Mixed study of the determinants of multidrug-resistant tuberculosis in the state of São Paulo: From the Bayesian approach to the perception of health professionals and patients

• Grant number: 18/14337-0
• Support Opportunities: Regular Research Grants
• Start date: June 01, 2019
• End date: May 31, 2021
• Field of knowledge: Health Sciences - Nursing - Public Health Nursing
• Principal Investigator: Ricardo Alexandre Arcêncio
• Grantee: Ricardo Alexandre Arcêncio
• Host Institution: Escola de Enfermagem de Ribeirão Preto (EERP). Universidade de São Paulo (USP). Ribeirão Preto , SP, Brazil
• Associated researchers: Ione Carvalho Pinto ; Jaqueline Garcia de Almeida Ballestero ; Juliane de Almeida Crispim ; Mellina Yamamura Calori ; Pedro Fredemir Palha ; Regina Célia Fiorati
• Associated scholarship(s): 19/12433-5 - Mixed study of the determinants of multidrug-resistant tuberculosis in the State of São Paulo: from the Bayesian approach to the perception of health professionals and patients, BP.TT

Abstract

Multidrug-resistant tuberculosis is a threat to tuberculosis elimination efforts globally, leading to significant impacts on the health of populations and the financially burdening of health systems. Few studies have investigated the cause and regions at greatest risk for the disease, which is an important information to support prevention and control measures. The objective of this study is to analyze the determinants associated with multidrug-resistant tuberculosis in the cities of São Paulo. This is a mixed study conducted in the 645 municipalities of São Paulo, involving a quantitative step and a qualitative step. We will consider all confirmed multidrug resistance cases, residing in the municipalities of São Paulo and registered between 2006 and 2016 in two state databases. We will also use data from the Single Register of Social Programs of the Federal Government (CadÚnico) and Demographic Census of 2010. For the spatial analysis, we will use the Bayesian hierarchical modeling to model the spatial distribution of the Relative Risk of the cases. We will introduce space dependence assuming the conditional autoregressive structure and the unstructured effect we will construct through a normal distribution with zero mean and large variance. For the qualitative stage, we will conduct interviews with multidrug resistance patients. Health professionals will also be included, using the Focal Group as a means of collecting data. We will analyze the qualitative data through the analysis of content thematic modality. The study will advance knowledge by using innovative approaches to understanding multidrug-resistant tuberculosis in the state of São Paulo, enabling prevention, control, more patient-centered attention and health actions focused on the determinants of the disease. (AU)

Scientific publications

(4)

(References retrieved automatically from Web of Science and SciELO through information on FAPESP grants and their corresponding numbers as mentioned in the publications by the authors)

DOS SANTOS, FELIPE LIMA; LIMIRIO SOUZA, LUDMILLA LEIDIANNE; INOMATA BRUCE, ALEXANDRE TADASHI; CRISPIM, JULIANE DE ALMEIDA; ARROYO, LUIZ HENRIQUE; VIEIRA RAMOS, ANTONIO CARLOS; BERRA, THAIS ZAMBONI; ALVES, YAN MATHIAS; SCHOLZE, ALESSANDRO ROLIM; PAULINO DA COSTA, FERNANDA BRUZADELLI; et al. Patients' perceptions regarding multidrug-resistant tuberculosis and barriers to seeking care in a priority city in Brazil during COVID-19 pandemic: A qualitative study. PLoS One, v. 16, n. 4, APR 9 2021. (18/14337-0)

LIMIRIO SOUZA, LUDMILLA LEIDIANNE; DOS SANTOS, FELIPE LIMA; CRISPIM, JULIANE DE ALMEIDA; FIORATI, REGINA CELIA; DIAS, SONIA; INOMATA BRUCE, ALEXANDRE TADASHI; ALVES, YAN MATHIAS; VIEIRA RAMOS, ANTONIO CARLOS; BERRA, THAIS ZAMBONI; PAULINO DA COSTA, FERNANDA BRUZADELLI; et al. Causes of multidrug-resistant tuberculosis from the perspectives of health providers: challenges and strategies for adherence to treatment during the COVID-19 pandemic in Brazil. BMC HEALTH SERVICES RESEARCH, v. 21, n. 1, OCT 1 2021. (18/14337-0)

CRISPIM, JULIANE DE ALMEIDA; ARROYO, LUIZ HENRIQUE; BERRA, THAIS ZAMBONI; DOS SANTOS, FELIPE LIMA; LIMIRIO SOUZA, LUDMILLA LEIDIANNE; ALVES, YAN MATHIAS; VIEIRA RAMOS, ANTONIO CARLOS; INOMATA BRUCE, ALEXANDRE TADASHI; YAMAMURA, MELLINA; SCHOLZE, ALESSANDRO ROLIM; et al. p Risk factors associated with drug-resistant tuberculosis in prisons in Sao Paulo State, Brazil (2006-2016). JOURNAL OF INFECTION IN DEVELOPING COUNTRIES, v. 15, n. 11, p. 1661-1669, NOV 2021. (18/14337-0)

ARROYO, LUIZ HENRIQUE; YAMAMURA, MELLINA; RAMOS, ANTONIO CARLOS VIEIRA; CAMPOY, LAURA TERENCIANI; CRISPIM, JULIANE DE ALMEIDA; BERRA, THAIS ZAMBONI; ALVES, LUANA SELES; ALVES, YAN MATHIAS; SANTOS, FELIPE LIMA; SOUZA, LUDMILLA LEIDIANNE LIMIRIO; et al. Determinants of multidrug-resistant tuberculosis in Sao Paulo-Brazil: a multilevel Bayesian analysis of factors associated with individual, community and access to health services. TROPICAL MEDICINE & INTERNATIONAL HEALTH, v. 25, n. 7, MAY 2020. (18/14337-0)