Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório do Centro Universitário Braz Cubas |
Texto Completo: | https://repositorio.cruzeirodosul.edu.br/handle/123456789/402 |
Resumo: | Introduction: In 2014, 9.6 million new cases of tuberculosis (TB) were estimated worldwide, 12% of which were in people coinfected with the human immunodeficiency virus (HIV). In Brazil there were 67,966 new cases and in 2015 the country prepared the "National Plan for Ending Tuberculosis as a Public Health Problem", based on the precepts and guidelines of health promotion in order to improve the living conditions of the population. Objective: The objective of the present study was to analyze the relationship between the epidemiological indicators of TB and the socioeconomic variables related to the fields of action of health promotion in Brazilian capitals. Material and methods: This is an ecological study using Secondary data, which seeks to associate knowledge in the areas of tuberculosis and health promotion in Brazilian capitals. To describe the epidemiological indicators, the Mortality Information System (SIM), the Notification Disease Information System (SINAN) and the Epidemiological Bulletins of the Ministry of Health were used for both TB and HIV. The variables used were: number of new cases, incidence coefficient, and mortality rate. For the analysis of socioeconomic aspects, the municipal human development index, infant mortality, urbanization rate, housing conditions, aging index, dependency ratio, poverty and Gini. Results and Discussion: The disease had a heterogeneous distribution throughout the country and was more frequent in males, in the age group between 20 and 59 years old and living in large urban centers. Among the Brazilian capitals, Porto Alegre recorded the highest incidence and mortality rate for both TB and HIV in the period studied, and the lowest rates were registered in Brasília. The associations between the incidence of TB and the municipal human development index (IDHM) indicate that some Brazilian capitals, such as Manaus, presented high incidence and low HDI and others, such as Brasília, low incidence and high HDI. Some capitals, such as Palmas, presented low HDI and low incidence, while others, like Porto Alegre, presented high HDI and high incidence. As for the association between the incidence of TB and access to basic health and sanitation services, despite the wide access to these services, their quality is questioned, reflecting in the worst indicators of the disease in the population. There has been an increasing number of registered cases of TB in people aged 60 years or older, suggesting that senior citizens should be considered for disease control actions. With regard to social inequality and poverty, both have changed over the years, with regional differences associated with increased incidence and mortality from tuberculosis. Conclusion: The results showed that the capitals failed to progress in reducing the incidence and mortality coefficients for TB, and that the desired changes depend on concrete actions aimed at reducing poverty, investments in education and guaranteeing the provision of health services. Sufficient quantity and quality. |
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Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humanaSocioeconomic variables: promotion of health and epidemiological indicators of tuberculosis and human immunodeficiency virus.EpidemiologiaPromoção de saúdeTuberculoseCNPQ::CIENCIAS DA SAUDEIntroduction: In 2014, 9.6 million new cases of tuberculosis (TB) were estimated worldwide, 12% of which were in people coinfected with the human immunodeficiency virus (HIV). In Brazil there were 67,966 new cases and in 2015 the country prepared the "National Plan for Ending Tuberculosis as a Public Health Problem", based on the precepts and guidelines of health promotion in order to improve the living conditions of the population. Objective: The objective of the present study was to analyze the relationship between the epidemiological indicators of TB and the socioeconomic variables related to the fields of action of health promotion in Brazilian capitals. Material and methods: This is an ecological study using Secondary data, which seeks to associate knowledge in the areas of tuberculosis and health promotion in Brazilian capitals. To describe the epidemiological indicators, the Mortality Information System (SIM), the Notification Disease Information System (SINAN) and the Epidemiological Bulletins of the Ministry of Health were used for both TB and HIV. The variables used were: number of new cases, incidence coefficient, and mortality rate. For the analysis of socioeconomic aspects, the municipal human development index, infant mortality, urbanization rate, housing conditions, aging index, dependency ratio, poverty and Gini. Results and Discussion: The disease had a heterogeneous distribution throughout the country and was more frequent in males, in the age group between 20 and 59 years old and living in large urban centers. Among the Brazilian capitals, Porto Alegre recorded the highest incidence and mortality rate for both TB and HIV in the period studied, and the lowest rates were registered in Brasília. The associations between the incidence of TB and the municipal human development index (IDHM) indicate that some Brazilian capitals, such as Manaus, presented high incidence and low HDI and others, such as Brasília, low incidence and high HDI. Some capitals, such as Palmas, presented low HDI and low incidence, while others, like Porto Alegre, presented high HDI and high incidence. As for the association between the incidence of TB and access to basic health and sanitation services, despite the wide access to these services, their quality is questioned, reflecting in the worst indicators of the disease in the population. There has been an increasing number of registered cases of TB in people aged 60 years or older, suggesting that senior citizens should be considered for disease control actions. With regard to social inequality and poverty, both have changed over the years, with regional differences associated with increased incidence and mortality from tuberculosis. Conclusion: The results showed that the capitals failed to progress in reducing the incidence and mortality coefficients for TB, and that the desired changes depend on concrete actions aimed at reducing poverty, investments in education and guaranteeing the provision of health services. Sufficient quantity and quality.Introdução: Em 2014 foram estimados 9,6 milhões de casos novos de tuberculose (TB) no mundo, sendo 12% deles em pessoas coinfectadas pelo vírus da imunodeficiência humana (HIV). No Brasil foram 67.966 casos novos e em 2015 o país elaborou o “Plano Nacional pelo fim da tuberculose como problema de saúde pública”, com base nos preceitos e diretrizes da promoção de saúde a fim de melhorar as condições de vida da população. Objetivo: O objetivo do presente estudo foi analisar a relação entre as variáveis socioeconômicas e os indicadores epidemiológicos da TB e do HIV e nas capitais brasileiras. Material e métodos: Trata-se de um estudo ecológico, com utilização de dados secundários, que busca associar o conhecimento nas áreas de tuberculose e promoção de saúde nas capitais brasileiras. Para descrever os indicadores epidemiológicos foram utilizados o Sistema de Informação sobre Mortalidade (SIM), o Sistema de Informação de Agravos de Notificação (SINAN) e os Boletins Epidemiológicos do Ministério da Saúde, tanto para TB como para HIV. As variáveis utilizadas foram: número de casos novos, coeficiente de incidência, e taxa de mortalidade. Para a análise dos aspectos socioeconômicos utilizou-se o índice de desenvolvimento humano municipal, a mortalidade infantil, a taxa de urbanização, as condições de moradia, o índice de envelhecimento, a razão de dependência, a pobreza e o índice de Gini. Resultados e Discussão: A doença apresentou distribuição heterogênea pelo país e foi mais frequente em pessoas do sexo masculino, na faixa etária entre 20 a 59 anos e vivendo em grandes centros urbanos. Dentre as capitais brasileiras, Porto Alegre registrou a maior taxa de incidência e de mortalidade, tanto para TB como para HIV no período estudado, e as menores taxas foram registradas em Brasília. As associações entre a incidência de TB e o índice de desenvolvimento humano municipal (IDHM) indicam que algumas capitais brasileiras, como Manaus, apresentaram alta incidência e baixo IDHM e outras, como Brasília, baixa incidência e alto IDHM. Algumas capitais, como Palmas, apresentaram baixo IDHM e baixa incidência, enquanto outras, a exemplo de Porto Alegre, apresentaram alto IDHM e alta incidência. Quanto a associação entre a incidência de TB e o acesso aos serviços básicos de saúde e saneamento, apesar do amplo acesso a esses serviços, questionase a sua qualidade, refletindo em piores indicadores da doença na população. Houve um crescente número de casos registrados de TB em pessoas com 60 anos ou mais, sugerindo considerar os idosos prioritários para as ações de controle da doença. No que se refere a desigualdade social e a pobreza, ambas sofreram variações ao longo dos anos, com diferenças regionais associadas ao aumento da incidência e da mortalidade por tuberculose. Conclusão: Os resultados mostraram que as capitais não conseguiram avançar na redução dos coeficientes de incidência e de mortalidade por TB, e que, as mudanças almejadas dependem de ações concretas e dirigidas à redução da pobreza, investimentos em educação e garantia de oferta de serviços de saúde em quantidade suficiente e de qualidade.Universidade de FrancaBrasilPós-GraduaçãoPrograma de Doutorado Promoção de SaúdeUNIFRANAndrade, Mônica de4625765471235917http://lattes.cnpq.br/4625765471235917Santos, Branca Maria Oliveira7347966043135611http://lattes.cnpq.br/7347966043135611Ruffino Netto, Antonio2736824113286715http://lattes.cnpq.br/2736824113286715Ramos, Salvador Boccaletti1209143895736251http://lattes.cnpq.br/1209143895736251Arcêncio, Ricardo AlexandreFigueiredo, Glória Lúcia Alves7708429530780932http://lattes.cnpq.br/7708429530780932Larroque, Mônica Mussolini2020-03-25T17:10:08Z2020-03-25T17:10:08Z2017-09-13info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisapplication/pdfLARROQUE, Mônica Mussolini. Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana. Franca, SP, 2017. 126 f. Tese (Doutorado em Promoção de Saúde) - Universidade de Franca. 2017.https://repositorio.cruzeirodosul.edu.br/handle/123456789/402porinfo:eu-repo/semantics/openAccessreponame:Repositório do Centro Universitário Braz Cubasinstname:Centro Universitário Braz Cubas (CUB)instacron:CUB2020-03-25T17:11:24Zoai:repositorio.cruzeirodosul.edu.br:123456789/402Repositório InstitucionalPUBhttps://repositorio.brazcubas.edu.br/oai/requestbibli@brazcubas.edu.bropendoar:2020-03-25T17:11:24Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)false |
dc.title.none.fl_str_mv |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana Socioeconomic variables: promotion of health and epidemiological indicators of tuberculosis and human immunodeficiency virus. |
title |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana |
spellingShingle |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana Larroque, Mônica Mussolini Epidemiologia Promoção de saúde Tuberculose CNPQ::CIENCIAS DA SAUDE |
title_short |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana |
title_full |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana |
title_fullStr |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana |
title_full_unstemmed |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana |
title_sort |
Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana |
author |
Larroque, Mônica Mussolini |
author_facet |
Larroque, Mônica Mussolini |
author_role |
author |
dc.contributor.none.fl_str_mv |
Andrade, Mônica de 4625765471235917 http://lattes.cnpq.br/4625765471235917 Santos, Branca Maria Oliveira 7347966043135611 http://lattes.cnpq.br/7347966043135611 Ruffino Netto, Antonio 2736824113286715 http://lattes.cnpq.br/2736824113286715 Ramos, Salvador Boccaletti 1209143895736251 http://lattes.cnpq.br/1209143895736251 Arcêncio, Ricardo Alexandre Figueiredo, Glória Lúcia Alves 7708429530780932 http://lattes.cnpq.br/7708429530780932 |
dc.contributor.author.fl_str_mv |
Larroque, Mônica Mussolini |
dc.subject.por.fl_str_mv |
Epidemiologia Promoção de saúde Tuberculose CNPQ::CIENCIAS DA SAUDE |
topic |
Epidemiologia Promoção de saúde Tuberculose CNPQ::CIENCIAS DA SAUDE |
description |
Introduction: In 2014, 9.6 million new cases of tuberculosis (TB) were estimated worldwide, 12% of which were in people coinfected with the human immunodeficiency virus (HIV). In Brazil there were 67,966 new cases and in 2015 the country prepared the "National Plan for Ending Tuberculosis as a Public Health Problem", based on the precepts and guidelines of health promotion in order to improve the living conditions of the population. Objective: The objective of the present study was to analyze the relationship between the epidemiological indicators of TB and the socioeconomic variables related to the fields of action of health promotion in Brazilian capitals. Material and methods: This is an ecological study using Secondary data, which seeks to associate knowledge in the areas of tuberculosis and health promotion in Brazilian capitals. To describe the epidemiological indicators, the Mortality Information System (SIM), the Notification Disease Information System (SINAN) and the Epidemiological Bulletins of the Ministry of Health were used for both TB and HIV. The variables used were: number of new cases, incidence coefficient, and mortality rate. For the analysis of socioeconomic aspects, the municipal human development index, infant mortality, urbanization rate, housing conditions, aging index, dependency ratio, poverty and Gini. Results and Discussion: The disease had a heterogeneous distribution throughout the country and was more frequent in males, in the age group between 20 and 59 years old and living in large urban centers. Among the Brazilian capitals, Porto Alegre recorded the highest incidence and mortality rate for both TB and HIV in the period studied, and the lowest rates were registered in Brasília. The associations between the incidence of TB and the municipal human development index (IDHM) indicate that some Brazilian capitals, such as Manaus, presented high incidence and low HDI and others, such as Brasília, low incidence and high HDI. Some capitals, such as Palmas, presented low HDI and low incidence, while others, like Porto Alegre, presented high HDI and high incidence. As for the association between the incidence of TB and access to basic health and sanitation services, despite the wide access to these services, their quality is questioned, reflecting in the worst indicators of the disease in the population. There has been an increasing number of registered cases of TB in people aged 60 years or older, suggesting that senior citizens should be considered for disease control actions. With regard to social inequality and poverty, both have changed over the years, with regional differences associated with increased incidence and mortality from tuberculosis. Conclusion: The results showed that the capitals failed to progress in reducing the incidence and mortality coefficients for TB, and that the desired changes depend on concrete actions aimed at reducing poverty, investments in education and guaranteeing the provision of health services. Sufficient quantity and quality. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-13 2020-03-25T17:10:08Z 2020-03-25T17:10:08Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/doctoralThesis |
format |
doctoralThesis |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
LARROQUE, Mônica Mussolini. Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana. Franca, SP, 2017. 126 f. Tese (Doutorado em Promoção de Saúde) - Universidade de Franca. 2017. https://repositorio.cruzeirodosul.edu.br/handle/123456789/402 |
identifier_str_mv |
LARROQUE, Mônica Mussolini. Variáveis socioeconômicas: promoção de saúde e indicadores epidemiológicos de tuberculose e do vírus da imunodeficiência humana. Franca, SP, 2017. 126 f. Tese (Doutorado em Promoção de Saúde) - Universidade de Franca. 2017. |
url |
https://repositorio.cruzeirodosul.edu.br/handle/123456789/402 |
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por |
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info:eu-repo/semantics/openAccess |
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Universidade de Franca Brasil Pós-Graduação Programa de Doutorado Promoção de Saúde UNIFRAN |
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Universidade de Franca Brasil Pós-Graduação Programa de Doutorado Promoção de Saúde UNIFRAN |
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reponame:Repositório do Centro Universitário Braz Cubas instname:Centro Universitário Braz Cubas (CUB) instacron:CUB |
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Centro Universitário Braz Cubas (CUB) |
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Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB) |
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bibli@brazcubas.edu.br |
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