| Full text | |
| Author(s): |
Nucci, Luciana B.
[1, 2]
;
Zangirolani, Lia T. O.
[1, 2]
;
Mafra, Ana Carolina C. N.
[1]
;
de Medeiros, Maria Angelica T.
[3]
;
Cordeiro, Ricardo
[1]
Total Authors: 5
|
| Affiliation: | [1] State Univ Campinas UNICAMP, Dept Publ Hlth, Fac Med Sci, BR-13025061 Campinas, SP - Brazil
[2] Pontificia Univ Catolica Campinas PUC Campinas, Ctr Ciencias Vida, Campinas, SP - Brazil
[3] Univ Fed Sao Paulo UNIFESP, Dept Ciencias Saude, Santos, SP - Brazil
Total Affiliations: 3
|
| Document type: | Journal article |
| Source: | PUBLIC HEALTH NUTRITION; v. 15, n. 6, p. 1008-1014, JUN 2012. |
| Web of Science Citations: | 0 |
| Abstract | |
Objective: To identify spatial variation in the risk for metabolic complications (RMC) by means of a semi-parametric approach for multinomial data. Design: Cross-sectional study. Setting: We visited 730 households selected in the first of a two-stage sample in South health district in Campinas, Sao Paulo, Brazil, 2006-2007. Subjects: We interviewed 651 individuals and obtained their respective anthropometric measures and geographical coordinates of their house location. They were classified according to a combination of BMI and abdominal circumference as having no risk, increased, high or very high RMC. Results: Gender, age and schooling were associated with RMC. Crude spatial risk for the three levels of RMC in relation to the absence of risk suggested different patterns in each level. Adjusted spatial risk for the RMC showed smaller significant areas, but the pattern remained similar to crude risk. Conclusions: Spatial point analysis with a multinomial approach improves the understanding of differences in RMC found, as we could identify specific areas in which to intervene. The public health significance of these findings may lie in the additional evidence provided that spatial location and its features can influence patterns of RMC. (AU) | |
| FAPESP's process: | 06/05920-7 - Estimability of association and effect measures in spatial case-control studies |
| Grantee: | Laécio Carvalho de Barros |
| Support Opportunities: | Research Projects - Thematic Grants |
| FAPESP's process: | 07/07435-1 - Estimation of spatial risk distribution in case-control studies using multinomial model |
| Grantee: | Luciana Bertoldi Nucci |
| Support Opportunities: | Scholarships in Brazil - Post-Doctoral |
| FAPESP's process: | 08/05324-0 - Development of computational routines for risk association measures under case-control studies |
| Grantee: | Celso Stephan |
| Support Opportunities: | Scholarships in Brazil - Post-Doctoral |
| FAPESP's process: | 08/58461-5 - Uso de modelagem multinominal na estimabilidade da distribuição espacial do risco em estudos epidemiológicos |
| Grantee: | Ana Carolina Cintra Nunes Mafra |
| Support Opportunities: | Scholarships in Brazil - Doctorate (Direct) |