Abstract:Objectives Estimate TB mortality rates, catalogue multiple causes on death certificates in which TB was reported and identify predictors of TB from reporting on death certificates in the State of Amazonas, Brazil, based on a multiple cause of death approach.
“…Tuberculosis (TB) is an important public health disease both in Brazil and worldwide 1,2,3 , considered the second leading cause of death from infectious disease (surpassed by COVID-19 in 2021). It is estimated that, worldwide, in 2020 alone, about 9.9 million people became ill and 1.3 million deaths occurred due to the disease 4 .…”
Section: Introductionmentioning
confidence: 99%
“…6 This is particularly important when considering the socioeconomic characteristics of Ceará, since it is a state with heterogeneous population distributions, including poor sanitation, low per capita income, and high illiteracy rates in people aged 15 years or older. Therefore, it is vital to understand how such factors influence TB mortality to propose and develop effective actions to control mortality from the disease 3,7,8 .…”
Objective: to identify the spatio-temporal pattern of tuberculosis mortality and its related factors.
Method: ecological study, using as unit of analysis the municipalities of the state of Ceará, Brazil, during the period from 2001 to 2017. Tuberculosis mortality was analyzed by temporal and spatial analysis techniques.
Results: in the period, 1,513 deaths from tuberculosis were reported. An average annual increase of 15% in mortality was detected (95% Confidence Interval: 6.2 - 24.6). The indicators that most influenced mortality were life expectancy at birth (β=3.38), households with inadequate water supply and sanitation (β=-0.01) and probability of survival to 60 years (β=-2.26).
Conclusion: this study evidenced the increase in the temporal pattern of tuberculosis mortality over the years. Care strategies aimed at treatment adherence and public health strategies aimed at improving the environment of the population should therefore be emphasized.
“…Tuberculosis (TB) is an important public health disease both in Brazil and worldwide 1,2,3 , considered the second leading cause of death from infectious disease (surpassed by COVID-19 in 2021). It is estimated that, worldwide, in 2020 alone, about 9.9 million people became ill and 1.3 million deaths occurred due to the disease 4 .…”
Section: Introductionmentioning
confidence: 99%
“…6 This is particularly important when considering the socioeconomic characteristics of Ceará, since it is a state with heterogeneous population distributions, including poor sanitation, low per capita income, and high illiteracy rates in people aged 15 years or older. Therefore, it is vital to understand how such factors influence TB mortality to propose and develop effective actions to control mortality from the disease 3,7,8 .…”
Objective: to identify the spatio-temporal pattern of tuberculosis mortality and its related factors.
Method: ecological study, using as unit of analysis the municipalities of the state of Ceará, Brazil, during the period from 2001 to 2017. Tuberculosis mortality was analyzed by temporal and spatial analysis techniques.
Results: in the period, 1,513 deaths from tuberculosis were reported. An average annual increase of 15% in mortality was detected (95% Confidence Interval: 6.2 - 24.6). The indicators that most influenced mortality were life expectancy at birth (β=3.38), households with inadequate water supply and sanitation (β=-0.01) and probability of survival to 60 years (β=-2.26).
Conclusion: this study evidenced the increase in the temporal pattern of tuberculosis mortality over the years. Care strategies aimed at treatment adherence and public health strategies aimed at improving the environment of the population should therefore be emphasized.
“…La tuberculosis (TB), es una importante enfermedad de salud pública tanto en Brasil como en el mundo 1,2,3 , considerada la segunda causa de muerte por enfermedad infecciosa (superada por el COVID-19 en 2021). Se estima que, en todo el mundo, sólo en 2020, unos 9,9 millones de personas enfermaron y 1,3 millones murieron a causa de la enfermedad 4 .…”
Section: Introductionunclassified
“…Esto es particularmente importante cuando se consideran las características socioeconómicas de Ceará, ya que es un estado con distribuciones de población heterogéneas, incluyendo deficiencias sanitarias, baja renta per cápita y alta tasa de analfabetismo en personas de 15 años o más. Por lo tanto, es vital entender cómo influyen estos factores en la mortalidad por TB para proponer y desarrollar acciones eficaces para controlar la mortalidad por la enfermedad 3,7,8 .…”
Objetivo: identificar el patrón espacio-temporal de la mortalidad por tuberculosis y los factores relacionados.
Método: Estudio ecológico, utilizando como unidad de análisis los municipios del estado de Ceará, Brasil, durante 2001 a 2017. La mortalidad por tuberculosis se analizó mediante técnicas de análisis temporal y espacial.
Resultados: se notificaron 1.513 muertes por tuberculosis en el periodo. Se detectó un aumento medio anual del 15% de la mortalidad (intervalo de confianza del 95%: 6,2 - 24,6). Los indicadores que más influyeron en la mortalidad fueron: la esperanza de vida al nacer (β=3,38), los hogares con suministro de agua y saneamiento inadecuados (β=-0,01) y la probabilidad de sobrevivir hasta los 60 años (β=-2,26).
Conclusión: este estudio evidenció el aumento del patrón temporal de la mortalidad por tuberculosis a lo largo de los años. Por lo tanto, se debe hacer hincapié en las estrategias de atención dirigidas a la adherencia al tratamiento y en las estrategias de salud pública dirigidas a mejorar el entorno de la población.
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