Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil

In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (> 18 yea...

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Veröffentlicht in:Revista do Instituto de Medicina Tropical de São Paulo 2020-01, Vol.62, p.1-9, Article 39
Hauptverfasser: da Silva, Rubens Antonio, Valerio Wanderley, Dalva Marli, Forsyth, Colin, Leite, Ruth Moreira, de Albuquerque Luna, Expedito Jose, Carneiro Junior, Nivaldo, Shikanai-Yasuda, Maria Aparecida
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container_title Revista do Instituto de Medicina Tropical de São Paulo
container_volume 62
creator da Silva, Rubens Antonio
Valerio Wanderley, Dalva Marli
Forsyth, Colin
Leite, Ruth Moreira
de Albuquerque Luna, Expedito Jose
Carneiro Junior, Nivaldo
Shikanai-Yasuda, Maria Aparecida
description In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (> 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants' median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and >90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine hug. Factors associated with awareness of CI) were analyzed by chi square tests, and those with p values
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We applied a structured questionnaire to a sample of 472 Bolivian adults (&gt; 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants' median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and &gt;90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine hug. Factors associated with awareness of CI) were analyzed by chi square tests, and those with p values &lt;0.25 were included in a multivariable logistic regression model. In the multivariable logistic regression analysis, having a relative with CD (OR=4.3, 95% CI=1.5-12.0), having lived in a house with mud or wood walls (OR=0.4, 95% CI=0.2-0.8), and having heard of the triatomine bug, or vinchuca, (OR=10.0, 95% CI=5.1-19.5) were significantly associated with awareness of CD. This study shows a low familiarity with CD among Bolivian migrants living in Sao Paulo, Brazil. 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Inst. Med. trop. S. Paulo</addtitle><description>In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (&gt; 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants' median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and &gt;90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine hug. Factors associated with awareness of CI) were analyzed by chi square tests, and those with p values &lt;0.25 were included in a multivariable logistic regression model. In the multivariable logistic regression analysis, having a relative with CD (OR=4.3, 95% CI=1.5-12.0), having lived in a house with mud or wood walls (OR=0.4, 95% CI=0.2-0.8), and having heard of the triatomine bug, or vinchuca, (OR=10.0, 95% CI=5.1-19.5) were significantly associated with awareness of CD. This study shows a low familiarity with CD among Bolivian migrants living in Sao Paulo, Brazil. 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Inst. Med. trop. S. Paulo</addtitle><date>2020-01-01</date><risdate>2020</risdate><volume>62</volume><spage>1</spage><epage>9</epage><pages>1-9</pages><artnum>39</artnum><issn>0036-4665</issn><issn>1678-9946</issn><eissn>1678-9946</eissn><abstract>In this study which is part of a research project on Chagas disease (CD) among Bolivian immigrants in Sao Paulo, we describe socioeconomic characteristics, knowledge of CD and implications for acess to health care. We applied a structured questionnaire to a sample of 472 Bolivian adults (&gt; 18 years) living in Sao Paulo and enrolled at the Barra Funda School Health Center. Participants' median age was 28.5 years, 75.0% were from the Bolivian department of La Paz, and &gt;90% worked in the garment industry. Respondents had lived in Sao Paulo for a median of 5.8 years. Only 169 (35.8%) were familiar with CD, while roughly half (50.4%) had lived in natural materials houses in Bolivia, 225 (47.7%) indicated familiarity with the vector, 23.9% had seen the vector in their homes in Bolivia, and 6.4% reported having been bitten by a triatomine hug. Factors associated with awareness of CI) were analyzed by chi square tests, and those with p values &lt;0.25 were included in a multivariable logistic regression model. In the multivariable logistic regression analysis, having a relative with CD (OR=4.3, 95% CI=1.5-12.0), having lived in a house with mud or wood walls (OR=0.4, 95% CI=0.2-0.8), and having heard of the triatomine bug, or vinchuca, (OR=10.0, 95% CI=5.1-19.5) were significantly associated with awareness of CD. This study shows a low familiarity with CD among Bolivian migrants living in Sao Paulo, Brazil. Raising awareness of the disease through specific communication strategies should be an essential component of public health programs to reduce the burden of CD in this and other vulnerable populations.</abstract><cop>SAO PAULO</cop><pub>Inst Medicina Tropical Sao Paulo</pub><pmid>32578725</pmid><doi>10.1590/S1678-9946202062039</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-3309-4723</orcidid><oa>free_for_read</oa></addata></record>
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subjects Awareness
Bolivian migrants
Chagas disease
Consent
Epidemiology
Health care
Healthcare access
Infectious Diseases
Life Sciences & Biomedicine
Migration
Neglected tropical diseases
Noncitizens
Original
Parasitology
Population
Public health
Questionnaires
Science & Technology
Transnationalism
Tropical diseases
TROPICAL MEDICINE
title Awareness of Chagas disease and socioeconomic characteristics of Bolivian immigrants living in Sao Paulo, Brazil
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