{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T16:06:27Z","timestamp":1777305987875,"version":"3.51.4"},"reference-count":41,"publisher":"FapUNIFESP (SciELO)","issue":"6","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>Resumo: No Brasil, milh\u00f5es de pessoas vivem em \u00e1reas de risco para a esquistossomose, uma doen\u00e7a negligenciada, de car\u00e1ter cr\u00f4nico e com elevada morbidade. O helminto Schistosoma mansoni est\u00e1 presente em todas as macrorregi\u00f5es, incluindo o Estado de Minas Gerais, um dos mais end\u00eamicos. Por essa raz\u00e3o, a identifica\u00e7\u00e3o de potenciais focos \u00e9 fundamental para subsidiar pol\u00edticas p\u00fablicas de cunho educativo e profil\u00e1tico no controle desse desfecho. Nesse contexto, o objetivo do trabalho consiste em modelar dados de esquistossomose em rela\u00e7\u00e3o aos aspectos espaciais e temporais, al\u00e9m de avaliar a import\u00e2ncia de algumas vari\u00e1veis ex\u00f3genas socioecon\u00f4micas e a presen\u00e7a das principais esp\u00e9cies de Biomphalaria. Como trabalhar com casos incidentes, uma vari\u00e1vel discreta de contagem, exige uma modelagem apropriada, foi escolhida a modelagem GAMLSS por considerar conjuntamente uma distribui\u00e7\u00e3o mais adequada \u00e0 vari\u00e1vel resposta devido \u00e0 infla\u00e7\u00e3o de zeros e \u00e0 heterocedasticidade espacial. Verificaram-se valores elevados de incid\u00eancia em diversos munic\u00edpios de 2010 a 2012 e uma tend\u00eancia de queda at\u00e9 2020. Tamb\u00e9m foi identificado que a distribui\u00e7\u00e3o da incid\u00eancia se comporta de maneira diferente no espa\u00e7o e no tempo. Munic\u00edpios com barragem apresentaram risco 2,25 vezes maior do que os que n\u00e3o a continham. A presen\u00e7a de B. glabrata foi relacionada ao risco de ocorr\u00eancia da doen\u00e7a. Por outro lado, a presen\u00e7a de B. straminea refletiu em menor risco de ocorr\u00eancia da esquistossomose. Conclui-se que o controle e o acompanhamento dos caramujos da B. glabrata podem ser fundamentais para a conten\u00e7\u00e3o e a elimina\u00e7\u00e3o da esquistossomose e o modelo GAMLSS foi eficaz para tratamento e modelagem de dados espa\u00e7otemporais.<\/jats:p>","DOI":"10.1590\/0102-311xpt068822","type":"journal-article","created":{"date-parts":[[2023,6,26]],"date-time":"2023-06-26T11:39:37Z","timestamp":1687779577000},"source":"Crossref","is-referenced-by-count":2,"title":["Modelagem GAMLSS espa\u00e7otemporal da incid\u00eancia de esquistossomose na regi\u00e3o central do Estado de Minas Gerais, Brasil"],"prefix":"10.1590","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2285-8764","authenticated-orcid":false,"given":"Denismar Alves","family":"Nogueira","sequence":"first","affiliation":[{"name":"Universidade Federal de Alfenas, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4918-300X","authenticated-orcid":false,"given":"Thelma","family":"S\u00e1fadi","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4607-4964","authenticated-orcid":false,"given":"Renato Ribeiro de","family":"Lima","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3892-5274","authenticated-orcid":false,"given":"Ang\u00e9lica Sousa da","family":"Mata","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2764-6891","authenticated-orcid":false,"given":"Miriam Monteiro de Castro","family":"Graciano","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7963-5775","authenticated-orcid":false,"given":"Joziana Muniz de Paiva","family":"Bar\u00e7ante","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2506-4065","authenticated-orcid":false,"given":"Thales Augusto","family":"Bar\u00e7ante","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7072-175X","authenticated-orcid":false,"given":"Stela M\u00e1rcia Pereira","family":"Dourado","sequence":"additional","affiliation":[{"name":"Universidade Federal de Lavras, 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