ecological study. Revista da Sociedade Brasileira de Medicina Tropical, v. 47, n. 6, p. 684-691, Nov./Dec. 2014.
DOI: 10.1590/0037-8682-0223-2014
ISSN: 0037-8682
Copyright: open access
Appears in Collections:Presidência Fiocruz - PROCC - Artigos de Periódicos
ENSP - Artigos de Periódicos
IOC - Artigos de Periódicos

Files in This Item:
File Description SizeFormat 
NildimarHonorio_MarildaCarvalho_etal_IOC_2014.pdf996.08 kBAdobe PDFView/Open



FacebookTwitterDeliciousLinkedInGoogle BookmarksBibTex Format mendeley Endnote DiggMySpace

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.