Social, Environmental and Behavioral Determinants of Asthma Symptoms in Brazilian Middle School Students—A National School Health Survey (Pense 2012)

Ribeiro-Silva, Rita C; Malta, Déborah Carvalho; Rodrigues, Laura C.; Ramos, Dandara de Oliveira; Fiaccone, Rosemeire Leovigildo; Machado, Daiane Borges; Barreto, Maurício L.

doi:10.3390/ijerph15122904

Cited by 8 publications

(7 citation statements)

References 43 publications

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“…4 Extensive national surveys of asthma prevalence in representative samples of Brazilian adolescents confirmed a high prevalence of recent symptoms (23.2%) in 2012, ranging from 16.8% in Salvador to 27.3% in Porto Alegre, 12 but which had declined in a repeat survey in 2015. 13 Ecological studies of children 14 and adolescents 15 across LA cities suggested that social inequalities were a major determinant of asthma prevalence.…”

Section: Epidemiology Of Asthma and Disease Burden 21 | Asthma Preval...mentioning

confidence: 99%

Understanding and controlling asthma in Latin America: A review of recent research informed by the SCAALA programme

Cooper

Figueiredo

Rodríguez

et al. 2023

Clinical & Translational All

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Asthma is an important health concern in Latin America (LA) where it is associated with variable prevalence and disease burden between countries. High prevalence and morbidity have been observed in some regions, particularly marginalized urban populations. Research over the past 10 years from LA has shown that childhood disease is primarily non‐atopic. The attenuation of atopy may be explained by enhanced immune regulation induced by intense exposures to environmental factors such as childhood infections and poor environmental conditions of the urban poor. Non‐atopic symptoms are associated with environmental and lifestyle factors including poor living conditions, respiratory infections, psychosocial stress, obesity, and a diet of highly processed foods. Ancestry (particularly African) and genetic factors increase asthma risk, and some of these factors may be specific to LA settings. Asthma in LA tends to be poorly controlled and depends on access to health care and medications. There is a need to improve management and access to medication through primary health care. Future research should consider the heterogeneity of asthma to identify relevant endotypes and underlying causes. The outcome of such research will need to focus on implementable strategies relevant to populations living in resource‐poor settings where the disease burden is greatest.

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Section: Epidemiology Of Asthma and Disease Burden 21 | Asthma Preval...mentioning

confidence: 99%

Understanding and controlling asthma in Latin America: A review of recent research informed by the SCAALA programme

Cooper

Figueiredo

Rodríguez

et al. 2023

Clinical & Translational All

View full text Add to dashboard Cite

show abstract

“…One study looked at socioeconomic, environmental, psychosocial, family-related and lifestyle factors associated with asthma in Brazilian adolescents. 23 Data from 109,104 PeNSE participants was evaluated and found that exposure to violence (feeling unsafe at school, bullying, exposure to firearms) and physical aggression perpetrated by an adult in the family were environmental factors most strongly associated with asthma. 23 As for mental health indicators, feelings of loneliness and sleeping problems were the most significant factors.…”

Section: Figurementioning

confidence: 99%

“…23 Data from 109,104 PeNSE participants was evaluated and found that exposure to violence (feeling unsafe at school, bullying, exposure to firearms) and physical aggression perpetrated by an adult in the family were environmental factors most strongly associated with asthma. 23 As for mental health indicators, feelings of loneliness and sleeping problems were the most significant factors. 23 Among behavioral factors, the strongest association was with smoking.…”

Section: Figurementioning

confidence: 99%

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Asthma in adolescents: what did ERICA study show us?

Felix,

Kuschnir,

Jordão

et al. 2023

AAAI

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A asma é uma doença heterogênea caracterizada pela história de sintomas respiratórios que variam de intensidade e ao longo do tempo. Devido à sua alta prevalência, constitui um problema mundial de saúde pública, atingindo todas as faixas etárias, em especial crianças e adolescentes. O objetivo deste artigo foi analisar as produções científicas sobre asma baseadas no Estudo de Riscos Cardiovasculares em Adolescentes (ERICA). Trata-se de uma revisão narrativa incluindo os artigos originais sobre asma baseados nos dados do ERICA, publicados em periódicos indexados em inglês e português. O ERICA foi um estudo multicêntrico nacional realizado em 2013 e 2014, que investigou a prevalência de asma e fatores de risco cardiovascular, incluindo obesidade, diabetes mellitus, hipertensão arterial sistêmica, dislipidemia, tabagismo, sedentarismo, hábitos alimentares inadequados, e a associação entre esses fatores, em adolescentes de 12 a 17 anos, estudantes de escolas públicas e privadas de municípios brasileiros com mais de 100.000 habitantes. Nos cinco estudos selecionados, foi possível demonstrar que a prevalência de asma foi significativamente maior entre adolescentes do sexo feminino em todas as capitais e macrorregiões do Brasil, com predomínio da doença na região Sudeste do nosso país. Além disso, a asma esteve fortemente associada ao tabagismo (passivo e ativo) e foi associada à duração curta do sono. Por outro lado, não esteve associada com os níveis séricos de vitamina D. Em relação aos parâmetros metabólicos, foi observado que a síndrome metabólica e alguns de seus componentes, como a circunferência abdominal, estiveram significativamente associados à asma grave em adolescentes brasileiros.

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“…There is no reliable control of the several forms of pollution related to industries, agriculture, and the burning of fossil fuels by motor vehicles, in both developed and newly industrialized countries. Unfortunately, air and water pollution, detected in many countries with extreme poverty and unfavorable lifestyles, is decreasing very slowly [4,[19][20][21].…”

Section: Introductionmentioning

confidence: 99%