Analysis of the socio-environmental vulnerability of black and Caucasian pregnant women in Salvador, Bahia, Brazil to the occurrence of microcephaly associated with the congenital syndrome of zika virus
| Autor: | Moara de Santana Martins Rodgers, Isabel Cristina Santos Guimarães, Marta Mariana Nascimento, Karine de Souza Oliveira Santana, Ênio Soares, Liliane de Jesus Bittencourt, Argemiro D'Oliveira Júnior, Asha Nicole Fradkin |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Intersectionality Microcephaly Health (social science) Geography Planning and Development Population Vulnerability Black People lcsh:G1-922 Medicine (miscellaneous) Pregnant White People Zika virus 03 medical and health sciences 0302 clinical medicine Pregnancy Humans Medicine 030212 general & internal medicine education Black women education.field_of_study 030504 nursing Institutional racism biology Zika Virus Infection business.industry Health Policy biology.organism_classification medicine.disease Social Class Socio environmental Female Pregnant Women 0305 other medical science business Brazil lcsh:Geography (General) Demography |
| Zdroj: | Geospatial Health, Vol 15, Iss 1 (2020) |
| ISSN: | 1970-7096 1827-1987 |
| Popis: | To understand the occurrence of the Congenital Zika Syndrome (CZS), the living conditions of pregnant individuals must be considered in order to identify factors and areas of risk. An intersectional approach provides an understanding of the vulnerabilities to which Black women are subjected. To that end, we present an overview of the spatio-temporal distribution of confirmed cases of microcephaly associated with CZS during the 2015-2016 period in Salvador, Bahia, Brazil based on a survey of Black and Caucasian, pregnant women seen through the intersectional lens of race and class. To consider the confirmed cases of microcephaly and other neurological anomalies associated with CZS, a Living Condition Index (LCI) was utilized to rate the socio-environmental vulnerability of pregnant women. There was less information in the notification records with regard to Black, pregnant women resulting in fewer examinations. Twelve, highrisk areas for Black, pregnant women were identified but only two for Caucasian women. CZS cases referred to Black, pregnant women were found to be concentrated in census sectors with a low (31.6%) and very low (34.5%) LCI, while those referred to Caucasian, pregnant women were concentrated in areas with a high (35.6%) and intermediate (29.4%) LCI. The study concludes that inequities in health expose different population groups to different forms of illnesses, and institutional racism solidifies scenarios of exclusion. In this sense, Black women experiences manifest directly in their health. Confrontation with arboviruses requires the implementation of inter-institutional policies aimed at overcoming discriminatory practices of exposure. |
| Databáze: | OpenAIRE |
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