Setting priorities for environmental sanitation interventions based on epidemiological criteria: a Brazilian study
The present study addresses the use of analytical epidemiologic approaches to subsidize the establishment of priorities in environmental sanitation interventions. An epidemiological investigation was carried out in 1993 in the urban area of Betim, a southeast Brazilian City of 160,000 inhabitants. T...
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| Veröffentlicht in: | Journal of water and health 2005-09, Vol.3 (3), p.271-281 |
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| container_title | Journal of water and health |
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| creator | Heller, Léo Colosimo, Enrico A Antunes, Carlos M F |
| description | The present study addresses the use of analytical epidemiologic approaches to subsidize the establishment of priorities in environmental sanitation interventions. An epidemiological investigation was carried out in 1993 in the urban area of Betim, a southeast Brazilian City of 160,000 inhabitants. The case-control 'inclusive' (or case-cohort) design, with a sample of 997 cases and 999 controls, was employed. Cases were defined as children of less than five years of age presenting diarrhoea episodes, while controls were randomly selected among children of the same age, living in the study area. After logistic regression adjustment, 11 of several exposure variables analysed were significantly associated with diarrhoea. Four different criteria, using as risk measures the relative risk, the attributable risk, the standardized coefficient of the logistic regression and the cost standardized coefficient, were used in order to define intervention priorities. |
| doi_str_mv | 10.2166/wh.2005.043 |
| format | Article |
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An epidemiological investigation was carried out in 1993 in the urban area of Betim, a southeast Brazilian City of 160,000 inhabitants. The case-control 'inclusive' (or case-cohort) design, with a sample of 997 cases and 999 controls, was employed. Cases were defined as children of less than five years of age presenting diarrhoea episodes, while controls were randomly selected among children of the same age, living in the study area. After logistic regression adjustment, 11 of several exposure variables analysed were significantly associated with diarrhoea. Four different criteria, using as risk measures the relative risk, the attributable risk, the standardized coefficient of the logistic regression and the cost standardized coefficient, were used in order to define intervention priorities.</description><identifier>ISSN: 1477-8920</identifier><identifier>EISSN: 1996-7829</identifier><identifier>DOI: 10.2166/wh.2005.043</identifier><identifier>PMID: 16209031</identifier><language>eng</language><publisher>England: IWA Publishing</publisher><subject>Brazil - epidemiology ; Case-Control Studies ; Child, Preschool ; Children ; Cohort Studies ; Cohorts ; Criteria ; Diarrhea ; Diarrhea - epidemiology ; Environmental Exposure - statistics & numerical data ; Environmental Health - standards ; Epidemiology ; Female ; Financing, Government ; Health Planning - organization & administration ; Health Priorities ; Humans ; Inhabitants ; Male ; Mathematical analysis ; Priorities ; Regression analysis ; Risk ; Sanitation ; Sanitation - methods ; Urban areas</subject><ispartof>Journal of water and health, 2005-09, Vol.3 (3), p.271-281</ispartof><rights>Copyright IWA Publishing Sep 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3293-e0af0a66d2c8afccda09b9593be501f39d5797a55bf5191f7713b278b4160563</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16209031$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Heller, Léo</creatorcontrib><creatorcontrib>Colosimo, Enrico A</creatorcontrib><creatorcontrib>Antunes, Carlos M F</creatorcontrib><title>Setting priorities for environmental sanitation interventions based on epidemiological criteria: a Brazilian study</title><title>Journal of water and health</title><addtitle>J Water Health</addtitle><description>The present study addresses the use of analytical epidemiologic approaches to subsidize the establishment of priorities in environmental sanitation interventions. An epidemiological investigation was carried out in 1993 in the urban area of Betim, a southeast Brazilian City of 160,000 inhabitants. The case-control 'inclusive' (or case-cohort) design, with a sample of 997 cases and 999 controls, was employed. Cases were defined as children of less than five years of age presenting diarrhoea episodes, while controls were randomly selected among children of the same age, living in the study area. After logistic regression adjustment, 11 of several exposure variables analysed were significantly associated with diarrhoea. 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| ispartof | Journal of water and health, 2005-09, Vol.3 (3), p.271-281 |
| issn | 1477-8920 1996-7829 |
| language | eng |
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| source | MEDLINE; EZB-FREE-00999 freely available EZB journals |
| subjects | Brazil - epidemiology Case-Control Studies Child, Preschool Children Cohort Studies Cohorts Criteria Diarrhea Diarrhea - epidemiology Environmental Exposure - statistics & numerical data Environmental Health - standards Epidemiology Female Financing, Government Health Planning - organization & administration Health Priorities Humans Inhabitants Male Mathematical analysis Priorities Regression analysis Risk Sanitation Sanitation - methods Urban areas |
| title | Setting priorities for environmental sanitation interventions based on epidemiological criteria: a Brazilian study |
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