Evolution of Socioeconomic Conditions and Its Relation to Spatial–Temporal Changes of Giardiasis and Helminthiasis in Amazonian Children

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• 作者：B. M. Delfino ; R. G. Campos ; T. M. Pereira ; S. A. S. Mantovani…
• 关键词：giardiasis ; helminthiasis ; sanitation ; water usage ; Amazon ; children
• 刊名：EcoHealth
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：13
• 期：4
• 页码：743-760
• 全文大小：
• 刊物类别：Earth and Environmental Science
• 刊物主题：Public Health; Environmental Health; Ecosystems; Microbiology; Animal Ecology; Water and Health;
• 出版者：Springer US
• ISSN：1612-9210
• 卷排序：13

文摘

This study analyzed the evolution of socioeconomic, sanitary, and personal factors as well as spatiotemporal changes in the prevalence of helminthiasis and giardiasis in urban Amazonian children between 2003 and 2011. Child age, lack of sanitation, and lack of access to bottled water were identified as significant associated factors for helminthiasis and giardiasis. There was an overall improvement in socioeconomic and sanitary conditions in the city resulting in decreased helminth prevalences from 12.42 to 9.63% between 2003 and 2010, but the prevalence increased to 15.03% in 2011 due to migratory movement and unstable sanitary conditions. As for Giardiasis, socioeconomic and environmental changes were not enough to reduce prevalence (16% in 2003 and 23% in 2011). Spatial analysis identified a significant cluster for helminthiasis in an area of poor housing conditions. Control programs in the Amazon need to target high-risk areas focusing changes in sanitation, water usage, and health education.