Neighbourhood-level income and Zika virus infection during pregnancy in Recife, Pernambuco, Brazil: an ecological perspective, 2015–2017
| Autor: | Ernesto T. A. Marques, Thália Velho Barreto de Araújo, Rafael Dhalia, Demócrito de Barros Miranda-Filho, Elizabeth B. Brickley, Ulisses Ramos Montarroyos, Grace M. Power, Ludmila Lobkowicz, Celina Maria Turchi Martelli, Luciana Caroline Albuquerque Bezerra, Ricardo Arraes de Alencar Ximenes, Wayner Vieira de Souza |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Population Psychological intervention Infectious and parasitic diseases RC109-216 Rate ratio Zika virus diseases symbols.namesake R5-920 Pregnancy Environmental health Epidemiology medicine Humans Poisson regression infections education disorders Epidemics Original Research injuries education.field_of_study obstetrics biology Zika Virus Infection Health Policy Public Health Environmental and Occupational Health Zika Virus medicine.disease biology.organism_classification Mosquito control Geography arboviruses symbols Microcephaly epidemiology Female Brazil |
| Zdroj: | BMJ Global Health, Vol 6, Iss 12 (2021) BMJ Global Health |
| ISSN: | 2059-7908 |
| Popis: | Zika virus (ZIKV) infections during pregnancy can lead to adverse neurodevelopmental and clinical outcomes in congenitally infected offspring. As the city of Recife in Pernambuco State, Brazil—the epicentre of the Brazilian microcephaly epidemic—has considerable disparities in living conditions, this study used an ecological approach to investigate the association between income at the neighbourhood level and the risk of ZIKV infections in pregnant individuals between December 2015 and April 2017. The spatial distribution of pregnant individuals with ZIKV infection was plotted on a map of Recife stratified into four categories based on mean monthly income of household heads. Additionally, a Poisson regression model with robust variance was fitted to compare proportions of ZIKV infections among pregnant individuals in relation to the mean monthly income of household heads, based on the 2010 census data, across 94 neighbourhoods in Recife. The results provide evidence that the risk of ZIKV infection to pregnant individuals was higher among those residing in lower-income neighbourhoods: relative to neighbourhoods that had a mean monthly income of ≥5 times minimum wage, neighbourhoods with |
| Databáze: | OpenAIRE |
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