Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014

Detalhes bibliográficos
Autor(a) principal: Manga Aridja, Ursila
Data de Publicação: 2023
Outros Autores: Souza Rocha, Marli, Bartholomay, Patrícia, Maria Pelissari, Daniele, Alves da Silva, Daiane, Crestine Poças, Katia, Carmen Duarte, Elisabeth
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173
Resumo: According to the World Health Organization (WHO), 1.6 million deaths and 10.6 million cases of tuberculosis (TB) were reported worldwide in 2021. If treated opportunely with the recommended therapy, 85% of patients with TB are healed. The occurrence of death from TB without prior notification of the disease indicates failure in the timely access to this effective treatment. Therefore, this study aimed to identify TB cases with post-mortem notification in Brazil. This is a nested case-control study using a cohort of new TB cases reported to the Braziliam Information System for Notificable Diseases (SINAN). This study analyzed the following variables: selected characteristics of the individual (gender, age, race/color, education), the municipality (Municipality Human Development Index – M-HDI, poverty rate, size, region, and municipality), health services, and underlying or associated cause of death. Logistic regression was estimated using a hierarchical analysis model. People with TB aged 60 years or older (OR = 1.43), with low educational level (OR = 1.67), and with malnutrition (OR = 5.54), living in municipalities with low M-HDI and medium population size (OR = 1.26), located in the North Region of Brazil (OR = 2.42) had a higher chance of post-mortem notification. Protective factors were HIV-TB coinfection (OR = 0.75), malignant neoplasms (OR = 0.62), and living in cities with broad primary care coverage (OR = 0.79). Vulnerable populations should be prioritized in order to address the obstacles to the access to TB diagnosis and treatment in Brazil.
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spelling Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014Factores asociados a la notificación posterior a la muerte por casos de tuberculosis en Brasil, 2014Fatores associados à notificação pós-óbito de casos de tuberculose no Brasil, 2014TuberculoseNotificaçãoSistemas de InformaçãoTuberculosisNotificaciónSistemas de InformaciónTuberculosisNotificationInformation SystemsAccording to the World Health Organization (WHO), 1.6 million deaths and 10.6 million cases of tuberculosis (TB) were reported worldwide in 2021. If treated opportunely with the recommended therapy, 85% of patients with TB are healed. The occurrence of death from TB without prior notification of the disease indicates failure in the timely access to this effective treatment. Therefore, this study aimed to identify TB cases with post-mortem notification in Brazil. This is a nested case-control study using a cohort of new TB cases reported to the Braziliam Information System for Notificable Diseases (SINAN). This study analyzed the following variables: selected characteristics of the individual (gender, age, race/color, education), the municipality (Municipality Human Development Index – M-HDI, poverty rate, size, region, and municipality), health services, and underlying or associated cause of death. Logistic regression was estimated using a hierarchical analysis model. People with TB aged 60 years or older (OR = 1.43), with low educational level (OR = 1.67), and with malnutrition (OR = 5.54), living in municipalities with low M-HDI and medium population size (OR = 1.26), located in the North Region of Brazil (OR = 2.42) had a higher chance of post-mortem notification. Protective factors were HIV-TB coinfection (OR = 0.75), malignant neoplasms (OR = 0.62), and living in cities with broad primary care coverage (OR = 0.79). Vulnerable populations should be prioritized in order to address the obstacles to the access to TB diagnosis and treatment in Brazil.La Organización Mundial de la Salud (OMS) estima que en 2021 se produjeron 1,6 millones de muertes por tuberculosis (TB) y 10,6 millones de casos de esta afección por todo el mundo. Si los pacientes siguen el tratamiento recomendado para la TB, un 85% logran la cura. Las muertes por TB sin notificación previa de caso indican fallas en el acceso a este tratamiento oportuno y efectivo. Por lo tanto, este estudio tuvo como objetivo caracterizar los casos de TB que tuvieron notificación posterior a la muerte en Brasil. Este es un estudio de caso-control anidado dentro de la cohorte de nuevos casos de TB informados al Sistema de Información de Enfermedades de Notificación Obligatoria (SINAN). Las siguientes variables fueron analizadas: características seleccionadas del individuo (sexo, edad, etnia/color, nivel de instrucción) y del municipio (Índice de Desarrollo Humano Municipal -IDH-M, tasa de pobreza, tamaño del municipio, región y municipio), servicios de salud y condiciones y causa de la muerte o su asociación. La regresión logística se estimó desde un modelo de análisis jerárquico. Las personas con TB de 60 años o más (OR = 1,43), con bajo nivel de instrucción (OR = 1,67), con desnutrición (OR = 5,54), residentes en municipios con bajo IDH-M, de tamaño poblacional medio (OR = 1,26) y en la Región Norte (OR = 2,42) tuvieron mayor probabilidad de notificación posterior a la muerte. Los factores protectores fueron la coinfección VIH-TB (OR = 0,75), neoplasias malignas (OR = 0,62) y vivir en ciudades con alta cobertura de atención primaria (OR = 0,79). Es necesario priorizar las poblaciones vulnerables para enfrentar las dificultades de acceso al diagnóstico y tratamiento de la TB en Brasil.Segundo a Organização Mundial da Saúde (OMS), estima-se que 1,6 milhão de mortes e 10,6 milhões de casos de tuberculose (TB) ocorreram no mundo em 2021. Quando a doença é oportunamente tratada com o esquema terapêutico recomendado, 85% dos pacientes se curam. A ocorrência de óbito por TB sem notificação anterior denuncia falhas no acesso ao tratamento oportuno e efetivo. Sendo assim, este estudo objetivou caracterizar os casos de TB notificados pós-óbito no Brasil. Trata-se de estudo caso-controle aninhado na coorte de casos novos de TB notificados ao Sistema de Informação de Agravos de Notificação (SINAN). As variáveis analisadas foram: características selecionadas do indivíduo (sexo, idade, raça/cor, escolaridade), do município (Índice de Desenvolvimento Humano Municipal – IDH-M, taxa de pobreza, porte municipal, região e município), dos serviços de saúde e causa básica ou associada de morte. Foi estimada regressão logística respeitando um modelo de análise hierárquico. Pessoas com TB de 60 anos de idade ou mais (OR = 1,43), de baixa escolaridade (OR = 1,67), com desnutrição (OR = 5,54), residentes em municípios com baixo IDH-M, de porte populacional médio (OR = 1,26), na Região Norte (OR = 2,42) apresentaram maior chance de notificação pós-óbito. Fatores protetores foram coinfecção HIV-TB (OR = 0,75), neoplasias malignas (OR = 0,62) e residência em municípios com alta cobertura de atenção básica (OR = 0,79). A priorização das populações vulneráveis é necessária para enfrentar as dificuldades de acesso ao diagnóstico e tratamento da TB no Brasil.Reports in Public HealthCadernos de Saúde Pública2023-06-22info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173Reports in Public Health; Vol. 39 No. 6 (2023): JuneCadernos de Saúde Pública; v. 39 n. 6 (2023): Junho1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173/18331https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173/18332https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173/18368Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessManga Aridja, UrsilaSouza Rocha, MarliBartholomay, PatríciaMaria Pelissari, DanieleAlves da Silva, DaianeCrestine Poças, KatiaCarmen Duarte, Elisabeth2023-07-19T16:31:49Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8173Revistahttps://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:2024-03-06T13:09:21.737971Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
Factores asociados a la notificación posterior a la muerte por casos de tuberculosis en Brasil, 2014
Fatores associados à notificação pós-óbito de casos de tuberculose no Brasil, 2014
title Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
spellingShingle Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
Manga Aridja, Ursila
Tuberculose
Notificação
Sistemas de Informação
Tuberculosis
Notificación
Sistemas de Información
Tuberculosis
Notification
Information Systems
title_short Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
title_full Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
title_fullStr Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
title_full_unstemmed Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
title_sort Factors associated with post-mortem notification of tuberculosis cases in Brazil, 2014
author Manga Aridja, Ursila
author_facet Manga Aridja, Ursila
Souza Rocha, Marli
Bartholomay, Patrícia
Maria Pelissari, Daniele
Alves da Silva, Daiane
Crestine Poças, Katia
Carmen Duarte, Elisabeth
author_role author
author2 Souza Rocha, Marli
Bartholomay, Patrícia
Maria Pelissari, Daniele
Alves da Silva, Daiane
Crestine Poças, Katia
Carmen Duarte, Elisabeth
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Manga Aridja, Ursila
Souza Rocha, Marli
Bartholomay, Patrícia
Maria Pelissari, Daniele
Alves da Silva, Daiane
Crestine Poças, Katia
Carmen Duarte, Elisabeth
dc.subject.por.fl_str_mv Tuberculose
Notificação
Sistemas de Informação
Tuberculosis
Notificación
Sistemas de Información
Tuberculosis
Notification
Information Systems
topic Tuberculose
Notificação
Sistemas de Informação
Tuberculosis
Notificación
Sistemas de Información
Tuberculosis
Notification
Information Systems
description According to the World Health Organization (WHO), 1.6 million deaths and 10.6 million cases of tuberculosis (TB) were reported worldwide in 2021. If treated opportunely with the recommended therapy, 85% of patients with TB are healed. The occurrence of death from TB without prior notification of the disease indicates failure in the timely access to this effective treatment. Therefore, this study aimed to identify TB cases with post-mortem notification in Brazil. This is a nested case-control study using a cohort of new TB cases reported to the Braziliam Information System for Notificable Diseases (SINAN). This study analyzed the following variables: selected characteristics of the individual (gender, age, race/color, education), the municipality (Municipality Human Development Index – M-HDI, poverty rate, size, region, and municipality), health services, and underlying or associated cause of death. Logistic regression was estimated using a hierarchical analysis model. People with TB aged 60 years or older (OR = 1.43), with low educational level (OR = 1.67), and with malnutrition (OR = 5.54), living in municipalities with low M-HDI and medium population size (OR = 1.26), located in the North Region of Brazil (OR = 2.42) had a higher chance of post-mortem notification. Protective factors were HIV-TB coinfection (OR = 0.75), malignant neoplasms (OR = 0.62), and living in cities with broad primary care coverage (OR = 0.79). Vulnerable populations should be prioritized in order to address the obstacles to the access to TB diagnosis and treatment in Brazil.
publishDate 2023
dc.date.none.fl_str_mv 2023-06-22
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/8173
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173/18331
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173/18332
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8173/18368
dc.rights.driver.fl_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2023 Cadernos de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/xml
application/pdf
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. 39 No. 6 (2023): June
Cadernos de Saúde Pública; v. 39 n. 6 (2023): Junho
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
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