Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2020 |
| 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/45505 |
Resumo: | Conselho Nacional das Fundações Estaduais de Amparo à Pesquisa (CONFAP), Economic and Social Research Council (ESRC), Medical Research Council (MRC), Biotechnology and Biological Sciences Research Council (BBSRC), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Apoio à Pesquisa do Distrito Federal (FAP-DF) for Neglected Diseases (FAP-DF 193.000.008/ 2016 and MR/N017250/1), the Wellcome Trust (202912/B/16/Z), e Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). |
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Pescarini, Júlia MoreiraWilliamson, ElizabethIchihara, Maria Yury TravassosFiaccone, Rosemeire LeovigildoForastiere, LauraRamond, AnnaNery, Joilda SilvaPenna, Maria Lucia FernandesStrina, AgostinoReis, SandraSmeeth, LiamRodrigues, Laura CunhaBrickley, Elizabeth B.Penna, Gerson OliveiraBarreto, Maurício Lima2021-01-05T13:03:36Z2021-01-05T13:03:36Z2020PESCARINI, Julia Moreira et al. Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort. American Journal of Epidemiology, [Baltimore], v. 189, n. 12, p. 1547–1558, Jul. 2020.0002-9262https://www.arca.fiocruz.br/handle/icict/4550510.1093/aje/kwaa127Conselho Nacional das Fundações Estaduais de Amparo à Pesquisa (CONFAP), Economic and Social Research Council (ESRC), Medical Research Council (MRC), Biotechnology and Biological Sciences Research Council (BBSRC), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Apoio à Pesquisa do Distrito Federal (FAP-DF) for Neglected Diseases (FAP-DF 193.000.008/ 2016 and MR/N017250/1), the Wellcome Trust (202912/B/16/Z), e Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES).Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.London School of Hygiene & Tropical Medicine. Department of Medical Statistics. London, United Kingdom.Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Institute of Mathematics and Statistics. Salvador, BA, Brasil.Yale University. Yale Institute for Network Science. New Haven, USA.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.Universidade Federal Fluminense. Instituto de Saúde da Comunidade. Niterói, RJ, Brasil.Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.London School of Hygiene & Tropical Medicine. Department of Non-Communicable 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 Infectious Disease Epidemiology. London, United Kingdom.Fundação Oswaldo Cruz. Escola Fiocruz de Governo. Brasília, DF, Brasil / Universidade de Brasília. Núcleo de Medicina Tropical. Brasília, DF, Brasil.Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.Leprosy is a neglected tropical disease predominately affecting poor and marginalized populations. To test the hypothesis that poverty-alleviating policies might be associated with reduced leprosy incidence, we evaluated the association between the Brazilian Bolsa Familia (BFP) conditional cash transfer program and new leprosy case detection using linked records from 12,949,730 families in the 100 Million Brazilian Cohort (2007–2014). After propensity score matching BFP beneficiary to nonbeneficiary families, we used Mantel-Haenszel tests and Poisson regressions to estimate incidence rate ratios for new leprosy case detection and secondary endpoints related to operational classification and leprosy-associated disabilities at diagnosis. Overall, cumulative leprosy incidence was 17.4/100,000 person-years at risk (95% CI: 17.1, 17.7) and markedly higher in “priority” (highburden) versus “nonpriority” (low-burden) municipalities (22.8/100,000 person-years at risk, 95% confidence interval (CI): 22.2, 23.3, compared with 14.3/100,000 person-years at risk, 95% CI: 14.0, 14.7). After matching, BFP participation was not associated with leprosy incidence overall (incidence rate ratio (IRR)Poisson = 0.97, 95% CI: 0.90, 1.04) but was associated with lower leprosy incidence when restricted to families living in highburden municipalities (IRRPoisson = 0.86, 95% CI: 0.77, 0.96). In high-burden municipalities, the association was particularly pronounced for paucibacillary cases (IRRPoisson = 0.82, 95% CI: 0.68, 0.98) and cases with leprosyassociated disabilities (IRRPoisson = 0.79, 95% CI: 0.65, 0.97). These findings provide policy-relevant evidence that social policies might contribute to ongoing leprosy control efforts in high-burden communities.engOxford University Presshttps://www.arca.fiocruz.br/handle/icict/42846LeprosyPovertyPublic AssistanceEpidemiologyBrazilIncomeBolsa Familia ProgramCash transfersHansen’s diseaseinequalityInfectious diseasesPovertyProgramas SociaisHanseníaseDoenças TransmissíveisPobrezaBrasilConditional cash transfer program and Leprosy incidence: analysis of 12.9 million families 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; 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| dc.title.pt_BR.fl_str_mv |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| title |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| spellingShingle |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort Pescarini, Júlia Moreira Leprosy Poverty Public Assistance Epidemiology Brazil Income Bolsa Familia Program Cash transfers Hansen’s disease inequality Infectious diseases Poverty Programas Sociais Hanseníase Doenças Transmissíveis Pobreza Brasil |
| title_short |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| title_full |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| title_fullStr |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| title_full_unstemmed |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| title_sort |
Conditional cash transfer program and Leprosy incidence: analysis of 12.9 million families from the 100 million Brazilian cohort |
| author |
Pescarini, Júlia Moreira |
| author_facet |
Pescarini, Júlia Moreira Williamson, Elizabeth Ichihara, Maria Yury Travassos Fiaccone, Rosemeire Leovigildo Forastiere, Laura Ramond, Anna Nery, Joilda Silva Penna, Maria Lucia Fernandes Strina, Agostino Reis, Sandra Smeeth, Liam Rodrigues, Laura Cunha Brickley, Elizabeth B. Penna, Gerson Oliveira Barreto, Maurício Lima |
| author_role |
author |
| author2 |
Williamson, Elizabeth Ichihara, Maria Yury Travassos Fiaccone, Rosemeire Leovigildo Forastiere, Laura Ramond, Anna Nery, Joilda Silva Penna, Maria Lucia Fernandes Strina, Agostino Reis, Sandra Smeeth, Liam Rodrigues, Laura Cunha Brickley, Elizabeth B. Penna, Gerson Oliveira Barreto, Maurício Lima |
| author2_role |
author author author author author author author author author author author author author author |
| dc.contributor.author.fl_str_mv |
Pescarini, Júlia Moreira Williamson, Elizabeth Ichihara, Maria Yury Travassos Fiaccone, Rosemeire Leovigildo Forastiere, Laura Ramond, Anna Nery, Joilda Silva Penna, Maria Lucia Fernandes Strina, Agostino Reis, Sandra Smeeth, Liam Rodrigues, Laura Cunha Brickley, Elizabeth B. Penna, Gerson Oliveira Barreto, Maurício Lima |
| dc.subject.mesh.pt_BR.fl_str_mv |
Leprosy Poverty Public Assistance Epidemiology Brazil Income |
| topic |
Leprosy Poverty Public Assistance Epidemiology Brazil Income Bolsa Familia Program Cash transfers Hansen’s disease inequality Infectious diseases Poverty Programas Sociais Hanseníase Doenças Transmissíveis Pobreza Brasil |
| dc.subject.en.pt_BR.fl_str_mv |
Bolsa Familia Program Cash transfers Hansen’s disease inequality Infectious diseases Poverty |
| dc.subject.decs.pt_BR.fl_str_mv |
Programas Sociais Hanseníase Doenças Transmissíveis Pobreza Brasil |
| description |
Conselho Nacional das Fundações Estaduais de Amparo à Pesquisa (CONFAP), Economic and Social Research Council (ESRC), Medical Research Council (MRC), Biotechnology and Biological Sciences Research Council (BBSRC), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Fundação de Apoio à Pesquisa do Distrito Federal (FAP-DF) for Neglected Diseases (FAP-DF 193.000.008/ 2016 and MR/N017250/1), the Wellcome Trust (202912/B/16/Z), e Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). |
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2020 |
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2020 |
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2021-01-05T13:03:36Z |
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2021-01-05T13:03:36Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
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PESCARINI, Julia Moreira et al. Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort. American Journal of Epidemiology, [Baltimore], v. 189, n. 12, p. 1547–1558, Jul. 2020. |
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https://www.arca.fiocruz.br/handle/icict/45505 |
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0002-9262 |
| dc.identifier.doi.none.fl_str_mv |
10.1093/aje/kwaa127 |
| identifier_str_mv |
PESCARINI, Julia Moreira et al. Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort. American Journal of Epidemiology, [Baltimore], v. 189, n. 12, p. 1547–1558, Jul. 2020. 0002-9262 10.1093/aje/kwaa127 |
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https://www.arca.fiocruz.br/handle/icict/45505 |
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eng |
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Oxford University Press |
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Oxford University Press |
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