Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
Abstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban centers and socioeconomic and environmental determinants measured at the ecological level. Asthma prevalence symptoms were obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III. A hierarchical conceptual framework was defined and the explanatory variables were organized in three levels: distal, intermediate, proximal. Linear regression models weighed by sample size were undertaken between asthma prevalence and the selected variables. Asthma prevalence was positively associated with Gini index, water supply and homicide rate, and inversely associated with the Human Development Index, crowding and adequate sanitation. This study provides evidence of the potential influence of poverty and social inequalities on current wheezing in adolescents in a complex social context like Latin America.
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Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz
2015
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oai:scielo:S0102-311X20150011023672016-05-24Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysisFattore,Gisel LorenaSantos,Carlos Antonio de Souza TelesBarreto,Mauricio Lima Asthma Adolescent Urban Area Abstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban centers and socioeconomic and environmental determinants measured at the ecological level. Asthma prevalence symptoms were obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III. A hierarchical conceptual framework was defined and the explanatory variables were organized in three levels: distal, intermediate, proximal. Linear regression models weighed by sample size were undertaken between asthma prevalence and the selected variables. Asthma prevalence was positively associated with Gini index, water supply and homicide rate, and inversely associated with the Human Development Index, crowding and adequate sanitation. This study provides evidence of the potential influence of poverty and social inequalities on current wheezing in adolescents in a complex social context like Latin America.info:eu-repo/semantics/openAccessEscola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo CruzCadernos de Saúde Pública v.31 n.11 20152015-11-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001102367en10.1590/0102-311X00101414 |
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Fattore,Gisel Lorena Santos,Carlos Antonio de Souza Teles Barreto,Mauricio Lima |
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Fattore,Gisel Lorena Santos,Carlos Antonio de Souza Teles Barreto,Mauricio Lima Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis |
author_facet |
Fattore,Gisel Lorena Santos,Carlos Antonio de Souza Teles Barreto,Mauricio Lima |
author_sort |
Fattore,Gisel Lorena |
title |
Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis |
title_short |
Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis |
title_full |
Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis |
title_fullStr |
Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis |
title_full_unstemmed |
Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis |
title_sort |
socioeconomic and environmental determinants of adolescent asthma in urban latin america: an ecological analysis |
description |
Abstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban centers and socioeconomic and environmental determinants measured at the ecological level. Asthma prevalence symptoms were obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III. A hierarchical conceptual framework was defined and the explanatory variables were organized in three levels: distal, intermediate, proximal. Linear regression models weighed by sample size were undertaken between asthma prevalence and the selected variables. Asthma prevalence was positively associated with Gini index, water supply and homicide rate, and inversely associated with the Human Development Index, crowding and adequate sanitation. This study provides evidence of the potential influence of poverty and social inequalities on current wheezing in adolescents in a complex social context like Latin America. |
publisher |
Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz |
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2015 |
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http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2015001102367 |
work_keys_str_mv |
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1756396917021999104 |