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Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil

In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (> 18 yea...

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Autores principales: da Silva, Rubens Antonio, Wanderley, Dalva Marli Valério, Forsyth, Colin, Leite, Ruth Moreira, Luna, Expedito José de Albuquerque, Carneiro, Nivaldo, Shikanai-Yasuda, Maria Aparecida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Medicina Tropical 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304264/
https://www.ncbi.nlm.nih.gov/pubmed/32578725
http://dx.doi.org/10.1590/S1678-9946202062039
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author da Silva, Rubens Antonio
Wanderley, Dalva Marli Valério
Forsyth, Colin
Leite, Ruth Moreira
Luna, Expedito José de Albuquerque
Carneiro, Nivaldo
Shikanai-Yasuda, Maria Aparecida
author_facet da Silva, Rubens Antonio
Wanderley, Dalva Marli Valério
Forsyth, Colin
Leite, Ruth Moreira
Luna, Expedito José de Albuquerque
Carneiro, Nivaldo
Shikanai-Yasuda, Maria Aparecida
author_sort da Silva, Rubens Antonio
collection PubMed
description In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (> 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants’ median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and >90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine bug. Factors associated with awareness of CD were analyzed by chi square tests, and those with p values <0.25 were included in a multivariable logistic regression model. In the multivariable logistic regression analysis, having a relative with CD (OR=4.3, 95% CI=1.5-12.0), having lived in a house with mud or wood walls (OR=0.4, 95% CI=0.2-0.8), and having heard of the triatomine bug, or vinchuca, (OR=10.0, 95% CI=5.1-19.5) were significantly associated with awareness of CD. This study shows a low familiarity with CD among Bolivian migrants living in Sao Paulo, Brazil. Raising awareness of the disease through specific communication strategies should be an essential component of public health programs to reduce the burden of CD in this and other vulnerable populations.
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spelling pubmed-73042642020-06-26 Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil da Silva, Rubens Antonio Wanderley, Dalva Marli Valério Forsyth, Colin Leite, Ruth Moreira Luna, Expedito José de Albuquerque Carneiro, Nivaldo Shikanai-Yasuda, Maria Aparecida Rev Inst Med Trop Sao Paulo Original Article In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (> 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants’ median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and >90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine bug. Factors associated with awareness of CD were analyzed by chi square tests, and those with p values <0.25 were included in a multivariable logistic regression model. In the multivariable logistic regression analysis, having a relative with CD (OR=4.3, 95% CI=1.5-12.0), having lived in a house with mud or wood walls (OR=0.4, 95% CI=0.2-0.8), and having heard of the triatomine bug, or vinchuca, (OR=10.0, 95% CI=5.1-19.5) were significantly associated with awareness of CD. This study shows a low familiarity with CD among Bolivian migrants living in Sao Paulo, Brazil. Raising awareness of the disease through specific communication strategies should be an essential component of public health programs to reduce the burden of CD in this and other vulnerable populations. Instituto de Medicina Tropical 2020-06-17 /pmc/articles/PMC7304264/ /pubmed/32578725 http://dx.doi.org/10.1590/S1678-9946202062039 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
da Silva, Rubens Antonio
Wanderley, Dalva Marli Valério
Forsyth, Colin
Leite, Ruth Moreira
Luna, Expedito José de Albuquerque
Carneiro, Nivaldo
Shikanai-Yasuda, Maria Aparecida
Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
title Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
title_full Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
title_fullStr Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
title_full_unstemmed Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
title_short Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
title_sort awareness of chagas disease and socioeconomic characteristics of bolivian immigrants living in sao paulo, brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7304264/
https://www.ncbi.nlm.nih.gov/pubmed/32578725
http://dx.doi.org/10.1590/S1678-9946202062039
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