Factors associated with schistosoma mansoni infestation in Northeast Brazil: a need to revisit individual and community risk factors

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dc.contributor.authorMaciel, Bruna Leal Lima
dc.contributor.authorBezerra, Danielle Viviane Fernandes
dc.contributor.authorQueiroz, José Wilton
dc.contributor.authorCâmara, Victor A. V.
dc.contributor.authorNascimento, Eliana Lúcia Tomaz do
dc.contributor.authorJerônimo, Selma Maria Bezerra
dc.date.accessioned2024-02-28T19:00:56Z
dc.date.available2024-02-28T19:00:56Z
dc.date.issued2021-04
dc.description.resumoIn Brazil, schistosomiasis continues to be an important health issue. The aim of this study was to identify factors associated with Schistosoma mansoni infestation. A cross-sectional study was performed to assess factors associated with S. mansoni endemicity in a municipality in Northeast Brazil with a history of reporting schistosomiasis. Participants were divided into four groups: 1) new S. mansoni cases (n = 44), 2) past history of S. mansoni treatment (n = 78), 3) immediate neighbors (n = 158), and 4) nearby controls (n = 35). Multiple comparisons analysis was performed. Subjects had a mean of 6.6 ± 3.9 years of education, and no difference was observed regarding family income (one-way analysis of variance, P = 0.215). A total of 95.9% of the individuals had rudimentary cesspit as sanitary wastewater. The mean body mass index was 28.3 ± 5.1, with 41.0% and 24.1% overweight and obesity, respectively. Of note, 28.9% of adults had hypertension. Hemoglobin, mean corpuscular volume, and mean corpuscular hemoglobin were higher in the recent S. mansoni treated group (Wilks’ lambda, P < 0.001). Male gender was more prevalent in new S. mansoni cases (likelihood ratio, P < 0.001), close proximity to water collections was a risk for S. mansoni infestation (likelihood ratio, P < 0.001), and a better hematological status was observed in individuals recently treated with praziquantel. This study indicates the need to maintain surveillance for S. mansoni in low-transmission areas and the need to establish community-based interventions to control transmissionpt_BR
dc.identifier.citationBEZERRA, Danielle Viviane Fernandes; QUEIROZ, José Wilton; CÂMARA, Victor A. V.; MACIEL, Bruna Leal Lima; NASCIMENTO, Eliana Lúcia Tomaz do; JERÔNIMO, Selma Maria Bezerra. Factors associated with schistosoma mansoni infestation in Northeast Brazil: a need to revisit individual and community risk factors. The American Journal of Tropical Medicine And Hygiene, [S.l.], v. 104, n. 4, p. 1404-1411, 7 abr. 2021. DOI: 10.4269/ajtmh.19-0513. Disponível em: https://www.ajtmh.org/view/journals/tpmd/104/4/article-p1404.xml. Acesso em: 6 fev. 2024.pt_BR
dc.identifier.doihttp://dx.doi.org/10.4269/ajtmh.19-0513
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/57707
dc.languageenpt_BR
dc.publisherAmerican Journal of Tropical Medicine and Hygienept_BR
dc.subjectSchistosoma mansonipt_BR
dc.subjectInfestationpt_BR
dc.subjectRisk factorspt_BR
dc.subjectSurveillancept_BR
dc.titleFactors associated with schistosoma mansoni infestation in Northeast Brazil: a need to revisit individual and community risk factorspt_BR
dc.typearticlept_BR

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