Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil

Detalhes bibliográficos
Autor(a) principal: Viana, Paulo Victor de Sousa
Data de Publicação: 2013
Outros Autores: Gonçalves, Maria Jacirema Ferreira, Basta, Paulo Cesar
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/53640
Resumo: Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro de Referência Professor Hélio Fraga. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
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spelling Viana, Paulo Victor de SousaGonçalves, Maria Jacirema FerreiraBasta, Paulo Cesar2022-07-05T14:42:52Z2022-07-05T14:42:52Z2013VIANA, Paulo Victor de Sousa; GONÇALVES, Maria Jacirema Ferreira; BASTA, Paulo Cesar. Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil. PLoS ONE, v. 11, n. 5, p. 1-16, 13 May 2013.1932-6203https://www.arca.fiocruz.br/handle/icict/5364010.1371/journal.pone.01546581932-6203engPublic Library of ScienceEthnic and racial inequalities in notified cases of Tuberculosis in Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro de Referência Professor Hélio Fraga. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Fundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Manaus, AM, Brasil / Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil.Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.Objective: This study analysed clinical and sociodemographic aspects and follow-up for notified cases of tuberculosis (TB) and explored inequalities in incidence rates and outcome by colour or race and the geographic macro-regions of Brazil. Methods: This paper reports the results of a population-based descriptive epidemiological study of all notified cases of TB in Brazil during the period from 01/01/2008 to 31/12/2011. We analysed sociodemographic and clinical variables according to colour or race (white, black, Asian, mixed, and indigenous) and geographic macro-regions of the country (North, Northeast, Central-West, South, and Southeast). Results: During the study period, the average incidence of TB in Brazil was 36.7 cases per 100,000 inhabitants, with the highest rates occurring in the North and Southeast regions. The analysis of TB notifications by colour or race revealed that the indigenous population presented the highest incidence rates in all macro-regions except the South, where higher rates were reported in black patients. ‘Cured’ was the most frequently reported treatment outcome for all skin colour categories. The highest cure rate occurred among the indigenous population (76.8%), while the lowest cure rate occurred among the black population (70.7%). Rates of treatment default were highest among blacks (10.5%) and lowest among the indigenous population (6.9%). However, the fatality rate was similar across race categories, varying between 2.8% and 3.8% for whites and the indigenous population, respectively. The lowest cure rates were observed when follow-up was inadequate (58.3%), and the highest was observed when the follow-up was classified as excellent (96.8%). Conclusions: This study revealed that—apart from the heterogeneous distribution of TB among the Brazilian macro-regions—ethnic-racial inequalities exist in terms of clinical-epidemiological characteristics and incidence rates as well as follow-up for cases undergoing treatment. The highest rates of TB occurred among the indigenous people.TuberculosisBrazilIndigenous populationsVirus testingEpidemiologySputumEthnic epidemiologyHIVinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; charset=utf-83132https://www.arca.fiocruz.br/bitstream/icict/53640/1/license.txt33967fcc8ef681b8f5c2c34178ebc114MD51ORIGINALve_Paulo_Viana_etal_ENSP_2013.pdfve_Paulo_Viana_etal_ENSP_2013.pdfapplication/pdf824329https://www.arca.fiocruz.br/bitstream/icict/53640/2/ve_Paulo_Viana_etal_ENSP_2013.pdf9c56d3e838071024a156dac15e6b560eMD52icict/536402022-07-05 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dc.title.pt_BR.fl_str_mv Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
title Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
spellingShingle Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
Viana, Paulo Victor de Sousa
Tuberculosis
Brazil
Indigenous populations
Virus testing
Epidemiology
Sputum
Ethnic epidemiology
HIV
title_short Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
title_full Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
title_fullStr Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
title_full_unstemmed Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
title_sort Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil
author Viana, Paulo Victor de Sousa
author_facet Viana, Paulo Victor de Sousa
Gonçalves, Maria Jacirema Ferreira
Basta, Paulo Cesar
author_role author
author2 Gonçalves, Maria Jacirema Ferreira
Basta, Paulo Cesar
author2_role author
author
dc.contributor.author.fl_str_mv Viana, Paulo Victor de Sousa
Gonçalves, Maria Jacirema Ferreira
Basta, Paulo Cesar
dc.subject.en.pt_BR.fl_str_mv Tuberculosis
Brazil
Indigenous populations
Virus testing
Epidemiology
Sputum
Ethnic epidemiology
HIV
topic Tuberculosis
Brazil
Indigenous populations
Virus testing
Epidemiology
Sputum
Ethnic epidemiology
HIV
description Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro de Referência Professor Hélio Fraga. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.
publishDate 2013
dc.date.issued.fl_str_mv 2013
dc.date.accessioned.fl_str_mv 2022-07-05T14:42:52Z
dc.date.available.fl_str_mv 2022-07-05T14:42:52Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv VIANA, Paulo Victor de Sousa; GONÇALVES, Maria Jacirema Ferreira; BASTA, Paulo Cesar. Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil. PLoS ONE, v. 11, n. 5, p. 1-16, 13 May 2013.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/53640
dc.identifier.issn.pt_BR.fl_str_mv 1932-6203
dc.identifier.doi.none.fl_str_mv 10.1371/journal.pone.0154658
dc.identifier.eissn.none.fl_str_mv 1932-6203
identifier_str_mv VIANA, Paulo Victor de Sousa; GONÇALVES, Maria Jacirema Ferreira; BASTA, Paulo Cesar. Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil. PLoS ONE, v. 11, n. 5, p. 1-16, 13 May 2013.
1932-6203
10.1371/journal.pone.0154658
url https://www.arca.fiocruz.br/handle/icict/53640
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Public Library of Science
publisher.none.fl_str_mv Public Library of Science
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
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instacron_str FIOCRUZ
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reponame_str Repositório Institucional da FIOCRUZ (ARCA)
collection Repositório Institucional da FIOCRUZ (ARCA)
bitstream.url.fl_str_mv https://www.arca.fiocruz.br/bitstream/icict/53640/1/license.txt
https://www.arca.fiocruz.br/bitstream/icict/53640/2/ve_Paulo_Viana_etal_ENSP_2013.pdf
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repository.name.fl_str_mv Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)
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