Banca de DEFESA: LUCAS MONTEIRO SANTOS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : LUCAS MONTEIRO SANTOS
DATA : 20/03/2020
HORA: 08:30
LOCAL: Sala 01 do Instituto de Saúde Coletiva
TÍTULO:

Association between Cash Transfers and cognitive development of children with Congenital Zika Syndrome

PALAVRAS-CHAVES:

Cognitive development; Zika virus; Cash transfers.

PÁGINAS: 57
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
RESUMO:

Congenital Zika Syndrome (CZS) comprises a series of neuroanatomical abnormalities that affect children whose mothers have been infected during pregnancy by Zika virus. Causing several structural changes in the Central Nervous System, it is assumed that the Syndrome cause devastating effects to the development of cognitive function during early childhood. Several elements are linked to cognitive development in early childhood, among them one of the most important is the income, associated with elements sensitive to it, such as stimulation in the home environment. There was in Brazil a significant reduction in social inequality and an increase in the average income of the population, which among other factors, were impacted by Cash Transfer Programs, such as the Bolsa Família Program (BPF) and the Prestação Continuada Benefit (PCB). The population affected by Zika virus was, in its majority, of people living in vulnerability and we assume that the double burden of poverty to which this population is exposed negatively affect the development of cognitive function, which can be mitigated by Cash Transfers. Objective: To evaluate the association between Cash Transfers, socioeconomic characteristics of the family and the quality of stimulation in home environment with cognitive development in early childhood of children from Salvador, Brazil, who were born with the Congenital Zika Syndrome. Methods: It is an exploratory cross-sectional study nested in a prospective cohort that assesses the development of children who were born in Salvador, Brazil, during the Zika virus epidemic. During the baseline, 147 children whose mothers had negative TORCH serology and were confirmed for Congenital Zika Syndrome were evaluated according to the criteria adopted by the Ministry of Health, in an investigation conducted by the epidemiological surveillance service. Socioeconomic characteristics of caregivers and families, quality of stimulation in the home environment evaluated by HOME inventory and cognitive performance measure by Bayley-III scale were assessed. Descriptive, bivariate and multivariate analyzes were performed to explore the variables associated with cognitive performance. Results: It was observed that 71.4% of the children had a cognitive performance below the expected for their age. In addition, only 50.3% of the children were beneficiaries of the PCB and 30.6% participated in the BFP. In the multivariate model, we observed statistically significant associations with cognitive performance for the caregiver's work (OR 4.53 95% CI 1.05 - 19.4) and for the BFP (OR 12.01 95% CI 2.13 - 68.7) amongst children who did not receive PCB. We found no association between stimulation in home environment and cognitive performance. In the bivariate analysis, statistically significant differences were identified between cognitive performance and PCB (p<0.000), BFP (p<0.000), caregiver work (p<0.003) and family income (p<0.001). New bivariate analyzes were carried out between the PCB and the socioeconomic and home environment variables. We observed an association with caregiver work (p<0.000) and family income (p<0.000), showing that there are differences between the groups that receive and do not receive the BPC. Conclusions: Cash transfers can contribute to cognitive development in early childhood of children with CZS. The results can contribute to the strengthening of public policies aimed at social protection, especially for those with multiple disabilities.

MEMBROS DA BANCA:
Interno - 2286127 - DARCI NEVES DOS SANTOS
Presidente - 2483956 - LETICIA MARQUES DOS SANTOS
Externo à Instituição - TIAGO NEUENFELD MUNHOZ