Indicadores sócio-demográficos e a epidemia de dengue em 2002 no Estado do Rio de Janeiro, Brasil

This study analyzed the dengue fever epidemic in 2002 and the socio-demographic context of the State of Rio de Janeiro, Brazil, using spatial analysis and statistical modeling. The incidence rate was calculated for resident dengue cases in the State in 2002. The study analyzed associations between incidence and socio-demographic variables and spatial autocorrelation using the Moran Global Index, which showed spatial dependence for both the outcome and the independent variables. A multivariate linear regression model was used. The variables' proportion of urban population, percentage of the population with running water, and percentage of coverage by the Family Health Program (FHP) explained 30.2% of the total variance in the epidemic's incidence rate. The model's residuals did not show spatial autocorrelation. The associations were in the expected direction, and the findings are corroborated by other studies that showed higher dengue incidence in areas characterized by growing urbanization and deficient running water and water supply, while highlighting the FHP as an important facilitator of vector control strategies.

[1]  Délsio Natal,et al.  Distribuição espacial da dengue e determinantes socioeconômicos em localidade urbana no Sudeste do Brasil , 1998 .

[2]  A. Mondini,et al.  [Dengue control in an urban area of Brazil: impact of the Family Health Program on traditional control]. , 2006, Cadernos de saude publica.

[3]  H. Schatzmayr,et al.  Dengue in the State of Rio de Janeiro, Brazil, 1986-1998. , 1999, Memorias do Instituto Oswaldo Cruz.

[4]  H. Schatzmayr,et al.  Dengue virus type 3 in Rio de Janeiro, Brazil. , 2001, Memorias do Instituto Oswaldo Cruz.

[5]  Francisco Chiaravalloti Neto,et al.  Variáveis socioeconômicas e a transmissão de dengue , 2007 .

[6]  P. L. Tauil,et al.  Urbanização e ecologia do dengue , 2001 .

[7]  C. L. Oliveira,et al.  The urban environment from the health perspective: the case of Belo Horizonte, Minas Gerais, Brazil. , 2005, Cadernos de saude publica.

[8]  G. Coelho,et al.  Dengue in Brazil: current situation and prevention and control activities. , 2002, Epidemiological bulletin.

[9]  Eduardo Mota,et al.  Dengue and dengue hemorrhagic fever epidemics in Brazil: what research is needed based on trends, surveillance, and control experiences? , 2005, Cadernos de saude publica.

[10]  H. Schatzmayr,et al.  Isolation of dengue virus type 2 in Rio de Janeiro. , 1990, Memorias do Instituto Oswaldo Cruz.

[11]  Maria Lúcia Fernandes Penna,et al.  Um desafio para a saúde pública brasileira: o controle do dengue , 2003 .

[12]  H. Schatzmayr,et al.  An outbreak of dengue virus at Rio de Janeiro--1986. , 1986, Memorias do Instituto Oswaldo Cruz.

[13]  Rosely Magalhães de Oliveira,et al.  As condições e as experiências de vida de grupos populares no Rio de Janeiro: repensando a mobilização popular no controle do dengue , 2001 .

[14]  R. Medronho,et al.  [The epidemic of dengue and hemorrhagic dengue fever in the city of Rio de Janeiro, 2001/2002]. , 2004, Revista da Sociedade Brasileira de Medicina Tropical.

[15]  D. D. Cardoso,et al.  Household survey of dengue infection in central Brazil: spatial point pattern analysis and risk factors assessment. , 2004, The American journal of tropical medicine and hygiene.

[16]  Edinilsa Ramos de Souza,et al.  Análise espacial dos determinantes socioeconômicos dos homicídios no Estado de Pernambuco , 2005 .

[17]  Reinaldo Souza-Santos Análise espacial de dados geográficos , 2005 .

[18]  O. P. Forattini,et al.  Reservatrios domiciliares de gua e controle do Aedes aegypti , 2003 .