Autor(es): Raude Jocelyn, Setbon Michel

Resumo: This article examines the role of environmental - individual factors in the social epidemiology of chikungunya disease on the isl- of Mayotte (South-western Indian Ocean). In an epidemic setting, an interdisciplinary study combining interviews, observations, - serological tests was conducted to: (1) estimate the frequency - social distribution of chikungunya disease - (2) identify its principal cognitive, behavioral, - environmental determinants within a stratified r-om sample of the Mayotte population (n=888). Semi-parametric tests - multiple correspondence analyses were used to describe the statistical relationships between the different classes of variables examined in this study - the presence of antibodies attributable to chikungunya. These analyses highlighted differences between two main types of populations: one more autochthonous, more urban - better educated population, which shared 'legitimate' representations of the disease-from a biomedical viewpoint; - the other more migrant, more suburban, - more deprived, which is characterized by folk theories of chikungunya virus infection. Moreover, a series of logistic regression models revealed that social disparities in the distribution of virus infection were primarily structured by the housing conditions - cognitive representations of the disease held by the participants. These results suggest that environmental - individual factors are equally crucial in epidemic settings, - that they could explain, to a considerable extent, the social differences observed in morbidity associated with recent emerging infectious diseases in tropical countries.

Palavras-Chave: Chikungunya; Cognitive representations of illness; Environmental and individual factors; Social epidemiology

Imprenta: Health & Place, v. 15, n. 3, p. 659-669, 2009

Identificador do Objeto Digital: 10.1016/j.healthplace.2008.10.009

Descritores: Chikungunya virus - Pathogenesis ; Chikungunya virus - Antibodies ; Chikungunya virus - Infectious diseases ; Chikungunya virus - Viral infections ; Chikungunya Virus - Virus ; Chikungunya virus - Epidemic ; Chikungunya virus - Epidemiology ; Chikungunya virus - Public health

Data de Publicação: 2009