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(Reference retrieved automatically from SciELO through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Spatial distribution and dependence of mortality due to tuberculosis in a city in the Amazon region

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Author(s):
Ricardo Alexandre Arcêncio [1] ; Aylana de Souza Belchior [2] ; Luiz Henrique Arroyo [3] ; Alexandre Tadashi Inomata Bruce [4] ; Felipe Lima dos Santos [5] ; Mellina Yamamura [6] ; Ana Angélica Rêgo de Queiroz [7] ; Danielle Talita dos Santos [8] ; Severina Alice da Costa Uchôa [9] ; Carla Nunes [10]
Total Authors: 10
Affiliation:
[1] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública - Brasil
[2] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública - Brasil
[3] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública - Brasil
[4] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública - Brasil
[5] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública - Brasil
[6] Universidade Federal de São Carlos. Departamento de Enfermagem - Brasil
[7] Universidade Federal do Rio Grande do Norte. Departamento de Enfermagem - Brasil
[8] Universidade de São Paulo. Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública - Brasil
[9] Universidade Federal do Rio Grande do Norte. Departamento de Saúde Coletiva - Brasil
[10] Universidade Nova de Lisboa. Escola Nacional de Saúde Pública - Portugal
Total Affiliations: 10
Document type: Journal article
Source: Cad. saúde colet.; v. 30, n. 1, p. 1-12, 2022-04-27.
Abstract

Abstract Background Mortality from tuberculosis is a sensitive indicator of health inequalities, given that the risk for its occurrence is related to the vulnerability of the territories. Objective To investigate whether the spatial variations of social determinants affect deaths from tuberculosis in a municipality in the Amazon region. Method Ecological study with multiple measures of analysis. The study was composed of deaths from tuberculosis as a basic cause in Manaus, Amazonas, Brazil, reported in the Brazilian Mortality Information System (2006-2015). In the analyzes, the crude and standardized rate was calculated, Moran Index was used to verify the spatial autocorrelation of mortality, and subsequently, the geographically weighted regression was applied to assess the inequality relationship of deaths from tuberculosis. Results 731 deaths from the disease were identified. The distribution of mortality was heterogeneous, with high rates of death from tuberculosis in more socially vulnerable areas. The autocorrelation and spatial dependence was confirmed. The final model presented variables that indicate inequities: low income, poverty and education, showing their relationship with mortality. Conclusion It was evident that social determinants in the urban space influence mortality from tuberculosis in the region. Therefore, advancing public policies to correct health inequities can positively impact this scenario. (AU)

FAPESP's process: 15/17586-3 - Mortality from tuberculosis and its relationship with social inequalities : a multicenter study
Grantee:Ricardo Alexandre Arcêncio
Support Opportunities: Regular Research Grants