The Porto Alegre paradox: social determinants and tuberculosis incidence

Detalhes bibliográficos
Autor(a) principal: Acosta,Lisiane Morelia Weide
Data de Publicação: 2014
Outros Autores: Bassanesi,Sérgio Luiz
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista brasileira de epidemiologia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000600088
Resumo: INTRODUCTION: The incidence of tuberculosis (TB) is strongly associated with social and economic factors. The city of Porto Alegre, in the South of Brazil, has one of the highest Human Development Index and Gross Domestic Product per capita of the country. One would expect that the incidence of tuberculosis in such a place were low. However, the city has very high rates of incidence, the highest among Brazilian capitals. This paradox prompted this work, whose objectives were to analyze the spatial distribution of the incidence rate of bacilliferous pulmonary tuberculosis throughout the neighborhoods of Porto Alegre and its association with socioeconomic indicators. METHODS: Ecological non-concurrent cohort study. The units of analysis were the neighborhoods of the city. The average annual incidence of bacilliferous pulmonary tuberculosis for the period 2000 to 2005 and seven socioeconomic variables were analyzed, with information obtained from the IBGE and the Mortality Information System. Spatial techniques and multivariate analyzes were used to check associations. Inequalities were also measured. RESULTS: The spatial distribution of the incidence rate of bacilliferous pulmonary tuberculosis is very similar, i.e., associated with the distribution of socioeconomic factors. The Relative Index of Inequality was 7.9, showing the great difference in the incidence rate between neighborhoods. CONCLUSION: Porto Alegre presents high incidence rates of bacilliferous pulmonary tuberculosis, which distribution through the neighborhoods of the city is associated with socioeconomic factors. The city's high rate is due to the extremely high incidence rates in its poorest neighborhoods. The authors raise hypotheses and suggest interventions.
id ABRASCO-1_2bacc4c1e0d8064688f532d3f3037f1a
oai_identifier_str oai:scielo:S1415-790X2014000600088
network_acronym_str ABRASCO-1
network_name_str Revista brasileira de epidemiologia (Online)
repository_id_str
spelling The Porto Alegre paradox: social determinants and tuberculosis incidenceTuberculosisSpatial analysisSocial determinants of healthEpidemiological surveillanceSocioeconomic indicatorsRelative Index of Inequality INTRODUCTION: The incidence of tuberculosis (TB) is strongly associated with social and economic factors. The city of Porto Alegre, in the South of Brazil, has one of the highest Human Development Index and Gross Domestic Product per capita of the country. One would expect that the incidence of tuberculosis in such a place were low. However, the city has very high rates of incidence, the highest among Brazilian capitals. This paradox prompted this work, whose objectives were to analyze the spatial distribution of the incidence rate of bacilliferous pulmonary tuberculosis throughout the neighborhoods of Porto Alegre and its association with socioeconomic indicators. METHODS: Ecological non-concurrent cohort study. The units of analysis were the neighborhoods of the city. The average annual incidence of bacilliferous pulmonary tuberculosis for the period 2000 to 2005 and seven socioeconomic variables were analyzed, with information obtained from the IBGE and the Mortality Information System. Spatial techniques and multivariate analyzes were used to check associations. Inequalities were also measured. RESULTS: The spatial distribution of the incidence rate of bacilliferous pulmonary tuberculosis is very similar, i.e., associated with the distribution of socioeconomic factors. The Relative Index of Inequality was 7.9, showing the great difference in the incidence rate between neighborhoods. CONCLUSION: Porto Alegre presents high incidence rates of bacilliferous pulmonary tuberculosis, which distribution through the neighborhoods of the city is associated with socioeconomic factors. The city's high rate is due to the extremely high incidence rates in its poorest neighborhoods. The authors raise hypotheses and suggest interventions. Associação Brasileira de Saúde Coletiva2014-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000600088Revista Brasileira de Epidemiologia v.17 suppl.2 2014reponame:Revista brasileira de epidemiologia (Online)instname:Associação Brasileira de Saúde Coletiva (ABRASCO)instacron:ABRASCO10.1590/1809-4503201400060008info:eu-repo/semantics/openAccessAcosta,Lisiane Morelia WeideBassanesi,Sérgio Luizeng2014-11-10T00:00:00Zoai:scielo:S1415-790X2014000600088Revistahttp://www.scielo.br/rbepidhttps://old.scielo.br/oai/scielo-oai.php||revbrepi@usp.br1980-54971415-790Xopendoar:2014-11-10T00:00Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)false
dc.title.none.fl_str_mv The Porto Alegre paradox: social determinants and tuberculosis incidence
title The Porto Alegre paradox: social determinants and tuberculosis incidence
spellingShingle The Porto Alegre paradox: social determinants and tuberculosis incidence
Acosta,Lisiane Morelia Weide
Tuberculosis
Spatial analysis
Social determinants of health
Epidemiological surveillance
Socioeconomic indicators
Relative Index of Inequality
title_short The Porto Alegre paradox: social determinants and tuberculosis incidence
title_full The Porto Alegre paradox: social determinants and tuberculosis incidence
title_fullStr The Porto Alegre paradox: social determinants and tuberculosis incidence
title_full_unstemmed The Porto Alegre paradox: social determinants and tuberculosis incidence
title_sort The Porto Alegre paradox: social determinants and tuberculosis incidence
author Acosta,Lisiane Morelia Weide
author_facet Acosta,Lisiane Morelia Weide
Bassanesi,Sérgio Luiz
author_role author
author2 Bassanesi,Sérgio Luiz
author2_role author
dc.contributor.author.fl_str_mv Acosta,Lisiane Morelia Weide
Bassanesi,Sérgio Luiz
dc.subject.por.fl_str_mv Tuberculosis
Spatial analysis
Social determinants of health
Epidemiological surveillance
Socioeconomic indicators
Relative Index of Inequality
topic Tuberculosis
Spatial analysis
Social determinants of health
Epidemiological surveillance
Socioeconomic indicators
Relative Index of Inequality
description INTRODUCTION: The incidence of tuberculosis (TB) is strongly associated with social and economic factors. The city of Porto Alegre, in the South of Brazil, has one of the highest Human Development Index and Gross Domestic Product per capita of the country. One would expect that the incidence of tuberculosis in such a place were low. However, the city has very high rates of incidence, the highest among Brazilian capitals. This paradox prompted this work, whose objectives were to analyze the spatial distribution of the incidence rate of bacilliferous pulmonary tuberculosis throughout the neighborhoods of Porto Alegre and its association with socioeconomic indicators. METHODS: Ecological non-concurrent cohort study. The units of analysis were the neighborhoods of the city. The average annual incidence of bacilliferous pulmonary tuberculosis for the period 2000 to 2005 and seven socioeconomic variables were analyzed, with information obtained from the IBGE and the Mortality Information System. Spatial techniques and multivariate analyzes were used to check associations. Inequalities were also measured. RESULTS: The spatial distribution of the incidence rate of bacilliferous pulmonary tuberculosis is very similar, i.e., associated with the distribution of socioeconomic factors. The Relative Index of Inequality was 7.9, showing the great difference in the incidence rate between neighborhoods. CONCLUSION: Porto Alegre presents high incidence rates of bacilliferous pulmonary tuberculosis, which distribution through the neighborhoods of the city is associated with socioeconomic factors. The city's high rate is due to the extremely high incidence rates in its poorest neighborhoods. The authors raise hypotheses and suggest interventions.
publishDate 2014
dc.date.none.fl_str_mv 2014-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000600088
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1415-790X2014000600088
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1809-4503201400060008
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
publisher.none.fl_str_mv Associação Brasileira de Saúde Coletiva
dc.source.none.fl_str_mv Revista Brasileira de Epidemiologia v.17 suppl.2 2014
reponame:Revista brasileira de epidemiologia (Online)
instname:Associação Brasileira de Saúde Coletiva (ABRASCO)
instacron:ABRASCO
instname_str Associação Brasileira de Saúde Coletiva (ABRASCO)
instacron_str ABRASCO
institution ABRASCO
reponame_str Revista brasileira de epidemiologia (Online)
collection Revista brasileira de epidemiologia (Online)
repository.name.fl_str_mv Revista brasileira de epidemiologia (Online) - Associação Brasileira de Saúde Coletiva (ABRASCO)
repository.mail.fl_str_mv ||revbrepi@usp.br
_version_ 1754212953936101376