Tabalipa Fábio de Oliveira, Daitx Rodrigo Boff, Traebert Jefferson Luiz, Meyer Adriano Schaefer, da Silva Jane
Medicine Course, University of Southern Santa Catarina (UNISUL), Palhoça, Brazil.
Postgraduate Program in Health Sciences, UNISUL, Palhoça, Brazil.
Allergol Int. 2015 Oct;64(4):344-50. doi: 10.1016/j.alit.2015.04.003. Epub 2015 May 11.
Global studies on asthma point to socioeconomic status as one of the main variables in terms of prevalence and disease severity in various parts of the world. Social factors related to community violence have been linked to higher incidence of asthma in the current studies. This study investigates the relationship between indicators of both community violence and development and hospital admissions due to asthma.
This was an analytical ecological study of multiple groups, using public databases with information up until 2006. All Brazilian municipalities with more than 100,000 inhabitants were considered as units of analysis. The main index used as socioeconomic indicator was the FIRJAN Index of Municipal Development (FIMD). The Index of Youth Vulnerability to Violence (IYVV) was used as indicators of community violence. The rate of admissions due to asthma was used as the outcome. Pearson's correlation was used for multivariate analyses. The coefficient of determination (R(2)) was calculated and the simple linear regression model adjusted for significant correlations.
There was an inverse correlation between asthma admissions and FIMD (r = -0.354, p < 0.001), with statistical significance for all dimensions of the index. Admissions due to asthma were associated with the IYVV (r = 0.240, p < 0.001) and its component related to school attendance and employment (r = 0.315, p < 0.001), homicides (r = 0.112, p = 0.034), and poverty (r = 0.303, p < 0.001).
There was a direct correlation between indicators of violence and rates of admission due asthma, and an inverse correlation with indicators of development. These results suggest that social detriment can act as a risk factor for hospital admissions due to asthma.
全球哮喘研究表明，社会经济地位是世界各地哮喘患病率和疾病严重程度的主要变量之一。在当前研究中，与社区暴力相关的社会因素与哮喘发病率较高有关。本研究调查社区暴力指标和发展指标与哮喘住院之间的关系。
这是一项多组分析性生态学研究，使用截至2006年的公共数据库。所有居民超过10万的巴西城市被视为分析单位。用作社会经济指标的主要指数是市政发展FIRJAN指数（FIMD）。青年暴力易感性指数（IYVV）用作社区暴力指标。哮喘住院率用作结果指标。采用Pearson相关性进行多变量分析。计算决定系数（R²），并对显著相关性调整简单线性回归模型。
哮喘住院与FIMD呈负相关（r = -0.354，p < 0.001），该指数的所有维度均具有统计学意义。哮喘住院与IYVV（r = 0.240，p < 0.001）及其与上学和就业相关的组成部分（r = 0.315，p < 0.001）、凶杀案（r = 0.112，p = 0.034）和贫困（r = 0.303，p < 0.001）相关。
暴力指标与哮喘住院率之间存在直接相关性，与发展指标呈负相关。这些结果表明，社会损害可能是哮喘住院的危险因素。
