{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,5]],"date-time":"2026-06-05T13:35:52Z","timestamp":1780666552284,"version":"3.54.1"},"reference-count":40,"publisher":"FapUNIFESP (SciELO)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2015,11]]},"abstract":"<jats:p>Abstract The prevalence of asthma is high in urban areas of many Latin-American countries where societies show high levels of inequality and different levels of development. This study aimed to examine the relationship between asthma symptoms prevalence in adolescents living in Latin American urban centers and socioeconomic and environmental determinants measured at the ecological level. Asthma prevalence symptoms were obtained from the International Study of Asthma and Allergies in Childhood (ISAAC) phase III. A hierarchical conceptual framework was defined and the explanatory variables were organized in three levels: distal, intermediate, proximal. Linear regression models weighed by sample size were undertaken between asthma prevalence and the selected variables. Asthma prevalence was positively associated with Gini index, water supply and homicide rate, and inversely associated with the Human Development Index, crowding and adequate sanitation. This study provides evidence of the potential influence of poverty and social inequalities on current wheezing in adolescents in a complex social context like Latin America.<\/jats:p>","DOI":"10.1590\/0102-311x00101414","type":"journal-article","created":{"date-parts":[[2016,1,30]],"date-time":"2016-01-30T18:31:50Z","timestamp":1454178710000},"page":"2367-2378","source":"Crossref","is-referenced-by-count":8,"title":["Socioeconomic and environmental determinants of adolescent asthma in urban Latin America: an ecological analysis"],"prefix":"10.1590","volume":"31","author":[{"given":"Gisel Lorena","family":"Fattore","sequence":"first","affiliation":[{"name":"Universidad Nacional de Lan\u00fas,  Argentina; Universidade Federal da Bahia,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos Antonio de Souza Teles","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Feira de Santana,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mauricio Lima","family":"Barreto","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brasil; Funda\u00e7\u00e3o Oswaldo Cruz,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"758","DOI":"10.1136\/thx.2006.070169","article-title":"Worldwide trends in the prevalence of asthma symptoms: phase III of the International Study of Asthma and Allergies in Childhood (ISAAC)","volume":"62","author":"Pearce N","year":"2007","journal-title":"Thorax"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1111\/j.1398-9995.2008.01902.x","article-title":"Asthma in Latin America: a public health challenge and research opportunity","volume":"64","author":"Cooper PJ","year":"2009","journal-title":"Allergy"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"89","DOI":"10.1146\/annurev.publhealth.26.021304.144528","article-title":"Population disparities in asthma","volume":"26","author":"Gold DR","year":"2005","journal-title":"Annu Rev Public Health"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1164\/rccm.200607-994OC","article-title":"Atopic sensitization and the international variation of asthma symptom prevalence in children","volume":"176","author":"Weinmayr G","year":"2007","journal-title":"Am J Respir Crit Care Med"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"405","DOI":"10.1590\/S1020-49892010001200001","article-title":"Asthma cases in childhood attributed to atopy in tropical area in Brazil","volume":"28","author":"Cunha SS","year":"2010","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1136\/thx.54.1.27","article-title":"Respiratory symptoms and home environment in children: a national survey","volume":"54","author":"Burr ML","year":"1999","journal-title":"Thorax"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1001\/archpedi.156.3.269","article-title":"Identification of population subgroups of children and adolescents with high asthma prevalence: findings from the Third National Health and Nutrition Examination Survey","volume":"156","author":"Rodr\u00edguez MA","year":"2002","journal-title":"Arch Pediatr Adolesc Med"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1111\/j.1399-3038.2007.00650.x","article-title":"Prevalence of and factors associated with current asthma symptoms in school children aged 6-7 and 13-14 year old in Bogota, Colombia","volume":"19","author":"Garcia E","year":"2008","journal-title":"Pediatr Allergy Immunol"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1760","DOI":"10.1164\/ajrccm.156.6.9704026","article-title":"Sensitization to dust mites as a dominant risk factor for asthma among adolescents living in central Virginia. 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