Socio-environmental factors and diarrheal diseases in under five-year old children in the state of Tocantins, Brazil
Open Access
- 16 May 2018
- journal article
- research article
- Published by Public Library of Science (PLoS) in PLOS ONE
- Vol. 13 (5), e0196702
- https://doi.org/10.1371/journal.pone.0196702
Abstract
Diarrhea is a waterborne disease that affects children, especially those under 5 years of age. The objective of this study was to identify the spatial patterns of distribution of diarrheal disease in under 5-year-old children in the State of Tocantins, Brazil, from 2008 to 2013. Geoprocessing tools were used to carry out an epidemiological study, to prepare thematic maps in the TerraView 4.2.2 software based on secondary data. General indicators of the disease, presence of spatial dependence through the Global Moran’s Index (I) and the Spatial Association Index (LISA) were described. There were 3,015 cases of under 5-year-old children hospitalized for diarrhea, with an average annual rate (AAR) of 4.10/1,000 inhabitants (inhab.). Among the main characteristics were: increasing rates in under 1-year-old children (6.16 to 9.66/1,000 inhabitants); children aged 1 to 4 full years (63%); males (55%); 8 deaths of under one-year-old children (75%); county of Araguaína (67%); incidence in the county of Nazaré (63.97/1,000 inhab.); prevalence and incidence in the Araguaína microregion (45%, AAR 9.38/1,000 inhab.). The presence of a cluster with spatial autocorrelation was found in the Araguaína microregion, which was statistically significant (I = 0.11, p-value < 0.03), with priority of intervention (Moran Map). There was an increase in the number of hospitalizations for diarrhea in under 5–year-old children in the state of Tocantins. The spatial analysis identified clusters of priority areas for measures of maintenance and control of diarrheal diseases.Keywords
This publication has 34 references indexed in Scilit:
- A ubiquitous method for street scale spatial data collection and analysis in challenging urban environments: mapping health risks using spatial video in HaitiInternational Journal of Health Geographics, 2013
- Social and spatial processes associated with childhood diarrheal disease in Matlab, BangladeshHealth & Place, 2013
- Aspectos epidemiológicos da hanseníase: uma abordagem espacialCadernos de Saude Publica, 2012
- Robust assessment of spatial non-stationarity in model associations related to pediatric mortality due to diarrheal disease in BrazilSpatial and Spatio-temporal Epidemiology, 2012
- Análise da distribuição espacial da mortalidade neonatal e de fatores associados, em Salvador, Bahia, Brasil, no período 2000-2006Cadernos de Saude Publica, 2011
- Exclusive breast feeding and prevention of diarrheal diseases: a study in QatarRevista Brasileira de Saúde Materno Infantil, 2011
- Análise espacial e determinação de áreas prioritárias para o controle da malária, no Estado no Tocantins, 2003-2008Revista da Sociedade Brasileira de Medicina Tropical, 2011
- Comportamento da diarréia infantil antes e após consumo de água pluvial em município do semi-árido BrasileiroTexto & Contexto - Enfermagem, 2010
- Análise espacial da distribuição de doenças diarréicas nos municípios do Vale do Paraíba PaulistaAmbiente e Agua - An Interdisciplinary Journal of Applied Science, 2009
- Diarréia por rotavírus em crianças desnutridas hospitalizadas no Instituto Materno Infantil Prof. Fernando Figueira, IMIPRevista Brasileira de Saúde Materno Infantil, 2006