Social inequities and tuberculosis hospitalizations in the municipality of Ribeirão Preto (SP)

• Grant number: 13/03756-9
• Support Opportunities: Regular Research Grants
• Start date: June 01, 2013
• End date: May 31, 2015
• 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: Isabela Moreira de Freitas ; Maria Concebida da Cunha Garcia ; Mellina Yamamura Calori

Abstract

The hospitalization for tuberculosis (TB) was identified as a clear indicator of inequity in access to health services as it is influenced by different aspects like social opportunities of the population, supply characteristics and health services in the territories. Several studies were proposed to measure the relationship between the admissions for TB and the supply/use of health services. However, the researches that verify the relationship between this indicator and social equity in the territories are still insufficient. Thus, this research aims to analyze the spatial distribution of admissions for TB according to the census tracts and its relationship with the social inequity, in the municipality of Ribeirão Preto - SP. This is an ecological study whose hospitalization data are going to be obtained from the Hospital Information System of the Health Unique System (SIH/SUS). The period corresponding to the selection of hospitalizations for TB will be from 2008 to 2012. The authors are going to use as analysis unit the census tracts defined by the Census of 2010, the Brazilian Institute of Geography and Statistics (IBGE). It is going to be constructed an equity indicator by considering the Principal Components Analysis technique. It is intended to perform the cluster analysis by hierarchical levels (Ward's method), and the construction of thematic maps for spatial distribution analysis of TB admissions. The census tracts are going to be ranked according to the scores obtained in the analyses previously established, and they are going to be classified in social equity and inequity. The correlation coefficients of Moran and the intensity estimator of Kernel are going to be used in the spatial analyses. It is also planned to use the Multiple Correspondence Analysis. (AU)

Scientific publications

(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)

ARCENCIO, R. A.; DE ALMEIDA CRISPIM, J.; TOUSO, M. M.; POPOLIN, M. P.; RODRIGUES, L. B. B.; DE FREITAS, I. M.; YAMAMURA, M.; SANTOS NETO, M.. Preliminary validation of an instrument to assess social support and tuberculosis stigma in patients' families. PUBLIC HEALTH ACTION, v. 4, n. 3, p. 6-pg., 2014-09-21. (13/03756-9)

YAMAMURA, MELLINA; DE FREITAS, ISABELA MOREIRA; NETO, MARCELINO SANTO; NETO, FRANCISCO CHIARAVALLOTI; PASCHOAL POPOLIN, MARCELA ANTUNES; ARROYO, LUIZ HENRIQUE; BANDEIRA RODRIGUES, LUDMILA BARBOSA; CRISPIM, JULIANE ALMEIDA; ARCENCIO, RICARDO ALEXANDRE. Análise espacial das internações evitáveis por tuberculose em Ribeirão Preto, SP (2006-2012). Revista de Saúde Pública, v. 50, 2016. (12/20955-2, 13/03756-9, 11/22834-5)

SANTOS NETO, MARCELINO; YAMAMURA, MELLINA; DA CUNHA GARCIA, MARIA CONCEBIDA; POPOLIN, MARCELA PASCHOAL; BANDEIRA RODRIGUES, LUDMILA BARBOSA; CHIARAVALLOTI NETO, FRANCISCO; FRONTEIRA, INES; ARCENCIO, RICARDO ALEXANDRE. Pulmonary tuberculosis in São Luis, State of Maranhão, Brazil: space and space-time risk clusters for death (2008-2012). Revista da Sociedade Brasileira de Medicina Tropical, v. 48, n. 1, p. 69-76, JAN-FEB 2015. (13/03756-9)