Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/36841 |
Resumo: | Medical Research Council (MRC) (MR/N017250/1), CONFAP/ESRC/MRC/BBSRC/CNPq/FAPDF 2015 – Neglected Tropical Diseases (Process number FAP-DF 193.000.008/2016) to Gerson Oliveira Penna, and Wellcome Trust (Grant 202912/Z/16/Z). |
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Andrade, Kaio Vinicius Freitas deNery, Joilda SilvaPescarini, Júlia MoreiraRamond, AnnaSantos, Carlos Antônio de Souza TelesIchihara, Maria Yury TravassosPenna, Maria Lucia FernandesBrickley, Elizabeth B.Rodrigues, Laura CunhaSmeeth, LiamBarreto, Mauricio LimaPereira, Susan MartinsPenna, Gerson Oliveira2019-11-04T14:28:51Z2019-11-04T14:28:51Z2019ANDRADE, Kaio Vinicius Freitas de et al. Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort. Plos Neglected Tropical Diseases, p. 1-18, Sept. 2019.1935-2727https://www.arca.fiocruz.br/handle/icict/3684110.1371/journal.pntd.0007714Medical Research Council (MRC) (MR/N017250/1), CONFAP/ESRC/MRC/BBSRC/CNPq/FAPDF 2015 – Neglected Tropical Diseases (Process number FAP-DF 193.000.008/2016) to Gerson Oliveira Penna, and Wellcome Trust (Grant 202912/Z/16/Z).Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil / State University of Feira de Santana. Department of Health. Feira de Santana, BA, Brazil.Federal University of Bahia. Institute of Collective Health. Salvador, BA, BrazilFundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia, Instituto de Matemática. Salvador, BA, Brasil / Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, BrasilLondon School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / Federal University of Bahia. Institute of Collective Health. Salvador, BA, BrasilFundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Federal University Fluminense. Department of Epidemiology and Biostatistics. Rio de Janeiro, RJ, Brazil.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom.London School of Hygiene & Tropical Medicine. Department of Non-communicable Disease Epidemiology. London, United Kingdom.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil.Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil.Fundação Oswaldo Cruz. Fiocruz Brasília. Escola de Governo. Brasília, DF, Brasil / Universidade de Brasília. Centro de Medicina Tropical. Brasília, DF, Brasil.Although leprosy is largely curable with multidrug therapy, incomplete treatment limits therapeutic effectiveness and is an important obstacle to disease control. To inform efforts to improve treatment completion rates, we aimed to identify the geographic and socioeconomic factors associated with leprosy treatment default in Brazil. Methodology/Principal findings Using individual participant data collected in the Brazilian national registries for social programs and notifiable diseases and linked as part of the 100 Million Brazilian Cohort, we evaluated the odds of treatment default among 20,063 leprosy cases diagnosed and followed up between 2007 and 2014. We investigated geographic and socioeconomic risk factors using a multivariate hierarchical analysis and carried out additional stratified analyses by leprosy subtype and geographic region. Over the duration of follow-up, 1,011 (5.0%) leprosy cases were observed to default from treatment. Treatment default was markedly increased among leprosy cases residing in the North (OR = 1.57; 95%CI 1.25–1.97) and Northeast (OR = 1.44; 95%CI 1.17–1.78) regions of Brazil.engPublic Library of ScienceFatores socioeconomicosHanseniaseTratamentoAnálise de CoortesSocioeconomic FactorsLeprosyTreatmentCohort StudiesGeographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohortinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-82991https://www.arca.fiocruz.br/bitstream/icict/36841/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALKaio. V.F A. Geographic.pdfKaio. V.F A. 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dc.title.en.fl_str_mv |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
title |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
spellingShingle |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort Andrade, Kaio Vinicius Freitas de Fatores socioeconomicos Hanseniase Tratamento Análise de Coortes Socioeconomic Factors Leprosy Treatment Cohort Studies |
title_short |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
title_full |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
title_fullStr |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
title_full_unstemmed |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
title_sort |
Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort |
author |
Andrade, Kaio Vinicius Freitas de |
author_facet |
Andrade, Kaio Vinicius Freitas de Nery, Joilda Silva Pescarini, Júlia Moreira Ramond, Anna Santos, Carlos Antônio de Souza Teles Ichihara, Maria Yury Travassos Penna, Maria Lucia Fernandes Brickley, Elizabeth B. Rodrigues, Laura Cunha Smeeth, Liam Barreto, Mauricio Lima Pereira, Susan Martins Penna, Gerson Oliveira |
author_role |
author |
author2 |
Nery, Joilda Silva Pescarini, Júlia Moreira Ramond, Anna Santos, Carlos Antônio de Souza Teles Ichihara, Maria Yury Travassos Penna, Maria Lucia Fernandes Brickley, Elizabeth B. Rodrigues, Laura Cunha Smeeth, Liam Barreto, Mauricio Lima Pereira, Susan Martins Penna, Gerson Oliveira |
author2_role |
author author author author author author author author author author author author |
dc.contributor.author.fl_str_mv |
Andrade, Kaio Vinicius Freitas de Nery, Joilda Silva Pescarini, Júlia Moreira Ramond, Anna Santos, Carlos Antônio de Souza Teles Ichihara, Maria Yury Travassos Penna, Maria Lucia Fernandes Brickley, Elizabeth B. Rodrigues, Laura Cunha Smeeth, Liam Barreto, Mauricio Lima Pereira, Susan Martins Penna, Gerson Oliveira |
dc.subject.other.pt_BR.fl_str_mv |
Fatores socioeconomicos Hanseniase Tratamento Análise de Coortes |
topic |
Fatores socioeconomicos Hanseniase Tratamento Análise de Coortes Socioeconomic Factors Leprosy Treatment Cohort Studies |
dc.subject.en.en.fl_str_mv |
Socioeconomic Factors Leprosy Treatment Cohort Studies |
description |
Medical Research Council (MRC) (MR/N017250/1), CONFAP/ESRC/MRC/BBSRC/CNPq/FAPDF 2015 – Neglected Tropical Diseases (Process number FAP-DF 193.000.008/2016) to Gerson Oliveira Penna, and Wellcome Trust (Grant 202912/Z/16/Z). |
publishDate |
2019 |
dc.date.accessioned.fl_str_mv |
2019-11-04T14:28:51Z |
dc.date.available.fl_str_mv |
2019-11-04T14:28:51Z |
dc.date.issued.fl_str_mv |
2019 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
ANDRADE, Kaio Vinicius Freitas de et al. Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort. Plos Neglected Tropical Diseases, p. 1-18, Sept. 2019. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/36841 |
dc.identifier.issn.pt_BR.fl_str_mv |
1935-2727 |
dc.identifier.doi.none.fl_str_mv |
10.1371/journal.pntd.0007714 |
identifier_str_mv |
ANDRADE, Kaio Vinicius Freitas de et al. Geographic and socioeconomic factors associated with leprosy treatment default: an analysis from the 100 Million Brazilian Cohort. Plos Neglected Tropical Diseases, p. 1-18, Sept. 2019. 1935-2727 10.1371/journal.pntd.0007714 |
url |
https://www.arca.fiocruz.br/handle/icict/36841 |
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eng |
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eng |
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Public Library of Science |
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Public Library of Science |
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