Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space

Silva, Amanda Priscila de Santana Cabral; Souza, Wayner Vieira de; Albuquerque, Maria de Fátima Pessoa Militão de

doi:10.1590/0037-8682-0065-2016

Cited by 11 publications

(17 citation statements)

References 19 publications

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“…Thaís Zamboni Berra [1] , Ana Angélica Rêgo de Queiroz [1] , Mellina Yamamura [1] , Luiz Henrique Arroyo [1] , Maria Concebida da Cunha Garcia [1] , Marcela Paschoal Popolin [1] , Danielle Talita dos Santos [1] , Antonio Carlos Vieira Ramos [1] , Luana Seles Alves [1] , Inês Estevinho Fronteira [2] , Francisco Chiaravalloti Neto [3] , Pedro Fredemir Palha [1] and Ricardo Alexandre Arcêncio [1] [1]. Tuberculosis (TB) is one of the oldest infectious diseases and remains a serious public health problem worldwide, despite all efforts to control the disease.…”

Section: Spatial Risk Of Tuberculosis Mortality and Social Vulnerabilmentioning

confidence: 99%

Spatial risk of tuberculosis mortality and social vulnerability in Northeast Brazil

Berra

Queiroz

Yamamura

et al. 2017

Rev. Soc. Bras. Med. Trop.

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Introduction: Tuberculosis (TB) is the most common infectious disease in the world. We aimed to analyze the spatial risk of tuberculosis mortality and to verify associations in high-risk areas with social vulnerability. Methods: This was an ecological study. The scan statistic was used to detect areas at risk, and the Bivariate Moran Index was used to verify relationships between variables. Results: High-risk areas of tuberculosis mortality were statistically significantly associated with domain 2 of the Social Vulnerability Index (I=0.010; p=0.001). Conclusions: This study provides evidence regarding areas with high risk and that vulnerability is a determinant of TB mortality.

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Section: Spatial Risk Of Tuberculosis Mortality and Social Vulnerabilmentioning

confidence: 99%

Spatial risk of tuberculosis mortality and social vulnerability in Northeast Brazil

Berra

Queiroz

Yamamura

et al. 2017

Rev. Soc. Bras. Med. Trop.

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“…Ser de sexo masculino, adulto joven (25 a 49 años), con estado civil soltero, divorciado o viudo, o vivir solo son algunas de las características asociadas a las mayores incidencias de tuberculosis. Una mayor movilidad espacial de estos individuos, un menor apoyo familiar, que aumenta la vulnerabilidad en momentos de estrés o, incluso, cuestiones de orden biológico -en el caso del sexo masculino-que lo hacen más susceptibles a las infecciones del tracto respiratorio, son algunas de las posibles explicaciones de estas interrelaciones (4,5,6,7) .…”

Section: Introductionunclassified

“…Desde otra perspectiva, los adultos mayores han ganado protagonismo en la endemia en el país, por ser más vulnerables a la reactivación endógena y reinfección exógena. La incidencia de la enfermedad se ha desplazado a la franja etaria más avanzada y se espera que, en algunas décadas, los casos asociados con sida se reduzcan progresivamente y aumenten los casos de reactivación en adultos mayores (5,7,8) .…”

Section: Introductionunclassified

Factores asociados a la ocurrencia de tuberculosis y su distribución espacial en una ciudad brasileña, 1991-2010

Silva

Souza

Albuquerque

2018

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This article seeks to identify factors associated with the incidence of tuberculosis and the spatial distribution of the disease in Olinda, Pernambuco, from 1991 to 2010. In order to study the factors associated with the disease, Poisson regression was applied and standardized morbidity ratios were utilized for the spatial exploratory analysis. Although a reduction in the average incidence of tuberculosis in Olinda was observed, the rate remains high in comparison with the national average. Mapping according to five-year periods suggests rate increases until 2005, with a decline between 2006 and 2010 and the persistence of high incidence in areas of greater socioeconomic need. The highest tuberculosis incidence rates were associated in each area with the proportions of illiteracy, of heads of household without income, of households lacking water supply and of older adults, as well as with the presence of cases of retreatment and of households with two or more new cases of tuberculosis. Incorporating a spatial component is key for the organization of health services and the planning of epidemiological surveillance for tuberculosis.

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“…Among the countries that are responsible for about 80% of tuberculosis cases worldwide, according to the WHO, Brazil is ranked 14 th despite the advances in surveillance [4,5]. Every year, in Brazil, 110,000 new cases are notified and 6,000 deaths due to the disease are observed [4].…”

Section: Introductionmentioning

confidence: 99%

Quality Perspectives in Tuberculosis Control Programs Evaluation

Bosi¹,

Uchimura²

2016

Health Syst Policy Res

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This paper consists of a theoretical analysis on program evaluation, focusing on the Brazilian National Tuberculosis Control Program, which has been implemented in 1998. It is a conceptual construction that discusses the need, during the evaluative process, to take into consideration the distinct dimensions relating to quality of care, which are central to the Brazilian proposal. Comprehensiveness and humanization of care and their distinct dimensions should be covered, due some symbolic aspects involved in tuberculosis care, in dialogue with professional training. Finally, some theoretical contributions towards the design of evaluative studies are presented, thus showing the qualitative approach as a methodological resource that is inherent to analysis of the multiple dimensions present in this program.

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Two decades of tuberculosis in a city in Northeastern Brazil: advances and challenges in time and space

Cited by 11 publications

References 19 publications

Spatial risk of tuberculosis mortality and social vulnerability in Northeast Brazil

Spatial risk of tuberculosis mortality and social vulnerability in Northeast Brazil

Factores asociados a la ocurrencia de tuberculosis y su distribución espacial en una ciudad brasileña, 1991-2010

Quality Perspectives in Tuberculosis Control Programs Evaluation

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