{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,10]],"date-time":"2026-01-10T10:19:13Z","timestamp":1768040353927,"version":"3.49.0"},"reference-count":50,"publisher":"Pan American Health Organization","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,21]]},"abstract":"<sec>\n<title>Objetivo.<\/title>\n<p>Investigar a rela\u00e7\u00e3o entre preval\u00eancia de esquistossomose e geo-helmint\u00edases e vari\u00e1veis de acesso a \u00e1gua, esgotamento sanit\u00e1rio e res\u00edduos s\u00f3lidos em pa\u00edses da Am\u00e9rica Latina e Caribe (ALC).<\/p>\n<\/sec>\n<sec>\n<title>M\u00e9todos.<\/title>\n<p>Realizou-se uma revis\u00e3o sistem\u00e1tica nas bases de dados LILACS, PubMed, Web of Science e SciELO. Foram inclu\u00eddos estudos publicados entre 1950 e agosto de 2021, com desenho ecol\u00f3gico e foco em agregados populacionais (estados, munic\u00edpios e\/ou distritos), tendo como desfecho prim\u00e1rio a preval\u00eancia da infec\u00e7\u00e3o por <italic>Schistosoma mansoni, Ancylostoma sp., Necator americanus, Ascaris lumbricoides<\/italic> ou <italic>Trichuris trichiura<\/italic> e como vari\u00e1vel explicativa o acesso a \u00e1gua, esgotamento sanit\u00e1rio e\/ou res\u00edduos s\u00f3lidos. Foram considerados artigos com disponibilidade de texto completo e acesso livre nos idiomas ingl\u00eas, espanhol ou portugu\u00eas. O risco de vi\u00e9s e a qualidade dos estudos foram avaliados conforme o manual do Instituto Joanna Briggs.<\/p>\n<\/sec>\n<sec>\n<title>Resultados.<\/title>\n<p>De 2 714 artigos, nove foram eleg\u00edveis, publicados entre 1994 e 2021 e cobrindo 22 pa\u00edses da ALC e 14 350 munic\u00edpios. A qualidade metodol\u00f3gica de todos os artigos foi moderada. As vari\u00e1veis ambientais apontaram associa\u00e7\u00e3o de abastecimento de \u00e1gua e coleta de res\u00edduos s\u00f3lidos com esquistossomose; abastecimento de \u00e1gua com ascarid\u00edase, tricur\u00edase e ancilostom\u00edase; e de esgotamento sanit\u00e1rio com ascarid\u00edase e ancilostom\u00edase. Exceto por um artigo com abrang\u00eancia regional para ALC, todos os demais foram desenvolvidos no Brasil.<\/p>\n<\/sec>\n<sec>\n<title>Conclus\u00e3o.<\/title>\n<p>Evidencia-se a necessidade de ampliar a pesquisa sobre a associa\u00e7\u00e3o entre condi\u00e7\u00f5es sanit\u00e1rias domiciliares e coletivas e doen\u00e7as parasit\u00e1rias para todos os pa\u00edses end\u00eamicos da ALC para embasar estrat\u00e9gias ambientais para controle dessas doen\u00e7as.<\/p>\n<\/sec>","DOI":"10.26633\/rpsp.2023.111","type":"journal-article","created":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T14:21:32Z","timestamp":1692627692000},"page":"1","source":"Crossref","is-referenced-by-count":3,"title":["Esquistossomose, geo-helmint\u00edases e condi\u00e7\u00f5es sanit\u00e1rias na Am\u00e9rica Latina e Caribe: uma revis\u00e3o sistem\u00e1tica"],"prefix":"10.26633","volume":"47","author":[{"given":"Mariana Cristina Silva","family":"Santos","sequence":"first","affiliation":[{"name":"Instituto Ren\u00e9 Rachou, Fiocruz Minas, Belo Horizonte (MG), Brasil."},{"name":"santos.marianacs@gmail.com"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L\u00e9o","family":"Heller","sequence":"additional","affiliation":[{"name":"Instituto Ren\u00e9 Rachou, Fiocruz Minas, Belo Horizonte (MG), Brasil."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"11167","reference":[{"key":"ref1","unstructured":"World Health Organization (WHO). Guideline: preventive chemotherapy to control soil-transmitted helminth infections in at-risk population groups. Washington, DC: WHO; 2018. [Acessado em 5 de junho de 2023]. Dispon\u00edvel em: https:\/\/apps.who.int\/iris\/handle\/10665\/258983"},{"key":"ref2","unstructured":"World Health Organization (WHO). Schistosomiasis: progress report 2001-2011, strategic plan 2012-2020. Vol. 1. Genebra: WHO Library Cataloguing-in-Publication; 2013. [Acessado em 13 de maio de 2020]. Dispon\u00edvel em: https:\/\/apps.who.int\/iris\/handle\/10665\/78074"},{"key":"ref3","unstructured":"World Health Organization (WHO). Schistosomiasis and soil-transmitted helminthiases: progress report, 2020. Wkly Epidemiol Rec. 2021;48(3):585-94."},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Campbell SJ, Savage GB, Gray DJ, Atkinson JA, Magalh\u00e3es RJS, Nery SV, et al. Water, sanitation, and hygiene (WASH): a critical component for sustainable soil-transmitted helminth and schistosomiasis control. PLoS Negl Trop Dis. 2014;8(4):e2651. doi: 10.1371\/journal.pntd.0002651","DOI":"10.1371\/journal.pntd.0002651"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Kaatano GM, Siza JE, Mwanga JR, Min DY, Yong TS, Chai JY, et al. Integrated schistosomiasis and soil-transmitted helminthiasis control over five years on Kome Island, Tanzania. Korean J Parasitol. 2015;53(5):535-43. doi: 10.3347\/kjp.2015.53.5.535","DOI":"10.3347\/kjp.2015.53.5.535"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Zoni AC, Catal\u00e1 L, Ault SK. Schistosomiasis prevalence and intensity of infection in Latin America and the Caribbean countries, 1942-2014: a systematic review in the context of a regional elimination goal. PLoS Negl Trop Dis. 2016;10(3):e0004493. doi: 10.1371\/journal.pntd.0004493","DOI":"10.1371\/journal.pntd.0004493"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Chammartin F, Scholte RG, Guimar\u00e3es LH, Tanner M, Utzinger J, Vounatsou P. Soil-transmitted helminth infection in South America: a systematic review and geostatistical meta-analysis. Lancet Infect Dis. 2013;13(6):507-18. doi: 10.1016\/S1473-3099(13)70071-9","DOI":"10.1016\/S1473-3099(13)70071-9"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Strunz EC, Addiss DG, Stocks ME, Ogden S, Utzinger J, Freeman MC. Water, sanitation, hygiene, and soil-transmitted helminth infection: a systematic review and meta-analysis. PLoS Med. 2014;11(3):e1001620. doi: 10.1371\/journal.pmed.1001620","DOI":"10.1371\/journal.pmed.1001620"},{"key":"ref9","doi-asserted-by":"crossref","unstructured":"Grimes JET, Croll D, Harrison WE, Utzinger J, Freeman MC, Templeton MR. The relationship between water, sanitation and schistosomiasis: a systematic review and meta-analysis. PLoS Negl Trop Dis. 2014;8(12):e3296. doi: 10.1371\/journal.pntd.0003296","DOI":"10.1371\/journal.pntd.0003296"},{"key":"ref10","doi-asserted-by":"crossref","unstructured":"Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009;6(7):e1000097. doi: 10.1371\/journal.pmed.1000097","DOI":"10.1371\/journal.pmed.1000097"},{"key":"ref11","unstructured":"The Joanna Briggs Institute (JBI). The Joanna Briggs Institute Reviewers\u2019 Manual 2015: methodology for JBI scoping reviews. Austr\u00e1lia: JBI; 2015. [Acessado em 05 de junho de 2023]. Dispon\u00edvel em: https:\/\/reben.com.br\/revista\/wp-content\/uploads\/2020\/10\/Scoping.pdf"},{"key":"ref12","doi-asserted-by":"crossref","unstructured":"Soares DA, Souza SA, Silva DJ, Silva AB, Cavalcante UMB, Lima CMBL. Avalia\u00e7\u00e3o epidemiol\u00f3gica da esquistossomose no estado de Pernambuco pelo modelo de regress\u00e3o beta. Arch Health Sci (Online). 2019;26(2):116-20. doi: 10.17696\/2318-3691.26.2.2019.1302","DOI":"10.17696\/2318-3691.26.2.2019.1302"},{"key":"ref13","doi-asserted-by":"crossref","unstructured":"Amaral RS, Tauil PL, Lima DD, Engels D. An analysis of the impact of the Schistosomiasis Control Programme in Brazil. Mem Inst Oswaldo Cruz. 2006;101 Suppl 1:79-85. doi: 10.1590\/s0074-02762006000900012","DOI":"10.1590\/S0074-02762006000900012"},{"key":"ref14","doi-asserted-by":"crossref","unstructured":"Rollemberg CVV, Santos CMB, Silva MMBL, Souza AMB, Silva \u00c2M, Almeida JAP, et al. Aspectos epidemiol\u00f3gicos e distribui\u00e7\u00e3o geogr\u00e1fica da esquistossomose e geo-helmintos, no Estado de Sergipe, de acordo com os dados do Programa de Controle da Esquistossomose. Rev Soc Bras Med Trop. 2011;44(1):91-6. doi: 10.1590\/S0037-86822011000100020","DOI":"10.1590\/S0037-86822011000100020"},{"key":"ref15","doi-asserted-by":"crossref","unstructured":"Saucha CVV, Silva JAM, Amorim LB. Basic sanitation conditions in schistosomiasis hyperendemic areas in Pernambuco State, Brazil, 2012. Epidemiol Serv Saude. 2015;24(3):497-506. doi: 10.5123\/S1679-49742015000300015","DOI":"10.5123\/S1679-49742015000300015"},{"key":"ref16","doi-asserted-by":"crossref","unstructured":"Carmo EH, Barreto ML. Esquistossomose mans\u00f4nica no estado da Bahia, Brasil: tend\u00eancias hist\u00f3ricas e medidas de controle. Cad Saude Publica. 1994;10(4):425-39. doi: 10.1590\/S0102-311X1994000400002","DOI":"10.1590\/S0102-311X1994000400002"},{"key":"ref17","doi-asserted-by":"crossref","unstructured":"Scholte RG, Schur N, Bavia ME, Carvalho EM, Chammartin F, Utzinger J, et al. Spatial analysis and risk mapping of soil-transmitted helminth infections in Brazil, using Bayesian geostatistical models. Geospat Health. 2013;(1):97-110. doi: 10.4081\/gh.2013.58","DOI":"10.4081\/gh.2013.58"},{"key":"ref18","doi-asserted-by":"crossref","unstructured":"Colston J, Saboy\u00e1 M. Soil-transmitted helminthiasis in Latin America and the Caribbean: modelling the determinants, prevalence, population at risk and costs of control at sub-national level. Geospatial Health. 2013;7(2):321-40. doi: 10.4081\/gh.2013.90","DOI":"10.4081\/gh.2013.90"},{"key":"ref19","doi-asserted-by":"crossref","unstructured":"Poague KIHM, Mingoti SA, Heller L. Association between water and sanitation and soil-transmitted helminthiases: analysis of the Brazilian National Survey of Prevalence (2011-2015). Arch Public Health. 2021;79(1):83. doi: 10.1186\/s13690-021-00602-7","DOI":"10.1186\/s13690-021-00602-7"},{"key":"ref20","doi-asserted-by":"crossref","unstructured":"Gera T, Shah D, Sachdev HS. Impact of water, sanitation and hygiene interventions on growth, non-diarrheal morbidity and mortality in children residing in low- and middle-income countries: a systematic review. Indian Pediatr. 2018;55(5):381-93.","DOI":"10.1007\/s13312-018-1279-3"},{"key":"ref21","doi-asserted-by":"crossref","unstructured":"Ziegelbauer K, Speich B, M\u00e4usezahl D, Bos R, Keiser J, Utzinger J. Effect of sanitation on soil-transmitted helminth infection: systematic review and meta-analysis. PLoS Med. 2012;9(1):e1001162. doi: 10.1371\/journal.pmed.1001162","DOI":"10.1371\/journal.pmed.1001162"},{"key":"ref22","unstructured":"Esrey SA, Potash JB, Roberts L, Shiff C. Effects of improved water supply and sanitation on ascariasis, diarrhoea, dracunculiasis, hookworm infection, schistosomiasis, and trachoma. Bull World Health Organ. 1991;69(5):609-21."},{"key":"ref23","unstructured":"World Health Organization (WHO). Schistosomiasis and soil-transmitted helminthiases: numbers of people treated in 2019. Wkly Epidemiol Rec. 2020;95(50):629-40."},{"key":"ref24","unstructured":"Katz N. Inqu\u00e9rito nacional de preval\u00eancia da esquistossomose mansoni e geo-helmintoses. Belo Horizonte: Fiocruz; 2018. [Acessado em 5 de junho de 2023]. Dispon\u00edvel em: https:\/\/www.arca.fiocruz.br\/bitstream\/handle\/icict\/25662\/Inqu%c3%a9rito%20Nacional%20de%20Preval%c3%aancia%20da%20Esquistossomose%20mansoni%20e%20Geo-helmintoses.pdf?sequence=2&isAllowed=y"},{"key":"ref25","doi-asserted-by":"crossref","unstructured":"Aleixo B, Rezende S, Pena JL, Zapata G, Heller L. Direito humano em perspectiva: desigualdades no acesso \u00e0 \u00e1gua em uma comunidade rural do Nordeste brasileiro. Ambient Soc. 2016;19(1):63-82. doi: 10.1590\/1809-4422ASOC150125R1V1912016","DOI":"10.1590\/1809-4422asoc150125r1v1912016"},{"key":"ref26","doi-asserted-by":"crossref","unstructured":"Gomes ECS, Mesquita MCS, Rehn VNC, Nascimento WRC, Loyo R, Barbosa CS, et al. Transmiss\u00e3o urbana da esquistossomose: novo cen\u00e1rio epidemiol\u00f3gico na Zona da Mata de Pernambuco. Rev Bras Epidemiol. 2016;19(4):822-34. doi: 10.1590\/1980-5497201600040012","DOI":"10.1590\/1980-5497201600040012"},{"key":"ref27","doi-asserted-by":"crossref","unstructured":"Ximenes R, Southgate B, Smith PG, Guimar\u00e3es Neto L. Socioeconomic determinants of schistosomiasis in an urban area in the Northeast of Brazil. Rev Panam Salud Publica. 2003;14(6):409-21. doi: 10.1590\/s1020-49892003001100006","DOI":"10.1590\/S1020-49892003001100006"},{"key":"ref28","doi-asserted-by":"crossref","unstructured":"Kabatereine NB, Standley CJ, Sousa-Figueiredo JC, Fleming FM, Stothard JR, Talisuna A, et al. Integrated prevalence mapping of schistosomiasis, soil-transmitted helminthiasis and malaria in lakeside and island communities in Lake Victoria, Uganda. Parasit Vectors. 2011;4:232. doi: 10.1186\/1756-3305-4-232","DOI":"10.1186\/1756-3305-4-232"},{"key":"ref29","doi-asserted-by":"crossref","unstructured":"Enk MJ, Lima AC, Barros HS, Massara CL, Coelho PM, Schall VT. Factors related to transmission of and infection with Schistosoma mansoni in a village in the South-eastern Region of Brazil. Mem Inst Oswaldo Cruz. 2010;105(4):570-7. doi: 10.1590\/s0074-02762010000400037","DOI":"10.1590\/S0074-02762010000400037"},{"key":"ref30","doi-asserted-by":"crossref","unstructured":"Coura-Filho P, Rocha RS, Lamartine SS, Farah MW, Resende DF, Costa JO, et al. Control of schistosomiasis mansoni in Ravena (Sabar\u00e1, state of Minas Gerais, Brazil) through water supply and quadrennial treatments. Mem Inst Oswaldo Cruz. 1996;91(6):659-64. doi: 10.1590\/s0074-02761996000600001","DOI":"10.1590\/S0074-02761996000600001"},{"key":"ref31","doi-asserted-by":"crossref","unstructured":"M\u2019Bra RK, Kone B, Yapi YG, Silu\u00e9 KD, Sy I, Vienneau D, et al. Risk factors for schistosomiasis in an urban area in northern C\u00f4te d'Ivoire. Infect Dis Poverty. 2018;7(1):47. doi: 10.1186\/s40249-018-0431-6","DOI":"10.1186\/s40249-018-0431-6"},{"key":"ref32","doi-asserted-by":"crossref","unstructured":"Rollinson D, Knopp S, Levitz S, Stothard JR, Tchuent\u00e9 LAT, Garba A, et al. Time to set the agenda for schistosomiasis elimination. Acta Trop. 2013;128(2):423-40. doi: 10.1016\/j.actatropica.2012.04.013","DOI":"10.1016\/j.actatropica.2012.04.013"},{"key":"ref33","unstructured":"Pellon AB, Teixeira I. Distribui\u00e7\u00e3o geogr\u00e1fica da esquistossomose mans\u00f4nica no Brasil. Em: Anais do Congresso Brasileiro da Educa\u00e7\u00e3o e Sa\u00fade. Rio de Janeiro: Minist\u00e9rio da Sa\u00fade; 1950."},{"key":"ref34","unstructured":"Brasil, Minist\u00e9rio da Sa\u00fade. Levantamento nacional de preval\u00eancia da esquistossomose mansoni, 1975-1979. Programa Especial de Controle da Esquistossomose. Bras\u00edlia: Minist\u00e9rio da Sa\u00fade; 1981."},{"key":"ref35","doi-asserted-by":"crossref","unstructured":"Wanderley FSO, Montarroyos U, Bonfim C, Cunha-Correia C. Effectiveness of mass treatment of Schistosoma mansoni infection in socially vulnerable areas of a state in northeastern Brazil, 2011-2014. Arch Public Health. 2021;79(1):30. doi: 10.1186\/s13690-021-00549-9","DOI":"10.1186\/s13690-021-00549-9"},{"key":"ref36","doi-asserted-by":"crossref","unstructured":"Laidemitt MR, Buddenborg SK, Lewis LL, Michael LE, Sanchez MJ, Hewitt R, et al. Schistosoma mansoni vector snails in Antigua and Montserrat, with snail-related considerations pertinent to a declaration of elimination of human schistosomiasis. Am J Trop Med Hyg. 2020;103(6):2268-77. doi: 10.4269\/ajtmh.20-0588","DOI":"10.4269\/ajtmh.20-0588"},{"key":"ref37","unstructured":"Pan American Health Organization (PAHO), World Health Organization (WHO). PAHO\/WHO Schistosomiasis Regional Meeting. Defining a road map toward verification of elimination of schistosomiasis transmission in Latin America and the Caribbean by 2020; 2014. Porto Rico: PAHO\/WHO; 2014. [Acessado em 14 de janeiro de 2022]. Dispon\u00edvel em: https:\/\/www.paho.org\/en\/documents\/pahowho-schistosomiasis-regional-meeting-defining-road-map-toward-verification-0"},{"key":"ref38","doi-asserted-by":"crossref","unstructured":"Noya O, Katze N, Pointier JP, Th\u00e9ron A, Noya BA. Schistosomiasis in America. Em: Franco-Paredes C, Santos-Preciado JI, organizadores. Neglected tropical diseases - Latin America and the Caribbean. Viena: Springer Vienna; 2015. Pp. 11-43.","DOI":"10.1007\/978-3-7091-1422-3_2"},{"key":"ref39","doi-asserted-by":"crossref","unstructured":"Gaspard J, Usey MM, Fredericks-James M, Sanchez-Martin MJ, Atkins L, Campbell CH, et al. Survey of schistosomiasis in Saint Lucia: evidence for interruption of transmission. Am J Trop Med Hyg. 2020;102(4):827-31. doi: 10.4269\/ajtmh.19-0904","DOI":"10.4269\/ajtmh.19-0904"},{"key":"ref40","doi-asserted-by":"crossref","unstructured":"Hewitt R, Willingham AL. Status of schistosomiasis elimination in the Caribbean Region. Trop Med Infect Dis. 2019;4(1):24. doi: 10.3390\/tropicalmed4010024","DOI":"10.3390\/tropicalmed4010024"},{"key":"ref41","unstructured":"Saboy\u00e1 MI, Catal\u00e1 L, Ault SK, Nicholls RS. Prevalence and intensity of infection of soil-transmitted helminths in Latin America and the Caribbean Countries. Mapping at second administrative level 2000-2010. Washington, DC: PAHO; 2011. [Acessado em 17 de janeiro de 2022]. Dispon\u00edvel em: https:\/\/www.paho.org\/en\/documents\/prevalence-and-intensity-infection-soil-transmitted-helminths-latin-america-and-caribbean"},{"key":"ref42","doi-asserted-by":"crossref","unstructured":"Tillett HE. Infectious diseases of humans; dynamics and control. Epidemiol Infect. 1992;108(1):211.","DOI":"10.1017\/S0950268800059896"},{"key":"ref43","doi-asserted-by":"crossref","unstructured":"Hotez PJ, Brooker S, Bethony JM, Bottazzi ME, Loukas A, Xiao S. Hookworm infection. N Engl J Med. 2004;351(8):799-807. doi: 10.1056\/NEJMra032492","DOI":"10.1056\/NEJMra032492"},{"key":"ref44","unstructured":"Neves DP, Melo AL, Linardi PM, Vitor RWA. Parasitologia humana. 13\u00aa ed. S\u00e3o Paulo: Atheneu; 2016."},{"key":"ref45","doi-asserted-by":"crossref","unstructured":"Loukas A, Hotez PJ, Diemert D, Yazdanbakhsh M, McCarthy JS, Correa-Oliveira R, et al. Hookworm infection. Nat Rev Dis Primers. 2016;2:16088. doi: 10.1038\/nrdp.2016.88","DOI":"10.1038\/nrdp.2016.88"},{"key":"ref46","unstructured":"Hotez PJ, Bundy DAP, Beegle K, Brooker S, Drake L, Silva N, et al. Helminth infections: soil-transmitted helminth infections and schistosomiasis. 2006. [Acessado em 17 de janeiro de 2022]. Dispon\u00edvel em: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK11748\/"},{"key":"ref47","doi-asserted-by":"crossref","unstructured":"Brooker S, Clements ACA, Bundy DAP. Global epidemiology, ecology and control of soil-transmitted helminth infections. Adv Parasitol. 2006;62:221-61.","DOI":"10.1016\/S0065-308X(05)62007-6"},{"key":"ref48","doi-asserted-by":"crossref","unstructured":"Schneider MC, Aguilera XP, Silva Jr JB, Ault SK, Najera P, Martinez J, et al. Elimination of neglected diseases in Latin America and the Caribbean: a mapping of selected diseases. PLoS Negl Trop Dis. 2011;5(2):e964. doi: 10.1371\/journal.pntd.0000964","DOI":"10.1371\/journal.pntd.0000964"},{"key":"ref49","doi-asserted-by":"crossref","unstructured":"Saboy\u00e1 MI, Catal\u00e1 L, Nicholls RS, Ault SK. Update on the mapping of prevalence and intensity of infection for soil-transmitted helminth infections in Latin America and the Caribbean: a call for action. PLoS Negl Trop Dis. 2013;7(9):e2419. doi: 10.1371\/journal.pntd.0002419","DOI":"10.1371\/journal.pntd.0002419"},{"key":"ref50","doi-asserted-by":"crossref","unstructured":"Carvalho GL, Moreira LE, Pena JL, Marinho CC, Bahia MT, Machado-Coelho GL. A comparative study of the TF-Test\u00ae, Kato-Katz, Hoffman-Pons-Janer, Willis and Baermann-Moraes coprologic methods for the detection of human parasitosis. Mem Inst Oswaldo Cruz. 2012;107(1):80-4. doi: 10.1590\/s0074-02762012000100011","DOI":"10.1590\/S0074-02762012000100011"}],"container-title":["Revista Panamericana de Salud P\u00fablica"],"original-title":[],"language":"pt","link":[{"URL":"https:\/\/iris.paho.org\/bitstream\/handle\/10665.2\/57873\/v47e1112023.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,21]],"date-time":"2023-08-21T14:21:44Z","timestamp":1692627704000},"score":1,"resource":{"primary":{"URL":"https:\/\/iris.paho.org\/handle\/10665.2\/57873"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,8,21]]},"references-count":50,"alternative-id":["RPSP.2023.111"],"URL":"https:\/\/doi.org\/10.26633\/rpsp.2023.111","relation":{},"ISSN":["1020-4989","1680-5348"],"issn-type":[{"value":"1020-4989","type":"print"},{"value":"1680-5348","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,8,21]]}}}