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Environ. Health
- Source :
- Environmental Health, Repositório Institucional da UFBA, Universidade Federal da Bahia (UFBA), instacron:UFBA
- Publication Year :
- 2015
- Publisher :
- BioMed Central, 2015.
-
Abstract
- Submitted by Maria Creuza Silva (mariakreuza@yahoo.com.br) on 2016-05-09T18:35:01Z No. of bitstreams: 1 Art Per Estrang Mauricio Barreto5. 2015.pdf: 786011 bytes, checksum: fd71bec3b974a09eb55081da8a1a0714 (MD5) Made available in DSpace on 2016-05-09T18:35:01Z (GMT). No. of bitstreams: 1 Art Per Estrang Mauricio Barreto5. 2015.pdf: 786011 bytes, checksum: fd71bec3b974a09eb55081da8a1a0714 (MD5) Previous issue date: 2015 Background: The acquisition of a modern lifestyle may explain variations in asthma prevalence between urban and rural areas in developing countries. However, the effects of lifestyle on asthma have been investigated as individual factors with little consideration given to the effects of lifestyle as a set of attributes. The aim of the present study was to identify modern lifestyle domains and assess how these domains might explain wheeze prevalence in urban and rural areas. Methods: We analysed data from cross-sectional studies of urban and rural schoolchildren in Esmeraldas Province, Ecuador. Variables were grouped as indicators of socioeconomic factors, sedentarism, agricultural activities and household characteristics to represent the main lifestyle features of the study population. We used multiple correspondence analyses to identify common lifestyle domains and cluster analysis to allocate children to each domain. We evaluated associations between domains and recent wheeze by logistic regression. Results: We identified 2–3 lifestyle domains for each variable group. Although wheeze prevalence was similar in urban (9.4%) and rural (10.3%) schoolchildren, lifestyle domains presented clear associations with wheeze prevalence. Domains relating to home infrastructure (termed transitional, rudimentary, and basic urban) had the strongest overall effect on wheeze prevalence in both urban (rudimentary vs. basic urban, OR = 2.38, 95% CI 1.12-5.05, p = 0.024) and rural areas (transitional vs. basic urban, OR = 2.02, 95% CI 1.1-3.73, p = 0.024; rudimentary vs. basic urban, OR = 1.88, 95% CI 1.02-3.47, p = 0.043). A high level of sedentarism was associated with wheeze in the rural areas only (OR = 1.64, 95% CI 1.23-2.18, p = 0.001). Conclusions: We identified lifestyle domains associated with wheeze prevalence, particularly living in substandard housing and a high level of sedentarism. Such factors could be modified through programmes of improved housing and education. The use of lifestyle domains provides an alternative methodology for the evaluation of variations in wheeze prevalence in populations with different levels of development. London
- Subjects :
- Male
Rural Population
Lifestyle domains
Adolescent
Urban Population
Health, Toxicology and Mutagenesis
Schoolchildren
Surveys and Questionnaires
Prevalence
Urban
Humans
Rural
Child
Developing Countries
Respiratory Sounds
Tropics
Age Factors
Public Health, Environmental and Occupational Health
Hypothesis
Asthma
Wheeze
Latin America
Cross-Sectional Studies
Socioeconomic Factors
Child, Preschool
Female
Ecuador
Sedentary Behavior
Subjects
Details
- Language :
- English
- ISSN :
- 1476069X
- Database :
- OpenAIRE
- Journal :
- Environmental Health, Repositório Institucional da UFBA, Universidade Federal da Bahia (UFBA), instacron:UFBA
- Accession number :
- edsair.pmid.dedup....e6421329b105edd89d29fb5bc9e8622f