Universidade Estadual de Campinas, Campinas, SP, Brazil.
Universidade de Sorocaba, Sorocaba, SP, Brazil.
Rev Paul Pediatr. 2021 Feb 5;39:e2020130. doi: 10.1590/1984-0462/2021/39/2020130. eCollection 2021.
The availability of hazardous products in households increases the risks of poisoning. The present study aimed to assess the frequency and associated factors of the availability and storage of hazardous products in residences in the metropolitan region of Manaus.
Population-based and cross-sectional study conducted in 2015 with adults selected with three-stage probabilistic sampling. Participants were interviewed face-to-face. Prevalence ratio (PR) of the presence of hazardous products (presence of chumbinho [illegal anti-cholinesterase rodenticide], artisanal cleaning products, and unsafe storage of these products and medications) and 95% confidence intervals (95%CI) were calculated with Poisson regression with robust variance, weighted by the complex sampling method adopted.
A total of 4,001 participants was included, of which 53.0% (95%CI 51.5-54.6) reported presence of hazardous products in their households, 36.3% (95%CI 34.8-37.8) had unsafe storage, 16.2% (95%CI 15.1-17.4) had artisanal cleaning products, and 8.2% (95%CI 7.4-9.1) had chumbinho. Households with children ≤5 years old had safer storage (PR=0.78; 95%CI 0.71-0.86) and more artisanal products (PR=1.30; 95%CI 1.11-1.51). Presence of artisanal products was higher in lower educational levels (PR=2.20; 95%CI 1.36-3.57) and lower economic classifications (PR=1.63; 95%CI 1.25-2.13).
Over half of the households in the metropolitan region of Manaus kept hazardous products; one-third stored them unsafely. Artisanal cleaning products and chumbinho were frequently present. Households with children had safer storage of products, and socioeconomic factors affected the availability of such hazardous products.
家庭中危险产品的存在增加了中毒的风险。本研究旨在评估马瑙斯大都市区住宅中危险产品的存在和储存频率及其相关因素。
这是一项 2015 年进行的基于人群和横断面研究,采用三阶段概率抽样选择成年人进行面对面访谈。使用泊松回归(robust variance)计算危险产品(存在 chumbinho [非法抗胆堿酯类杀鼠剂]、手工清洁产品以及这些产品和药物的不安全储存)存在的患病率比(PR)和 95%置信区间(95%CI),并采用所采用的复杂抽样方法进行加权。
共纳入 4001 名参与者,其中 53.0%(95%CI 51.5-54.6)报告家中存在危险产品,36.3%(95%CI 34.8-37.8)存在不安全储存,16.2%(95%CI 15.1-17.4)家中有手工清洁产品,8.2%(95%CI 7.4-9.1)有 chumbinho。有 5 岁以下儿童的家庭储存更安全(PR=0.78;95%CI 0.71-0.86),且拥有更多手工产品(PR=1.30;95%CI 1.11-1.51)。较低的教育水平(PR=2.20;95%CI 1.36-3.57)和较低的经济分类(PR=1.63;95%CI 1.25-2.13)会导致更多的手工产品存在。
马瑙斯大都市区超过一半的家庭储存了危险产品,三分之一的家庭不安全地储存了这些产品。经常存在手工清洁产品和 chumbinho。有儿童的家庭储存产品更安全,社会经济因素会影响此类危险产品的供应。