Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis

Abstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban...

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Main Authors: Gisel Lorena Fattore, Carlos Antonio de Souza Teles Santos, Mauricio Lima Barreto
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2015-11-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2015001302367&lng=en&tlng=en
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author Gisel Lorena Fattore
Carlos Antonio de Souza Teles Santos
Mauricio Lima Barreto
author_facet Gisel Lorena Fattore
Carlos Antonio de Souza Teles Santos
Mauricio Lima Barreto
author_sort Gisel Lorena Fattore
collection DOAJ
description Abstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban centers and socioeconomic and environmental determinants measured at the ecological level. Asthma prevalence symptoms were obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III. A hierarchical conceptual framework was defined and the explanatory variables were organized in three levels: distal, intermediate, proximal. Linear regression models weighed by sample size were undertaken between asthma prevalence and the selected variables. Asthma prevalence was positively associated with Gini index, water supply and homicide rate, and inversely associated with the Human Development Index, crowding and adequate sanitation. This study provides evidence of the potential influence of poverty and social inequalities on current wheezing in adolescents in a complex social context like Latin America.
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spelling doaj.art-e4ea3836604b462ba215ba8402b54dde2022-12-22T02:17:36ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642015-11-0131112367237810.1590/0102-311X00101414S0102-311X2015001302367Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysisGisel Lorena FattoreCarlos Antonio de Souza Teles SantosMauricio Lima BarretoAbstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban centers and socioeconomic and environmental determinants measured at the ecological level. Asthma prevalence symptoms were obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III. A hierarchical conceptual framework was defined and the explanatory variables were organized in three levels: distal, intermediate, proximal. Linear regression models weighed by sample size were undertaken between asthma prevalence and the selected variables. Asthma prevalence was positively associated with Gini index, water supply and homicide rate, and inversely associated with the Human Development Index, crowding and adequate sanitation. This study provides evidence of the potential influence of poverty and social inequalities on current wheezing in adolescents in a complex social context like Latin America.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2015001302367&lng=en&tlng=enAsmaAdolescenteÁrea Urbana
spellingShingle Gisel Lorena Fattore
Carlos Antonio de Souza Teles Santos
Mauricio Lima Barreto
Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
Cadernos de Saúde Pública
Asma
Adolescente
Área Urbana
title Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
title_full Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
title_fullStr Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
title_full_unstemmed Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
title_short Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis
title_sort socioeconomic and environmental determinants of adolescent asthma in urban latin america an ecological analysis
topic Asma
Adolescente
Área Urbana
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2015001302367&lng=en&tlng=en
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AT mauriciolimabarreto socioeconomicandenvironmentaldeterminantsofadolescentasthmainurbanlatinamericaanecologicalanalysis