Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97
Autor(a) principal: | |
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Data de Publicação: | 1999 |
Outros Autores: | |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259 |
Resumo: | The objective of this study was to characterize tuberculosis mortality trends in the Municipality of São Paulo, Brazil, from 1900 to 1997. Standardized tuberculosis mortality rates and proportional mortality ratios were calculated and stratified by gender and age group based on data provided by government agencies. These measures were submitted to time-series analysis. We verified distinct trends: high mortality and a stationary trend from 1900 to 1945, a heavy reduction in mortality (7.41% per year) from 1945 to 1985, and a resumption of increased mortality (4.08% per year) from 1985 to 1995. In 1996 and 1997 we observed a drop in tuberculosis mortality rates, which may be indicating a new downward trend for the disease. The period from 1945 to 1985 witnessed a real reduction in tuberculosis, brought about by social improvements, the introduction of therapeutic resources, and expansion of health services. Recrudescence of tuberculosis mortality from 1985 to 1995 may reflect the increasing prevalence of Mycobacterium and HIV co-infection, besides loss of quality in specific health programs. |
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Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97TuberculosisMortalityTime SeriesEpidemiologyThe objective of this study was to characterize tuberculosis mortality trends in the Municipality of São Paulo, Brazil, from 1900 to 1997. Standardized tuberculosis mortality rates and proportional mortality ratios were calculated and stratified by gender and age group based on data provided by government agencies. These measures were submitted to time-series analysis. We verified distinct trends: high mortality and a stationary trend from 1900 to 1945, a heavy reduction in mortality (7.41% per year) from 1945 to 1985, and a resumption of increased mortality (4.08% per year) from 1985 to 1995. In 1996 and 1997 we observed a drop in tuberculosis mortality rates, which may be indicating a new downward trend for the disease. The period from 1945 to 1985 witnessed a real reduction in tuberculosis, brought about by social improvements, the introduction of therapeutic resources, and expansion of health services. Recrudescence of tuberculosis mortality from 1985 to 1995 may reflect the increasing prevalence of Mycobacterium and HIV co-infection, besides loss of quality in specific health programs.Com o objetivo de caracterizar tendências da mortalidade por tuberculose no Município de São Paulo, Brasil, 1900-1997, foram calculados e estratificados por gênero e grupo etário os coeficientes padronizados de mortalidade e as razões de mortalidade proporcional, por intermédio de dados providos por agências governamentais. Esxas medidas foram ainda submetidas à análise de séries temporais. Foram verificadas diferentes tendências: de 1900 a 1945, alta mortalidade e tendência estacionária; de 1945 a 1985, forte redução na mortalidade (7,41% por ano); e de 1985 a 1995, retomada do crescimento da mortalidade (4,08% por ano). Em 1996 e 1997, a redução observada nos coeficientes de mortalidade pode estar indicando um novo perfil descendente para a enfermidade. Os anos de 1945 a 1985 marcaram período de acentuada queda para a tuberculose, produzida por melhorias sociais, pela introdução de recursos terapêuticos e pela ampliação da cobertura dos serviços de saúde. O recrudescimento da tuberculose, de 1985 a 1995, pode estar refletindo a crescente prevalência da co-infecção por Mycobacterium e por HIV, além da virtual perda de qualidade em programas específicos de controle da endemia.Reports in Public HealthCadernos de Saúde Pública1999-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259Reports in Public Health; Vol. 15 No. 3 (1999): July/SeptemberCadernos de Saúde Pública; v. 15 n. 3 (1999): Julho/Setembro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259/2506https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259/2507Antunes, José Leopoldo FerreiraWaldman, Eliseu Alvesinfo:eu-repo/semantics/openAccess2024-03-06T15:26:20Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/1259Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:01:31.100952Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
title |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
spellingShingle |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 Antunes, José Leopoldo Ferreira Tuberculosis Mortality Time Series Epidemiology |
title_short |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
title_full |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
title_fullStr |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
title_full_unstemmed |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
title_sort |
Tuberculosis in the twentieth century: time-series mortality in São Paulo, Brazil, 1900-97 |
author |
Antunes, José Leopoldo Ferreira |
author_facet |
Antunes, José Leopoldo Ferreira Waldman, Eliseu Alves |
author_role |
author |
author2 |
Waldman, Eliseu Alves |
author2_role |
author |
dc.contributor.author.fl_str_mv |
Antunes, José Leopoldo Ferreira Waldman, Eliseu Alves |
dc.subject.por.fl_str_mv |
Tuberculosis Mortality Time Series Epidemiology |
topic |
Tuberculosis Mortality Time Series Epidemiology |
description |
The objective of this study was to characterize tuberculosis mortality trends in the Municipality of São Paulo, Brazil, from 1900 to 1997. Standardized tuberculosis mortality rates and proportional mortality ratios were calculated and stratified by gender and age group based on data provided by government agencies. These measures were submitted to time-series analysis. We verified distinct trends: high mortality and a stationary trend from 1900 to 1945, a heavy reduction in mortality (7.41% per year) from 1945 to 1985, and a resumption of increased mortality (4.08% per year) from 1985 to 1995. In 1996 and 1997 we observed a drop in tuberculosis mortality rates, which may be indicating a new downward trend for the disease. The period from 1945 to 1985 witnessed a real reduction in tuberculosis, brought about by social improvements, the introduction of therapeutic resources, and expansion of health services. Recrudescence of tuberculosis mortality from 1985 to 1995 may reflect the increasing prevalence of Mycobacterium and HIV co-infection, besides loss of quality in specific health programs. |
publishDate |
1999 |
dc.date.none.fl_str_mv |
1999-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259/2506 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/1259/2507 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 15 No. 3 (1999): July/September Cadernos de Saúde Pública; v. 15 n. 3 (1999): Julho/Setembro 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943346917376000 |