Socioeconomic, hygienic, and sanitation factors in reducing diarrhea in the Amazon

Authors

  • Katiuscia Shirota Imada Universidade Federal do Acre; Centro de Ciências da Saúde e do Desporto
  • Thiago Santos de Araújo Universidade Federal do Acre; Centro de Ciências da Saúde e do Desporto
  • Pascoal Torres Muniz Universidade Federal do Acre; Centro de Ciências da Saúde e do Desporto
  • Valter Lúcio de Pádua Universidade Federal de Minas Gerais; Escola de Engenharia; Departamento de Engenharia Sanitária e Ambiental

DOI:

https://doi.org/10.1590/s1518-8787.2016050006505

Abstract

OBJECTIVE To analyze the contributions of the socioeconomic, hygienic, and sanitation improvements in reducing the prevalence of diarrhea in a city of the Amazon. METHODS In this population-based cross-sectional study, we analyzed data from surveys conducted in the city of Jordão, Acre. In 2005 and 2012, these surveys evaluated, respectively, 466 and 826 children under five years old. Questionnaires were applied on the socioeconomic conditions, construction of houses, food and hygienic habits, and environmental sanitation. We applied Pearson’s Chi-squared test and Poisson regression to verify the relationship between origin of water, construction of homes, age of introduction of cow’s milk in the diet, place of birth and the prevalence of diarrhea. RESULTS The prevalence of diarrhea was reduced from 45.1% to 35.4%. We identified higher probability of diarrhea in children who did not use water from the public network, in those receiving cow’s milk in the first month after birth, and in those living in houses made of paxiúba. Children born at home presented lower risk of diarrhea when compared to those who were born in hospital, with this difference reversing for the 2012 survey. CONCLUSIONS Sanitation conditions improved with the increase of bathrooms with toilets, implementation of the Programa de Saúde da Família (PSF – Family Health Program), and water treatment in the city. The multivariate regression model identified a statistically significant association between use of water from the public network, construction of houses, late introduction of cow’s milk, and access to health service with occurrence of diarrhea.

Published

2016-01-01

How to Cite

Imada, K. S., Araújo, T. S. de, Muniz, P. T., & Pádua, V. L. de. (2016). Socioeconomic, hygienic, and sanitation factors in reducing diarrhea in the Amazon . Revista De Saúde Pública, 50, 77. https://doi.org/10.1590/s1518-8787.2016050006505

Issue

Section

Original Articles