| Texto completo | |
| Autor(es): |
Santos Neto, Marcelino
[1]
;
Yamamura, Mellina
[2]
;
da Cunha Garcia, Maria Concebida
[2]
;
Popolin, Marcela Paschoal
[2]
;
Bandeira Rodrigues, Ludmila Barbosa
[3]
;
Chiaravalloti Neto, Francisco
[4]
;
Fronteira, Ines
[5]
;
Arcencio, Ricardo Alexandre
[2]
Número total de Autores: 8
|
| Afiliação do(s) autor(es): | [1] Univ Fed Maranhao, Ctr Ciencias Sociais Saude & Tecnol, Imperatriz, MA - Brazil
[2] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, Dept Enfermagem Materno Infantil & Saude Publ, BR-14049 Ribeirao Preto, SP - Brazil
[3] Univ Fed Mato Grosso, Dept Med, Cuiaba, MT - Brazil
[4] Univ Sao Paulo, Fac Saude Publ, Dept Epidemiol, BR-01255 Sao Paulo, SP - Brazil
[5] Univ Nova Lisboa, Inst Higiene & Med Trop, P-1200 Lisbon - Portugal
Número total de Afiliações: 5
|
| Tipo de documento: | Artigo Científico |
| Fonte: | Revista da Sociedade Brasileira de Medicina Tropical; v. 48, n. 1, p. 69-76, JAN-FEB 2015. |
| Citações Web of Science: | 1 |
| Resumo | |
INTRODUCTION: The objective was to identify space and space-time risk clusters for the occurrence of deaths in a priority city for the control of tuberculosis (TB) in the Brazilian Northeast. METHODS: Ecological research was undertaken in the City of São Luis/Maranhão. Cases were considered that resulted in deaths in the population living in the urban region of the city with pulmonary TB as the basic cause, between 2008 and 2012. To detect space and space-time clusters of deaths due to pulmonary TB in the census sectors, the spatial analysis scan technique was used. RESULTS: In total, 221 deaths by TB occurred, 193 of which were due to pulmonary TB. Approximately 95% of the cases (n=183) were geocoded. Two significant spatial clusters were identified, the first of which showed a mortality rate of 5.8 deaths per 100,000 inhabitants per year and a high relative risk of 3.87. The second spatial cluster showed a mortality rate of 0.4 deaths per 100,000 inhabitants per year and a low relative risk of 0.10. A significant cluster was observed in the space-time analysis between 11/01/2008 and 04/30/2011, with a mortality rate of 8.10 deaths per 100,000 inhabitants per year and a high relative risk (3.0). CONCLUSIONS: The knowledge of priority sites for the occurrence of deaths can support public management to reduce inequities in the access to health services and permit an optimization of the resources and teams in the control of pulmonary TB, providing support for specific strategies focused on the most vulnerable populations. (AU) | |
| Processo FAPESP: | 13/03756-9 - Iniquidades sociais e as internações por tuberculose no município de Ribeirão Preto (SP) |
| Beneficiário: | Ricardo Alexandre Arcêncio |
| Modalidade de apoio: | Auxílio à Pesquisa - Regular |