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Social determinants of health associated with topical repellent use in pregnancy: a cross-sectional study during a Zika outbreak in Brazil.
Cartaxo, Marina F S; Silva, Sophia Maria D; Silva, Jaiurte G M; Beltrão, Eduardo I C; Brayner, Fábio André; de Lima Filho, José Luiz; Mattos, Sandra S; Ceballos, Albanita G C; Schettini, Juliana A C; Alves, Luiz Carlos.
Afiliação
  • Cartaxo MFS; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Silva SMD; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Silva JGM; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Beltrão EIC; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Brayner FA; Departamento de Bioquímica, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • de Lima Filho JL; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Mattos SS; Instituto Aggeu Magalhães, Fundação Oswaldo Cruz, Recife, CEP, Brazil.
  • Ceballos AGC; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Schettini JAC; Laboratório de Imunopatologia Keizo Asami, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
  • Alves LC; Departamento de Medicina Social, Universidade Federal de Pernambuco, Recife, CEP, Brazil.
Trans R Soc Trop Med Hyg ; 113(2): 65-73, 2019 02 01.
Article em En | MEDLINE | ID: mdl-30412231
Background: Repellent use during pregnancy was strongly recommended after uncovering Zika virus (ZIKV) involvement with congenital malformations. In this context, Pernambuco, Brazil played a key role since it was the epicentre for the main studies suggesting ZIKV teratogenicity and one of Brazil's most affected states during the 2014-2016 epidemics. Thus we aimed to identify possible associations between social determinants of health and repellent use in pregnancy during the ZIKV outbreak in Pernambuco. Methods: We conducted a cross-sectional study (July-December 2016) with 539 pregnant women residing in Pernambuco and estimated the associations by prevalence ratio and multivariable logistic regression. Results: Repellents were associated with pregnant women ≥30 y; graduates, employed, health professionals, private health system users and with a monthly income per person greater than two minimum wages. Women whose domiciles favour mosquitoes (ground-floor houses, intermittent water supply from general distribution or water trucks and for ≤6 d/week, cesspools/open wastewater, indoor household water storage) were less likely to use repellents. There was no association for peridomiciles. Conclusions: Repellents were not associated with ZIKV in most vulnerable pregnant women, despite all the general recommendations made during the Pernambuco epidemic. This study observed a demand for public policies focused on health, education and sanitation problems related to deprived social groups along with their co-responsibility rather than focusing on individual attitudes against mosquitoes.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gestantes / Infecção por Zika virus / Repelentes de Insetos Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Trans R Soc Trop Med Hyg Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Gestantes / Infecção por Zika virus / Repelentes de Insetos Tipo de estudo: Observational_studies / Prevalence_studies / Prognostic_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Limite: Adult / Female / Humans / Pregnancy País/Região como assunto: America do sul / Brasil Idioma: En Revista: Trans R Soc Trop Med Hyg Ano de publicação: 2019 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido