PrevalÃncia, demandas ambulatoriais e hospitalizaÃÃo por diarrÃia em crianÃas, segundo variÃveis nutricionais e fatores sÃcioambientais, no estado de Pernambuco

AUTOR(ES)
DATA DE PUBLICAÇÃO

2006

RESUMO

The aim of the present study was to describe and analyze the occurrence of diarrhea in children under five years of age in the state of Pernambuco, Brazil, and its impact on demand at health services considering a possible association with nutritional and socio-environmental conditions. Data from the 2nd State Health and Nutrition Survey (II PESN, 1997) were used. The study involved 2078 children through a probabilistic sample describing the prevalence of diarrhea in the last 15 years, clinical consultations with physicians in the previous three months and hospitalizations in the 12 months prior to the interview. Analysis was then carried out on the association of possible risk factors. Multivariate analysis was employed through logistic regression to exclude possible effects of co-linearity. The results reveal a 19.8% prevalence of diarrhea, distributed among three geographic strata in the state of Pernambuco. The following risk factors remained in the final explicative model: age of the child (under two years old), type of roof on the home (ceramic tile and others), a larger number of people per room in the residence and the absence of a refrigerator. Diarrhea was the fourth greatest cause of clinical consultations in the state. The statistical prediction model regarding consultations for diarrhea was represented by the age of the children, the existence of a radio and the nutritional state based on the height/weight index. Diarrhea was the cause of one-quarter of child hospitalizations in the state. Deficient sewage systems were related to the greater risk of such occurrences. The prevalence of diarrhea among children in the state of Pernambuco presents striking differences with regard to geography. The highest prevalence, greatest number of risk factors, greatest demands for clinical care and hospitalization, as well as the variables associated to the occurrence are in inland urban areas. Prospective studies are recommended, principally with regard to the first two years of life, so as to document the incidence of cases in function of the risk factors identified in the present study or other studies that may be considered

ASSUNTO(S)

diarrÃias em crianÃas consultas mÃdicas e hospitalizaÃÃo risk factors prevalÃncia medical consultations and hospitalization fatores de risco diarrhea in children nutricao prevalence

ACESSO AO ARTIGO

Documentos Relacionados