Association between cutaneous leishmaniasis incidence and the human development index and its components in four endemic states of Venezuela

Authors

  • Alfonso J. Rodríguez-Morales Sección de Inmunoparasitología, Instituto de Medicina Tropical felix Pifano, Universidad Central de Venezuela. Caracas, Venezuela. Instituto Experimental José Witremundo Torrealba, Núcleo Universitario Rafael Rangel, Universidad de Los Andes. Trujillo, Venezuela. 3 Cátedra de Salud Pública, Departamento de Medicina Preventiva y Social, Escuela de Medicina Luis Razetti, Universidad Central de Venezuela. Caracas, Venezuela. 4 Dirección de Estudios Poblacionales, fundación Centro de Estudios sobre Crecimiento y Desarrollo de la Población Venezolana (fUNDACREDESA), Ministerio del Poder Popular para las Comunas. Caracas, Venezuela.
  • Yuliana Pascual-González Sección de Inmunoparasitología, Instituto de Medicina Tropical felix Pifano, Universidad Central de Venezuela. Caracas, Venezuela. Cátedra de Salud Pública, Departamento de Medicina Preventiva y Social, Escuela de Medicina Luis Razetti, Universidad Central de Venezuela. Caracas, Venezuela. Estudiante de Medicina.
  • Jesús A. Benitez Dirección General de Salud Ambiental y Contraloría Sanitaria, Ministerio del Poder Popular para la Salud. Maracay, Venezuela. Médico.
  • María A. López-Zambrano Unidad de Políticas Públicas, Universidad Simón Bolívar. Caracas, Venezuela. Socióloga.
  • Rosane Harter-Griep Instituto Oswaldo Cruz (fIOCRUZ). Río de Janeiro, Brasil. Socióloga.
  • Luz M. Vilca-Yengle Sociedad Científica de San fernando, facultad de Medicina, Universidad Nacional Mayor de San Marcos. Lima, Perú. Servicio de Medicina Preventiva y Salud Pública, Hospital Universitario Vall d'´Hebron. Barcelona, España. Médico.
  • Rocío Cárdenas Instituto Experimental José Witremundo Torrealba, Núcleo Universitario Rafael Rangel, Universidad de Los Andes. Trujillo, Venezuela. Instituto Departamental de Salud de Norte de Santander. Cúcuta, Colombia. Protozoóloga.

DOI:

https://doi.org/10.17843/rpmesp.2010.271.1440

Keywords:

Cutaneous leishmaniasis, Social development, Social factors, Economy, Education

Abstract

Objectives. Assess potential relationships between the Human Development Index (HDI) and its components and the incidence of cutaneous leishmaniasis (CL) in four endemic States of Venezuela (Mérida, Trujillo, Lara and Sucre) in the period 1994-2003. Material and methods. Socioeconomical data (classified according the World Bank) was obtained from the National Institute of Statistics, and the epidemiological data from the Ministry of Health, both from Venezuela. for this ecological study the annual variation of the variables was assessed and also regression models were done. Results. The HDI varied in the period from 0.6746 in 1994 to 0.8144 in 2003 (p=0.90). During this time an increase in the cumulative incidence of Leishmaniasis was observed, particularly from 1998 (7.3 cases/100,000 pop) to 1999 (11.3 cases/100,000 pop). Analyzing the linear regression models, it was observed that the relationship between epidemiological and social variables was different at States levels. for Mérida and Trujillo it was observed a significant decrease in the CL regard to the increase of literacy (p<0.05), of the gross combined enrollment (p<0.05), life expectancy (p<0.05), money income (p<0.05) and the HDI (p<0.05). Conclusion. This information reflects the significant influence of socioeconomical indicators on the CL incidence at Trujillo and Merida, being an inverse relationship between both types of variables; with an increase or improvement in the socioeconomical indicators, the disease incidence rate decreased.

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Published

2010-03-31

Issue

Section

Research Articles

How to Cite

1.
Rodríguez-Morales AJ, Pascual-González Y, Benitez JA, López-Zambrano MA, Harter-Griep R, Vilca-Yengle LM, et al. Association between cutaneous leishmaniasis incidence and the human development index and its components in four endemic states of Venezuela. Rev Peru Med Exp Salud Publica [Internet]. 2010 Mar. 31 [cited 2024 Jun. 23];27(1). Available from: https://rpmesp.ins.gob.pe/index.php/rpmesp/article/view/1440

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