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Predictor Variables in the Spread of Chagas Disease in Rural Areas.
de Sousa Leite, Liziana; de Rezende Feres, Valéria Christina; Scalize, Paulo Sérgio.
Afiliação
  • de Sousa Leite L; Post-Graduation Program in Environmental Sciences (CIAMB), Federal University of Goiás, Goiania 74605-170, Brazil.
  • de Rezende Feres VC; Faculty of Pharmacy, Federal University of Goiás, Goiania 74605-170, Brazil.
  • Scalize PS; Post-Graduation Program in Environmental Sciences (CIAMB) and the Post-Graduation Program in Sanitary and Environmental Engineering (PPGEAS), Federal University of Goiás, Goiania 74605-170, Brazil.
Pathogens ; 13(5)2024 May 08.
Article em En | MEDLINE | ID: mdl-38787245
ABSTRACT
Over a hundred years ago after the discovery of Chagas disease (CD) in Brazil, the World Health Organization estimates a number of 6 to 7 million people infected by Trypanosoma cruzi worldwide. Therefore, the goal of this work was to identify variables related to the spread of infection by T. cruzi in humans living in rural areas, seeking predictor variables. A systematic review of the literature has been conducted, with a search in the Scopus platform, using the search string "Chagas disease" and "rural", resulting in 85 valid and analyzed scientific studies (1977 and 2022). Twenty-seven predictor variables have been acquired, and 19 of them have been grouped, such as socioeconomic and educational, housing, environmental, sanitary, and cultural; and 8 variables related to T. cruzi seropositive individuals. The predictor variables yielded significant results (p-value < 0.05) in 59.5% of the cases (195/328), with a median of 66.7%. In other words, studies relating to 50% of the 27 variables showed significance equal to or greater than 66.7% of the time. The independent variables with the highest proportion of significant data (p-value < 0.05) were Education (87.6%), Intradomicile building (70%), Domestic animals (69.6%), and Triatomines (69.2%) in the households. Some variables reached 100%; however, few articles were found, indicating the need for further research, especially for Sanitation and Culture. It has been concluded that, in the several contexts found, the social vulnerability and lack of information led the individual to living in environments where inhabitability is inadequate, to perform limited work activity and develop habits and behaviors which impair them in an environmental insalubrity situation, favorable to the access of vectors and pathogens of anthropozoonoses such as CD.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Pathogens Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: Pathogens Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Suíça