Fatores ambientais e socioculturais relacionados com os processos de transmissão da Esquistossomose mansoni em área de baixa endemicidade no estado do Ceará

• Ano de defesa: 2013
• Autor(a) principal: Lima, Shirlene Telmos Silva de
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Palavras-chave em Português: Esquistossomose mansoni
• Link de acesso: http://www.repositorio.ufc.br/handle/riufc/6916

Schistosomiasis mansoni is presented as a parasitic disease of public health importance, not only for its wide distribution in the world, but also the impacts caused by it in the activities of the infected population. Schistosomiasis should be analyzed as a process dependent on the interaction of various factors, such as environmental, social and economic importance to reduce transmission of the disease and to stop the cycle of the parasite. The aim of the study was to evaluate the influence of environmental and sociocultural factors in the transmission of schistosomiasis in low endemic area in the state of Ceará, in the locality of the Planalto do Cajueiro- Maranguape-Ce, through the analysis of questionnaires applied in 2009 and 2012. The study was conducted in two stages. The first consists of a cross-sectional study, which analyzed 167 questionnaires from patients who provided material for the realization of the serological ELISA, which served as a screen. The second stage consists of a case-control study where questionnaires were applied and analyzed in 54 individuals ELISA reactive and nonreactive who delivered fecal sample for analysis. The analysis of the questionnaires of 167 people showed that most of them were young adults (19.76% in the age group of 15 to 25years and 29.94% between 26-46 years), female (67.66%) and 29% were not natives of Maranguape. Around 52.5% of patients reported using water from the river, had reactive ELISA result for schistosomiasis. In the second stage, it was observed that the difference between male and female sexes was negligible in cases positive for schistosomiasis. With regard to education, the majority (68.32%) had only elementary education. Associations between environmental variables and positive for the disease, it was observed that 34.2% of subjects reported not to have contact with water collections and 37.5% said they had contact. This point is still under further investigation. The community of Planalto do Cajueiro, Maranguape-Ce maintains environmental characteristics similar to rural communities (even as peri-urban) and schistosomiasis transmission is greatly influences behavioral factors.