| Titre : | House-level risk factors for triatomine infestation in Colombia. (2007) |
| Auteurs : | D.H. CAMPBELL-LENDRUM ; G. AGUILERA ; V.M. ANGULO ; C.R. DAVIES ; L. ESTEBAN ; F. GUHL ; G.J. Parra ; N. PINTO ; M. RESTREPO ; B.N. RESTREPO ; Z. TARAZONA ; P. WILKINSON ; Centro de Investigaciones en Enfermedades Tropicales. (C.I.N.T.R.O.P.). Universidad Industrial de Santander. Bucaramanga. COL ; Centro de Investigaciones en Microbiologia y Parasitologia Tropical. Universidad de Los Andes. Bogot. COL ; Instituto Colombiano De Medicina Tropical - Ces. Medellin. COL |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 36, n° 4, 2007) |
| Pagination : | 866-872 |
| Langues: | Anglais |
| Mots-clés : | Maladie Chagas ; Facteur risque ; Epidémiologie ; Domicile ; Colombie ; Homme ; Trypanosomiase ; Parasitose ; Infection ; Amérique ; Amérique du Sud |
| Résumé : | [BDSP. Notice produite par INIST-CNRS R0xFMmxM. Diffusion soumise à autorisation]. Background Chagas disease, transmitted domestically by triatomine bugs, is the most important vector-borne disease in Latin America. The association between triatomine infestation and housing characteristics was investigated based on a standardized survey in 41 971 houses in 15 Departments in Colombia. Methods Multivariate logistic regression was used to test for associations of two highly correlated infestation measures of infestation (householders reporting having seen triatomines inside the house, and sending triatomines to the survey team), with 15 household-level risk factors. Risks were measured relative to a reference category of houses with up to three inhabitants, area up to 50m2, unplastered adobe walls, thatch roof and no outbuildings or domestic animals. Results The probability of seeing triatomines was highest for households with over seven inhabitants (OR=1.24,95% CI 1.11-1.39), overhead storage space (OR=1.16,95% CI 1.03-1.32), grain shed (OR=1.25,95% CI 1.02-1.52), cats (OR=1.27,95% CI 1.14-1.42) and pigs (OR=1.16,95% CI 1.03-1.30). Lowest risks were in houses with wooden walls (OR=0.46,95% CI 0.34-0.61), fully plastered walls (OR=0.78,95% CI 0.68-0.88), roofs made of tiles (OR=0.51,95% CI 0.33-0.78) and flagstone floors (OR=0.57,95% CI 0.42-0.76). Results for householders returning triatomines support this set of risk factors, but with wider confidence intervals. Conclusions Surveillance of a few easily assessed household characteristics provides an accurate, rapid assessment of house-level variation in risk. Measured effect sizes for specific structural characteristics could be used to maximize the cost-effectiveness of programmes to reduce vector infestation and interrupt Chagas disease transmission by improving house quality. |
Service Documentation EHESP
Me connecter
PORTAIL DOCUMENTAIRE
École des hautes études en santé publique
Catalogue
Multi-bases
Accueil
Sélection de la langue
Adresse
Service Documentation EHESPBibliothèque Rennes Avenue du Professeur Léon Bernard – CS 74312 – 35043 Rennes Cedex Bibliothèque MSSH Paris 20 avenue George Sand - 93210 La Plaine Saint-Denis
France
Bibliothèque Rennes : 02 99 02 29 50 Bibliothèque MSSH Paris : 02 99 02 24 50
contact