Mancilla, Maria Soledad Jaimes2017-05-162017-05-162015-07-07MANCILLA, Maria Soledad Jaimes. Determinantes climáticos na incidência da diarreia em crianças menores de cinco anos em La Paz - Bolívia. 2015. 98f. Dissertação (Mestrado em Demografia) - Centro de Ciências Exatas e da Terra, Universidade Federal do Rio Grande do Norte, Natal, 2015.https://repositorio.ufrn.br/jspui/handle/123456789/22999The environment plays an important role in the health/disease process, impacting directly or indirectly. Diarrhea as the second cause of death in children under 5 years old worldwide, do not escape the environmental impacts, being influenced by the variability of climatological factors favoring the increase in cases of this disease. Bolivia does not escape this reality as a country with the highest morbidity and mortality indicators with regard to diarrheal diseases in children under five years old within the Latin American countries. This study aims to investigate possible associations of physical environmental determinants such as temperature, precipitation and humidity in the occurrence of diarrhea in children under five years old in the Amazon and Altiplanica regions of La Paz, Bolivia, from 2007 to 2012. The information for this study has three sources: physical meteorological parameters (temperature, precipitation and humidity), weekly reports of diarrheal diseases in children under five years old and information from CENSUS 2001 and 2012 by municipalities. With the information set per month, diarrheal incidence rates were obtained by municipality and adjusted by empirical Bayesian method. It was also used disease control diagrams to determine their own endemic levels to La Paz, time series graphs and simple correlation to observe the dependence of the disease with the analyzed climatic variables and spatial analysis to locate the region most affected by the disease. The data showed a higher incidence diarrheal in children under 1 year of age (86.48) compared to children 1-4 years old (34.52), considering rates per 1000 children according to age group. Both rates are very high in comparison with the diarrheal incidence rates in the municipalities of La Paz and El Alto (10 diarrheas per 1000 children). According to the time series graphs and linear regression analysis was observed a variability of diarrheal effect which can be explained from 35% to 47% by the average temperature. The maps showed a higher incidence in the Amazon region in winter, with a strong correlation between the close neighbors. The use of spatial analysis was useful for the study of spatial relationship and the behavior of diarrheal disease. Addressing these gaps is paramount when it comes to public policies, where there is the need for intervention of governmental spheres in order to identify and minimize the negative impact of climate change in the affected areas, whose health of children incurs present or future risk.Acesso AbertoFenômenos demográficosDeterminantes climáticosMorbidadeDiarreiamasterThesisCNPQ::CIENCIAS SOCIAIS APLICADAS::DEMOGRAFIA