An ecosystemic approach to evaluating ecological, socioeconomic and group dynamics affecting the prevalence of Aedes aegypti in two Colombian towns

Cadernos de Saúde Pública

Juliana Quintero²  Gabriel Carrasquilla²  Roberto Suárez¹  Catalina González¹  Victor A. Olano¹ 

[1] ,Fundación Santa Fé de Bogotá Centro de Estudios e Investigación en Salud Bogotá,Colombia

关键词: Dengue;    Ecology;    Aedes aegypti;    Socioeconomic Factors;    Dengue;    Ecología;    Aedes aegypti;    Factores Socioeconómicos;   

DOI  :  10.1590/S0102-311X2009001300009

来源: SciELO

【 摘 要 】

This article focuses on the epidemiological methods and results of a global Ecohealth study that explored the complexity of the relationship between ecological, biological, economical, social and political factors and vector presence. The study was carried out in two dengue endemic areas of Colombia. A transdisciplinary team gathered quantitative and qualitative data. A survey in randomly sampled households was applied and, simultaneously, direct observation of potential breeding sites was carried out. Logistic regressions and qualitative techniques were used. Qualitative and quantitative data were compared using triangulation. The presence of low water containers increases seven-fold the risk of finding immature forms ofAedes aegypti in the household (OR = 7.5; 95%CI: 1.7-32.2). An inverse association between socioeconomic stratum and presence of the vector was identified (Low stratum OR = 0.9; 95%CI: 0.6-1.4; High stratum OR =0.4; 95%CI: 0.07-1.7). Water management is a complex social dynamic associated with the presence of Ae. aegypti. Dengue control is a challenge for public health authorities and researchers as they should address promotion and prevention strategies that take into account cultural, behavioral, socioeconomic and health factors.

【 授权许可】

CC BY   
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