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Open AccessArticle

Household Survey of Trachoma among Children Living in Pernambuco, Brazil

1
University of Pernambuco, Recife 50100130, Pernambuco, Brazil
2
Department of Epidemiological Surveillance, First Healthcare Region of the Health Department of the State of Pernambuco, Recife 50050911, Pernambuco, Brazil
3
Aggeu Magalhães Institute (IAM), Oswaldo Cruz Foundation (FIOCRUZ), Recife 50740465, Pernambuco, Brazil
4
Federal University of Pernambuco, Recife 50670901 Pernambuco, Brazil
5
Federal University of Juiz de Fora, Minas Gerais 36036900, Brazil
6
Ministry of Health, Brasília 70058900, DF, Brazil
*
Author to whom correspondence should be addressed.
Pathogens 2019, 8(4), 263; https://doi.org/10.3390/pathogens8040263
Received: 16 September 2019 / Revised: 28 September 2019 / Accepted: 10 October 2019 / Published: 25 November 2019
This study analyzed the association between individual and household factors and the incidence of trachoma among a population aged between 1 and 9 years in the state of Pernambuco. This was a population-based household study conducted using a population-based sample of residents from 96 census sectors of the 1778 sectors considered to be at social risk in the state. The estimated odds ratio of the univariate analysis presented a confidence interval of 95%. Weights and clusters were adjusted through the Generalized Linear and Latent Mixed Model (GLLAM) method. Trachoma cases were the dependent variable in the multivariate analysis. The independent variables were selected through the stepwise forward method, with an input criterion of 20% (p < 0.20) and an output criterion of 10% (p < 0.10). The prevalence was 6.65%. Trachoma was associated with a female sex, age of 5–9 years, either the absence of use or infrequent use of soap to wash the hands and face, the presence of nasal secretion, a lack of piped water from a public supply system, a greater number of rooms used for sleeping, a greater number of people living in the same household, and a family income of up to one minimum monthly wage. The prevalence of follicular trachoma in Pernambuco was higher than what is recommended by the World Health Organization (WHO). View Full-Text
Keywords: neglected diseases; trachoma; Chlamydia trachomatis; epidemiological surveys; health inequalities neglected diseases; trachoma; Chlamydia trachomatis; epidemiological surveys; health inequalities
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Brito, C.M.G.; Barbosa, C.C.; Andrade, S.M.C.; Oliveira, A.L.S.; Montarroyos, U.R.; Ferraz, C.; Vieira, M.T.; Lopes, M.F.C.; Gouveia, G.C.; Medeiros, Z.M. Household Survey of Trachoma among Children Living in Pernambuco, Brazil. Pathogens 2019, 8, 263.

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