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| Author(s): |
Emerson Soares dos Santos
Total Authors: 1
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| Document type: | Doctoral Thesis |
| Press: | São Paulo. |
| Institution: | Universidade de São Paulo (USP). Faculdade de Filosofia, Letras e Ciências Humanas (FFLCH/SBD) |
| Defense date: | 2012-05-31 |
| Examining board members: |
Ligia Vizeu Barrozo;
Francisco Chiaravalloti Neto;
Emerson Galvani;
Isabela Maria Bernardes Goulart;
Reinaldo Paul Pérez Machado
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| Advisor: | Ligia Vizeu Barrozo |
| Abstract | |
The Hansens disease is an important public health problem in the cities of Cuiabá and Várzea Grande. The detection rate for the two cities in 2010 was 6.97 cases per 10,000 inhabitants, which characterizes the strong presence of endemic disease in this area. The hypothesis is that Hansens disease cases were grouped together, forming foci of contact and dissemination related to the geographical environment and social and economic factors. Therefore, the objective of this study is to analyze the spatial distribution and epidemiological aspects of the disease from the perspective of the Geography. It is an ecological study, both from the standpoint of the methodology proposed by Maximilien Sorre as for its epidemiological design. The techniques used are based on Spatial Data Analysis and Multivariate Data Analysis. The Hansens disease cases registered in Cuiabá and Várzea Grande from 1999 to 2010 were geocoded, then submitted to statistical tests for spatial dependence among cases, existence of spatial foci and risk areas, and the possible influence of socio-economic and environmental factors in the presence or absence this risk. The results indicate the formation of endemic foci during the period of study, and the distribution is conditioned by socio-economic factors and forms of land-use in the urban area, however these factors have different grades of influence depending on the scale of analysis. In neighborhood scale relative risk was related to the existence of houses with many residents in areas with medium to high density of houses, low coverage of basic sanitary services and low income. In this scale, basic sanitary services is a major factor with the greatest explanatory potential between the studied variables, however in the census tract scale, it is not a factor with great explanatory potential and it is not statistically significant, being the literacy and land use, the principal factors of explanation. (AU) | |
| FAPESP's process: | 09/09418-2 - Geographical and epidemiological aspects of leprosy in Cuiaba and Varzea Grande, Mato Grosso |
| Grantee: | Emerson Soares dos Santos |
| Support Opportunities: | Scholarships in Brazil - Doctorate |