Made available in DSpace on 2014-12-17T15:55:06Z (GMT). No. of bitstreams: 1 MariaCSS.pdf: 226872 bytes, checksum: 5198c11c0d1b74ef4c431b468f17ac87 (MD5) Previous issue date: 2006-08-29 / This study sprang from the hypothesis that spatial variations in the morbidity rate for dengue fever within the municipality of Natal are related to intra-city socioeconomic and environmental variations. The objective of the project was to classify the different suburbs of Natal according to their living conditions and establish if there was any correlation between this classification and the incidence rate for dengue fever, with the aim of enabling public health planners to better control this disease. Data on population density, access to safe drinking water, rubbish collection, sewage disposal facilities, income level, education and the incidence of dengue fever during the years 2001 and 2003 was drawn from the Brazilian Demographic Census 2000 and from the Reportable Disease Notification System -SINAN. The study is presented here in the form of two papers, corresponding to the types of analysis performed: a classification of the urban districts into quartiles according to the living conditions which exist there, in the first article; and the incidence of dengue fever in each of these quartiles, in the second. By applying factorial analysis to the chosen socioeconomic and environmental indicators for the year 2000, a compound index of living condition (ICV) was obtained. On the basis of this index, it was possible to classify the urban districts into quartiles. On undertaking this grouping (paper 1), a heterogeneous distribution of living conditions was found across the city. As to the incidence rate for dengue fever (paper 2), it was discovered that the quartile identified as having the best living conditions presented incidence rates of 15.62 and 15.24 per 1000 inhabitants respectively in the years 2001 and 2003; whereas the quartile representing worst living conditions showed incidence rates of 25.10 and 10.32 for the comparable periods. The results suggest that dengue fever occurs in all social classes, and that its incidence is not related in any evident way to the chosen formula for living conditions / Este estudo partiu da hip?tese de que as varia??es espaciais na magnitude da morbidade por dengue em Natal s?o influenciadas pelas desigualdades intra-urbanas de fatores socioecon?micos e ambientais. Visando identificar as diferen?as intr?nsecas de cada um deles, no sentido de fornecer subs?dios para as decis?es dos gestores p?blicos no que se refere ao controle da dengue, esta disserta??o teve como objetivo caracterizar os bairros da cidade do Natal de acordo com as condi??es de vida. Foram utilizados dados populacionais sobre densidade demogr?fica, abastecimento de ?gua, coleta de lixo, esgotamento sanit?rio, renda, escolaridade e incid?ncia da dengue no per?odo de 2001 e 2003. Esses dados foram provenientes do Censo Demogr?fico 2000 e do Sistema de Informa??es de Agravos Notific?veis -SINAN. O estudo foi apresentado sob a forma de dois artigos, de acordo com o recorte espacial utilizado: quatro estratos de condi??o de vida, no primeiro; e incid?ncia da dengue em cada estrato de condi??o de vida, no segundo. A partir dos indicadores referentes ?s condi??es socioecon?micas e ambientais obteve-se, por meio de an?lise fatorial, um indicador sint?tico da condi??o de vida (ICV). Com base no ICV, os bairros foram agrupados, para a constitui??o de quatro estratos de condi??o de vida. Na categoriza??o dos bairros segundo condi??es de vida (artigo 1) identificou-se uma distribui??o heterog?nea entre os bairros. Nos estratos (artigo 2), o de melhor condi??o de vida apresentou coeficiente de incid?ncia igual a 15,62 e 15,24 nos per?odos de 2001 e 2003, para cada 1000 habitantes, respectivamente; o estrato de pior condi??o de vida mostrou os coeficientes de incid?ncia de 25,10 e 10,32 para os per?odos de 2001 e 2003, respectivamente. Os resultados sugerem que este agravo ocorre em todas as classes sociais, a sua incid?ncia n?o est? relacionada de alguma forma evidente com o ICV