Maciel Adjoane Maurício Silva, Almeida Nádia Maria Girão Saraiva de, Silva Anamaria Cavalcante E, Almeida Paulo César de
Universidade Estadual do Ceará - Fortaleza (CE), Brasil.
Centro Universitário Christus - Fortaleza (CE), Brasil.
Rev Bras Epidemiol. 2020 Feb 21;23:e200011. doi: 10.1590/1980-549720200011. eCollection 2020.
Trachoma maintains itself as a public health problem and an important cause of morbidity, visual impairment and preventable blindness in Brazil.
To analyze factors associated with treatment and control of trachoma treatment in schoolchildren diagnosed during the national campaign in 2014, in the town of Russas, Ceará.
A cross-sectional study was brought out from January to April 2016. Social, demographic, economic and follow-up data were collected for 390 schoolchildren aged five to 14 years old, diagnosed with trachoma in the campaign in 2014. They were defined dependent variables: trachoma treatment and control of trachoma disease, categorized as adequate and inadequate, and multivariate analyzes were performed.
Treatment was considered adequate in 56.7% of schoolchildren and in only 5.9% treatment control was classified as adequate. In the multivariate analysis, they have got an association with the trachoma treatment result: rural residence zone and waste destination in a non-public space. The last control of the treatment of trachoma remained associated to the variables: rural residence zone; family income less than a minimum wage and school not examined by the physician.
Inadequate treatment and control of trachoma treatment showed an association with socioeconomic variables and follow-up of primary care. Health education activities were not accessible to the entire community, indicating the need for more involvement by primary care professionals.
沙眼在巴西仍是一个公共卫生问题，是发病、视力损害和可预防失明的重要原因。
分析2014年在塞阿拉州鲁萨斯镇全国性活动中被诊断出沙眼的学童沙眼治疗及控制的相关因素。
2016年1月至4月开展了一项横断面研究。收集了390名年龄在5至14岁、在2014年活动中被诊断出沙眼的学童的社会、人口、经济和随访数据。确定了因变量：沙眼治疗和沙眼疾病控制，分为充分和不充分两类，并进行了多变量分析。
56.7%的学童治疗被认为是充分的，而只有5.9%的治疗控制被归类为充分。在多变量分析中，沙眼治疗结果与以下因素有关：农村居住区域和非公共空间的垃圾处理地点。沙眼治疗的最后控制仍与以下变量有关：农村居住区域；家庭收入低于最低工资以及医生未检查过的学校。
沙眼治疗和控制不充分与社会经济变量及初级保健随访有关。整个社区无法获得健康教育活动，这表明初级保健专业人员需要更多参与。
