Indidence of tuberculosis in children in the state of São Paulo, Brazil, under spatial approach

Venancio, Tais Siqueira; Tuan, Tássia Soldi; Nascimento, Luiz Fernando Costa

doi:10.1590/1413-81232015205.14672014

Cited by 25 publications

(15 citation statements)

References 13 publications

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“…The Perinatal Committee Board structure, which is a permanent and deliberative forum, responsible for managing the maternity care and newborn policies, can be one of the factors that contributes to the quality and completeness of actions in this area. 3,21 Moran's index calculated for both periods showed significant spatial autocorrelation. The Moran map for the first period identified 41 municipalities that should have high priority for interventions, and 35 municipalities in the second period need to be prioritized.…”

Section: Discussionmentioning

confidence: 89%

“…In contrast, the municipalities with low PNM rates possibly provided better access to health care services, which positively influenced children's health care. 3,21 The rate difference map identified 413 municipalities where there was an improvement in PNM rates, and 232 municipalities where the opposite occurred, with a significant spatial autocorrelation (MI ¼ 0.05; p ¼ 0.02), that is, there are municipalities with high PNM rates that are also surrounded by municipalities with high rates, and that possibly has a common cause. Perinatal mortality reduction was an important factor, and it probably occurred due to improvements in perinatal care.…”

Section: Discussionmentioning

confidence: 99%

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Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Venancio

Tuan

Vaz

et al. 2016

Rev Bras Ginecol Obstet

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To identifying spatial patterns in the distribution of perinatal mortality in the state of São Paulo from 2003 to 2012. An ecological and exploratory study with data on perinatal mortality rates of every thousand live births, which were registered on the digital database containing 645 municipalities in the state of São Paulo within the periods of 2003 to 2007 and 2008 to 2012. The spatial analysis provided Moran's index (MI) and thematic maps of rates, and the Moran maps of both periods were drawn. The average rates were compared by Student's test. The TerraView 4.2.2 software (INPE, S. José dos Campos, Brazil) was also used. There were 49,485 perinatal deaths during the first period, at a rate of 17.90 deaths/1,000 live births (standard deviation [SD] = 7.0; MI = 0.14; = 0.01), and 44,582 perinatal deaths during the second period, at a rate of 16.40 deaths/1,000 live births (SD = 11.14; MI = 0.04; = 0.03). These rates are statistically different ( < 0.01). There was a decrease in these rates in 413 municipalities when comparing the two periods. The Moran map has identified 35 municipalities that require special attention, which are located in the Eastern, Southwestern, Western and Northwestern regions of São Paulo state. The study provides municipal managers with subsidies so they can minimize these rates by implementing public policies and taking better care of pregnant women and newborns.

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Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Venancio

Tuan

Vaz

et al. 2016

Rev Bras Ginecol Obstet

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“…Embora as incidências médias aqui reveladas (49,1/100 mil) pareçam próximas às reportadas na população geral do país, quando se comparam nossos achados com os descritos para crianças e adolescentes no Estado de São Paulo, onde Venâncio et al 33 Se considerarmos os dados desagregados por faixa etária e macrorregiões do país, as discrepâncias nos indicadores de incidência ficam ainda mais evidentes e demonstram a gravidade do problema, especialmente entre adolescentes e crianças menores de cinco anos, nas regiões Centro-oeste, Sudeste e Norte. Dados de magnitude semelhantes foram descritos somente por Gava et al 22 e por Marques et al 16 , ao analisarem as notificações em crianças e adolescentes indígenas de Rondônia e Mato Grosso do Sul, nos períodos de 1997-2006 e 2000-2006, respectivamente.…”

Section: Discussionunclassified

Tuberculose entre crianças e adolescentes indígenas no Brasil: fatores associados ao óbito e ao abandono do tratamento

et al. 2019

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Tuberculose entre crianças e adolescentes indígenas no Brasil: fatores associados ao óbito e ao abandono do tratamento Tuberculosis in indigenous children and adolescents in Brazil: factors associated with death and treatment dropout Tuberculosis entre niños y adolescentes indígenas en Brasil: factores asociados al óbito y al abandono del tratamiento Resumo O objetivo deste estudo foi descrever características clínicas e sociodemográficas, estimar a incidência da tuberculose (TB), além de analisar fatores associados ao abandono e ao óbito na vigência do tratamento dos casos de TB notificados entre crianças e adolescentes indígenas, no Brasil, entre 2006-2016. Realizou-se análise da série histórica de incidência, segundo faixa etária e macrorregião e utilizou-se regressão logística multinomial para elucidar fatores associados ao abandono e ao óbito. Do total de 2.096 casos notificados, 88,2% tiveram cura, 7,2% abandonaram o tratamento e 4,6% evoluíram para óbito. Houve predomínio de casos em meninos de 15-19 anos e maior proporção de óbitos (55,7%) em < 4 anos. Considerando o conjunto de crianças e adolescentes indígenas com TB

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“…Infection by Helminths-TB), regions with late diagnoses, cases of avoidable hospital stay, the incidence control of infantile TB, with focus in primary care. [27][28][29][30][31][32] The analysis of spatial distribution enables, also, the identification of regions with death toll and TB cases, thus contributing to the action planning of territorial base, granting subsidies to figure out strategies to reduce inequities in health and limits for the increasing TB incidence. [33][34] Qualified investment in TB control, reformulation and restructuration of policies and health services are essential to control the cases (TB and TB-HIV) and generate positive effects on reducing the incidence in population.…”

Section: Strategic Measures To Fight Tuberculosismentioning

confidence: 99%

Tuberculosis Dynamics From Spatial Analysis: Integrative Review

Lima

Santos

Silva

et al. 2019

Rev. Infec. e Saude

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Objective: to analyze from literature, the contributions of spatial analysis to comprehend the tuberculosis dynamics. Method: integrative review of literature preformed within 2008 to 2017, developed from published manuscripts in any language on LILACS, PubMed and SCOPUS databases. Results: 140 studies were retrieved, of which 50 were included. The main findings refer to predominance of the use of tuberculosis incidence rates as outcome variable and its association with social and geographic conditions. The American continent presented the highest number of studies, although the African countries presented the highest incidence rates. Conclusion: the complexity of tuberculosis incidence in the geographic space is associated with epidemiologic factors. The spatial analysis presents advancements for the management of tuberculosis worldwide allowing identifying inequalities and health conditions of a population. RESUMOObjetivo: analisar a partir da literatura, as contribuições da análise espacial para compreender a dinâmica da tuberculose. Método: revisão integrativa da literatura realizada no período de 2008 a 2017, desenvolvida a partir de manuscritos publicados em qualquer idioma nas bases de dados LILACS, PubMed e SCOPUS. Resultados: foram resgatados 140 estudos, dos quais 50 incluídos. Os principais achados referem-se à predominância do uso das taxas de incidência de tuberculose como variável de desfecho e sua associação com as condições sociais e geográficas. O continente americano apresentou o maior número de estudos, apesar dos países africanos apresentarem as maiores taxas de incidência. Conclusão: a complexidade da incidência da tuberculose no espaço geográfico está associada aos fatores epidemiológicos. A análise espacial representa avanços para o gerenciamento da tuberculose mundialmente permitindo identificar desigualdades e condições de saúde de uma população. Descritores: Tuberculose; Análise Espacial; Epidemiologia; Revisão. RESUMÉNObjetivo: Analizar a partir de la literatura las contribuciones del análisis espacial para comprender la dinámica de la tuberculosis. Método: revisión bibliográfica integradora realizada entre 2008 y 2017, desarrollada a partir de manuscritos publicados en cualquier idioma en las bases de datos LILACS, PubMed y SCOPUS. Resultados: se rescataron 140 estudios, de los cuales se incluyeron 50. Los principales hallazgos se refieren al predominio del uso de tasas de incidencia de tuberculosis como variable de resultado y su asociación con condiciones sociales y geográficas. El continente americano presentó el mayor número de estudios, aunque los países africanos tuvieron las tasas de incidencia más altas. Conclusión: La complejidad de la incidencia de tuberculosis en el espacio geográfico está asociada a factores epidemiológicos. El análisis espacial representa los avances en el manejo de la tuberculosis en todo el mundo, lo que permite identificar las desigualdades y las condiciones de salud de una población.

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Indidence of tuberculosis in children in the state of São Paulo, Brazil, under spatial approach

Abstract: The aim of this study was to identify spatial patterns in the incidence of childhood tuberculosis in cities in

Cited by 25 publications

References 13 publications

Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Spatial Approach of Perinatal Mortality in São Paulo State, 2003–2012

Tuberculose entre crianças e adolescentes indígenas no Brasil: fatores associados ao óbito e ao abandono do tratamento

Tuberculosis Dynamics From Spatial Analysis: Integrative Review

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