Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study

Detalhes bibliográficos
Autor(a) principal: Nery, Joilda Silva
Data de Publicação: 2019
Outros Autores: Ramond, Anna, Pescarini, Júlia Moreira, Alves, André, Strina, Agostino, Ichihara, Maria Yury Travassos, Penna, Maria Lucia Fernandes, Smeeth, Liam, Rodrigues, Laura Cunha, Barreto, Mauricio Lima, Brickley, Elizabeth B., Penna, Gerson Oliveira
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
Texto Completo: https://www.arca.fiocruz.br/handle/icict/36031
Resumo: Medical Research Council, Wellcome Trust, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazil), the Conselho Nacional das Fundações Estaduais de Amparo à Pesquisa, Economic and Social Research Council, Biotechnology and Biological Sciences Research Council, Conselho Nacional de Desenvolvimento Científico e Tecnológico, and Fundação de Apoio à Pesquisa do Distrito Federal.
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spelling Nery, Joilda SilvaRamond, AnnaPescarini, Júlia MoreiraAlves, AndréStrina, AgostinoIchihara, Maria Yury TravassosPenna, Maria Lucia FernandesSmeeth, LiamRodrigues, Laura CunhaBarreto, Mauricio LimaBrickley, Elizabeth B.Penna, Gerson Oliveira2019-10-01T13:41:13Z2019-10-01T13:41:13Z2019NERY, Joilda Silva et al. Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study. Lancet Global Health, v. 7, n. 9, p. 1-11, 2019.2214-109Xhttps://www.arca.fiocruz.br/handle/icict/3603110.1016/S2214-109X(19)30260-82214-109XMedical Research Council, Wellcome Trust, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazil), the Conselho Nacional das Fundações Estaduais de Amparo à Pesquisa, Economic and Social Research Council, Biotechnology and Biological Sciences Research Council, Conselho Nacional de Desenvolvimento Científico e Tecnológico, and Fundação de Apoio à Pesquisa do Distrito Federal.Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, UK.Federal University Fluminense. Epidemiology and Biostatistics Department. Rio de Janeiro, RJ, Brazil.Federal University Fluminense. Epidemiology and Biostatistics Department. Rio de Janeiro, RJ, Brazil.Federal University Fluminense. Epidemiology and Biostatistics Department. Rio de Janeiro, RJ, Brazil.Federal University Fluminense. Epidemiology and Biostatistics Department. Rio de Janeiro, RJ, Brazil.University of Brasília. Tropical Medicine Centre. Brasília, DF, Brazil / Oswaldo Cruz Foundation. School of Goverment Brasília. Brasília, DF, Brazil.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, UK.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, UK.Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil.London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, UK.Federal University Fluminense. Epidemiology and Biostatistics Department. Rio de Janeiro, RJ, Brazil.Although leprosy is recognised as a disease of poverty, there is little evidence on the specific socioeconomic factors associated with disease risk. To inform targeted strategies for disease elimination, we investigated socioeconomic markers of leprosy risk in Brazil. Methods Socioeconomic data from the 100 Million Brazilian Cohort were linked to the Brazilian national disease registry (Sistema de Informação de Agravos de Notificação) for leprosy from Jan 1, 2007, to Dec 31, 2014. Using Poisson regression, we assessed the association of socioeconomic factors with risk of incident leprosy in the full cohort and in children (aged 0–15 years), by leprosy subtype and region of residence. Findings In an analysis of 23 899 942 individuals including 18 518 patients with leprosy, increased levels of deprivation were associated with an increased risk of leprosy in Brazil. Directions of effect were consistent in children younger than 15 years and across disease subtypes. Individuals residing in regions with the highest poverty in the country (central-west, north, and northeast regions) had a risk of leprosy incidence five-to-eight times greater than did other individuals. Decreased levels of income and education and factors reflecting unfavourable living conditions were associated with an up to two-times increase in leprosy incidence (incidence rate ratio 1·46, 95% CI 1·32–1·62, for lowest vs highest quartile of income per capita; 2·09, 95% CI 1·62–2·72, for lowest vs highest level of education). Interpretation Within the poorest half of the Brazilian population, the most deprived individuals have the greatest risk of leprosy. Strategies focusing on early detection and treatment in the poorest populations could contribute substantially to global disease control.engElsevierHanseniaseFatores de riscoCondições SocioeconómicasPopulação CarenteHumanosBrasilLeprosyRisk FactorsSocial ClassVulnerable PopulationsHumansBrazilSocioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage studyinfo: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/36031/1/license.txt5a560609d32a3863062d77ff32785d58MD51ORIGINALNery, S. J Socioeconomic....pdfNery, S. 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dc.title.en.fl_str_mv Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
title Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
spellingShingle Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
Nery, Joilda Silva
Hanseniase
Fatores de risco
Condições Socioeconómicas
População Carente
Humanos
Brasil
Leprosy
Risk Factors
Social Class
Vulnerable Populations
Humans
Brazil
title_short Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
title_full Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
title_fullStr Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
title_full_unstemmed Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
title_sort Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study
author Nery, Joilda Silva
author_facet Nery, Joilda Silva
Ramond, Anna
Pescarini, Júlia Moreira
Alves, André
Strina, Agostino
Ichihara, Maria Yury Travassos
Penna, Maria Lucia Fernandes
Smeeth, Liam
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
Brickley, Elizabeth B.
Penna, Gerson Oliveira
author_role author
author2 Ramond, Anna
Pescarini, Júlia Moreira
Alves, André
Strina, Agostino
Ichihara, Maria Yury Travassos
Penna, Maria Lucia Fernandes
Smeeth, Liam
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
Brickley, Elizabeth B.
Penna, Gerson Oliveira
author2_role author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Nery, Joilda Silva
Ramond, Anna
Pescarini, Júlia Moreira
Alves, André
Strina, Agostino
Ichihara, Maria Yury Travassos
Penna, Maria Lucia Fernandes
Smeeth, Liam
Rodrigues, Laura Cunha
Barreto, Mauricio Lima
Brickley, Elizabeth B.
Penna, Gerson Oliveira
dc.subject.other.pt_BR.fl_str_mv Hanseniase
Fatores de risco
Condições Socioeconómicas
População Carente
Humanos
Brasil
topic Hanseniase
Fatores de risco
Condições Socioeconómicas
População Carente
Humanos
Brasil
Leprosy
Risk Factors
Social Class
Vulnerable Populations
Humans
Brazil
dc.subject.en.en.fl_str_mv Leprosy
Risk Factors
Social Class
Vulnerable Populations
Humans
Brazil
description Medical Research Council, Wellcome Trust, Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (Brazil), the Conselho Nacional das Fundações Estaduais de Amparo à Pesquisa, Economic and Social Research Council, Biotechnology and Biological Sciences Research Council, Conselho Nacional de Desenvolvimento Científico e Tecnológico, and Fundação de Apoio à Pesquisa do Distrito Federal.
publishDate 2019
dc.date.accessioned.fl_str_mv 2019-10-01T13:41:13Z
dc.date.available.fl_str_mv 2019-10-01T13:41:13Z
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 NERY, Joilda Silva et al. Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study. Lancet Global Health, v. 7, n. 9, p. 1-11, 2019.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/36031
dc.identifier.issn.pt_BR.fl_str_mv 2214-109X
dc.identifier.doi.none.fl_str_mv 10.1016/S2214-109X(19)30260-8
dc.identifier.eissn.none.fl_str_mv 2214-109X
identifier_str_mv NERY, Joilda Silva et al. Socioeconomic determinants of leprosy new case detection in the 100 Million Brazilian Cohort: a population-based linkage study. Lancet Global Health, v. 7, n. 9, p. 1-11, 2019.
2214-109X
10.1016/S2214-109X(19)30260-8
url https://www.arca.fiocruz.br/handle/icict/36031
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 Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:Repositório Institucional da FIOCRUZ (ARCA)
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