Ecological association between socioeconomic, occupational and sanitation factors and the occurrence of scorpionism in Brazil, 2007-2019

Abstract

Objective: To analyze the ecological association between socioeconomic, occupational, and sanitation characteristics and scorpionism in Brazil. Methods: Ecological study with data on scorpion accidents reported in the Notifiable Diseases Information System (2007-2019). Negative binomial regression was used to estimate ratios of incidence rates (RTI) and confidence intervals (95%CI). Results: In the period, 1,079,333 scorpion accidents occurred, with accumulated incidence 41.5/100,000 in habitants. In the adjusted analysis, there was an association with the municipal percentage of: women (IRR=1.65 – 95%CI 1.18;2.30) and men (IRR=0.90 – 95%CI 0.88;0.91) in civil construction, women (IRR=1.21 – 95%CI 1.18;1.25) and men
(IRR=0.73 – 95%CI 0.69;0.77) in domestic service, women (IRR=1.03 – 95%CI 1.02;1.04) and men (IRR=0.93 – 95%CI 0.92;0.93) in agriculture, households with garbage collection (IRR=0.99 – 95%CI 0.98;0.99) and garbage in surroundings
(IRR=1.02 – 95%CI 1.01;1.02), expectation of years of study (IRR=0.88 – 95%CI 0.83;0.92), and unemployment rate (IRR=1.07 – 95%CI 1.05;1.09). Conclusion: Scorpionism was associated with precarious infrastructure/sanitation, job offer, education and female occupation.