Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019
Autor(a) principal: | |
---|---|
Data de Publicação: | 2023 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386 |
Resumo: | Brazil is one of the 30 countries with the highest incidence of tuberculosis (TB) and homeless people (HP) have 56 times more risk for illness than the general population, due to lower income and access to health. This study aimed to present the sociodemographic and epidemiological profile of HP notified for TB from 2015 to 2019 in the municipality of Rio de Janeiro and to analyze relationships between the variables studied and TB outcomes. This is a cross-sectional study with secondary data on TB notifications in HP in the period and place of the study. Descriptive analysis was performed, followed by analysis of the association between selected variables and TB outcomes with chi-square test and multinomial logistic regression to obtain the odds ratio (OR). The profile of HP with TB is men (74.9%), blacks (76.2%), with a mean age of 43.3 years (SD = 12.0), aged from 30 to 59 years (78.5%). The most frequent outcome was treatment withdrawal (43.3%), followed by cure (29.9%), and death (3.6%). The analyses showed that black individuals (OR = 1.4; 95%CI: 1.1-1.9), drug (OR = 1.7; 95%CI: 1.3-2.3) and alcohol use (OR = 1.3; 95%CI: 1.0-1.7) were risk factors for treatment withdrawal and that age groups older than 30 years or older (OR = 0.7; 95%CI: 0.5-0.9) and the extrapulmonary form (OR = 0.2; 95%CI: 0.1-0.6) were protective factors. The vulnerability of the HP is particularized in racial and gender profiles, as well as TB, thus reinforcing effective prevention and treatment actions is necessary to increase access to health services and the fight against TB in this context. And pay attention to the high proportion of incomplete data that limit the analyses for this problem. |
id |
FIOCRUZ-5_ac1c1b804556da1fd13a9374e0e57d36 |
---|---|
oai_identifier_str |
oai:ojs.teste-cadernos.ensp.fiocruz.br:article/8386 |
network_acronym_str |
FIOCRUZ-5 |
network_name_str |
Cadernos de Saúde Pública |
repository_id_str |
|
spelling |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019Perfil sociodemográfico de personas en situación de calle diagnosticadas con tuberculosis en el municipio de Río de Janeiro, Brasil, en los años de 2015 a 2019Perfil sociodemográfico das pessoas em situação de rua notificadas com tuberculose no Município do Rio de Janeiro, Brasil, nos anos de 2015 a 2019Tuberculose; Pessoas em Situação de Rua; Vulnerabilidade SocialTuberculosis; Personas en Situación de Calle; Vulnerabilidad SocialTuberculosis; Homeless Persons; Social VulnerabilityBrazil is one of the 30 countries with the highest incidence of tuberculosis (TB) and homeless people (HP) have 56 times more risk for illness than the general population, due to lower income and access to health. This study aimed to present the sociodemographic and epidemiological profile of HP notified for TB from 2015 to 2019 in the municipality of Rio de Janeiro and to analyze relationships between the variables studied and TB outcomes. This is a cross-sectional study with secondary data on TB notifications in HP in the period and place of the study. Descriptive analysis was performed, followed by analysis of the association between selected variables and TB outcomes with chi-square test and multinomial logistic regression to obtain the odds ratio (OR). The profile of HP with TB is men (74.9%), blacks (76.2%), with a mean age of 43.3 years (SD = 12.0), aged from 30 to 59 years (78.5%). The most frequent outcome was treatment withdrawal (43.3%), followed by cure (29.9%), and death (3.6%). The analyses showed that black individuals (OR = 1.4; 95%CI: 1.1-1.9), drug (OR = 1.7; 95%CI: 1.3-2.3) and alcohol use (OR = 1.3; 95%CI: 1.0-1.7) were risk factors for treatment withdrawal and that age groups older than 30 years or older (OR = 0.7; 95%CI: 0.5-0.9) and the extrapulmonary form (OR = 0.2; 95%CI: 0.1-0.6) were protective factors. The vulnerability of the HP is particularized in racial and gender profiles, as well as TB, thus reinforcing effective prevention and treatment actions is necessary to increase access to health services and the fight against TB in this context. And pay attention to the high proportion of incomplete data that limit the analyses for this problem.Brasil es uno de los treinta países con mayor incidencia de tuberculosis (TB), y las personas en situación de calle (PSC) tienen 56 veces más riesgo de contraer la enfermedad que la población en general debido a menores ingresos y acceso a la salud. El objetivo de este estudio fue presentar el perfil sociodemográfico y epidemiológico de las PSC diagnosticas con TB entre 2015 y 2019 en la ciudad de Río de Janeiro, así como analizar las relaciones entre las variables estudiadas y los resultados de la TB. Se trata de un estudio transversal, con datos secundarios de los casos de TB en las PSC para el período y el lugar del estudio. Se realizó el análisis descriptivo, seguido del análisis de la asociación entre las variables seleccionadas y los resultados para TB con la aplicación de la prueba de chi-cuadrado y de regresión logística multinomial para obtener el odds ratio (OR). En el perfil de las PSC con TB se encuentran hombres (74,9%) negros (76,2%), de edad promedio de 43,3 años (DE = 12,0), en el grupo de edad de entre 30 y 59 años (78,5%). El resultado más frecuente fue el abandono del tratamiento (43,3%), seguido de la cura (29,9%) y la muerte (3,6%). Los análisis mostraron que la raza negra (OR = 1,4; IC95%: 1,1-1,9), el consumo de drogas (OR = 1,7; IC95%: 1,3-2,3) y el alcohol (OR = 1,3; IC95%: 1,0-1,7) fueron los factores de riesgo para el abandono del tratamiento, y que los grupos de edad de más de 30 años (OR = 0,7; IC95%: 0,5-0,9) y la forma extrapulmonar (OR = 0,2; IC95%: 0,1-0,6) fueron los factores protectores. La vulnerabilidad de las PSC se agudiza en los perfiles de raza y de género tal como la TB, por lo que es necesario fortalecer las acciones efectivas de prevención y tratamiento para aumentarles el acceso a los servicios de salud y el combate de la TB en este contexto. Y, además, prestar atención a la alta proporción de datos incompletos que limitan los análisis para esta condición.O Brasil é um dos 30 países com maior incidência de tuberculose (TB). Pessoas em situação de rua (PSR) têm 56 vezes mais riscos para o adoecimento do que a população geral por terem menor renda e acesso à saúde. Os objetivos do estudo foram apresentar o perfil sociodemográfico e epidemiológico de PSR notificadas para TB entre 2015 e 2019 na cidade do Rio de Janeiro e analisar relações entre as variáveis estudadas e desfechos da TB. Trata-se de estudo transversal com dados secundários das notificações de TB em PSR no período e local do estudo. Foi realizada análise descritiva, seguida da verificação de associação entre variáveis selecionadas e desfechos para TB, com teste qui-quadrado e regressão logística multinomial, para obtenção da razão de chances (OR). O perfil predominante das PSR com TB é de homens (74,9%), negros (76,2%), com idade média de 43,3 anos (DP = 12,0) e faixa etária entre 30 e 59 anos (78,5%). O desfecho mais frequente foi abandono do tratamento (43,3%), seguido por cura (29,9%) e óbito (3,6%). As análises mostraram que raça negra (OR = 1,4; IC95%: 1,1-1,9) e uso de drogas (OR = 1,7; IC95%: 1,3-2,3) e álcool (OR = 1,3; IC95%: 1,0-1,7) foram fatores de risco para abandono do tratamento, enquanto faixas etárias a partir de 30 anos (OR = 0,7; IC95%: 0,5-0,9) e forma extrapulmonar (OR = 0,2; IC95%: 0,1-0,6) foram aspectos de proteção. A vulnerabilidade das PSR se particulariza em perfis de raça e gênero, tal qual a TB, portanto, é necessário reforçar ações de prevenção e tratamento efetivas para aumentar o acesso aos serviços de saúde e o enfrentamento da TB nesse contexto, além de atentar para a alta proporção de dados incompletos que limitam as análises desse agravo.Reports in Public HealthCadernos de Saúde Pública2023-10-03info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/xmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386Reports in Public Health; Vol. 39 No. 10 (2023): OctoberCadernos de Saúde Pública; v. 39 n. 10 (2023): Outubro1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZporhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386/18713https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386/18714Copyright (c) 2023 Cadernos de Saúde Públicainfo:eu-repo/semantics/openAccessRosenburg Gioseffi, JanaínaMara Silva Brignol, SandraLoureiro Werneck, Guilherme2023-10-03T14:12:28Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/8386Revistahttps://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:2024-03-06T13:09:34.332940Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 Perfil sociodemográfico de personas en situación de calle diagnosticadas con tuberculosis en el municipio de Río de Janeiro, Brasil, en los años de 2015 a 2019 Perfil sociodemográfico das pessoas em situação de rua notificadas com tuberculose no Município do Rio de Janeiro, Brasil, nos anos de 2015 a 2019 |
title |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 |
spellingShingle |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 Rosenburg Gioseffi, Janaína Tuberculose; Pessoas em Situação de Rua; Vulnerabilidade Social Tuberculosis; Personas en Situación de Calle; Vulnerabilidad Social Tuberculosis; Homeless Persons; Social Vulnerability |
title_short |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 |
title_full |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 |
title_fullStr |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 |
title_full_unstemmed |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 |
title_sort |
Sociodemographic profile of homeless people notified with tuberculosis in the municipality of Rio de Janeiro, Brazil, from 2015 to 2019 |
author |
Rosenburg Gioseffi, Janaína |
author_facet |
Rosenburg Gioseffi, Janaína Mara Silva Brignol, Sandra Loureiro Werneck, Guilherme |
author_role |
author |
author2 |
Mara Silva Brignol, Sandra Loureiro Werneck, Guilherme |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Rosenburg Gioseffi, Janaína Mara Silva Brignol, Sandra Loureiro Werneck, Guilherme |
dc.subject.por.fl_str_mv |
Tuberculose; Pessoas em Situação de Rua; Vulnerabilidade Social Tuberculosis; Personas en Situación de Calle; Vulnerabilidad Social Tuberculosis; Homeless Persons; Social Vulnerability |
topic |
Tuberculose; Pessoas em Situação de Rua; Vulnerabilidade Social Tuberculosis; Personas en Situación de Calle; Vulnerabilidad Social Tuberculosis; Homeless Persons; Social Vulnerability |
description |
Brazil is one of the 30 countries with the highest incidence of tuberculosis (TB) and homeless people (HP) have 56 times more risk for illness than the general population, due to lower income and access to health. This study aimed to present the sociodemographic and epidemiological profile of HP notified for TB from 2015 to 2019 in the municipality of Rio de Janeiro and to analyze relationships between the variables studied and TB outcomes. This is a cross-sectional study with secondary data on TB notifications in HP in the period and place of the study. Descriptive analysis was performed, followed by analysis of the association between selected variables and TB outcomes with chi-square test and multinomial logistic regression to obtain the odds ratio (OR). The profile of HP with TB is men (74.9%), blacks (76.2%), with a mean age of 43.3 years (SD = 12.0), aged from 30 to 59 years (78.5%). The most frequent outcome was treatment withdrawal (43.3%), followed by cure (29.9%), and death (3.6%). The analyses showed that black individuals (OR = 1.4; 95%CI: 1.1-1.9), drug (OR = 1.7; 95%CI: 1.3-2.3) and alcohol use (OR = 1.3; 95%CI: 1.0-1.7) were risk factors for treatment withdrawal and that age groups older than 30 years or older (OR = 0.7; 95%CI: 0.5-0.9) and the extrapulmonary form (OR = 0.2; 95%CI: 0.1-0.6) were protective factors. The vulnerability of the HP is particularized in racial and gender profiles, as well as TB, thus reinforcing effective prevention and treatment actions is necessary to increase access to health services and the fight against TB in this context. And pay attention to the high proportion of incomplete data that limit the analyses for this problem. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-03 |
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/8386 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386/18713 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/8386/18714 |
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 |
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. 10 (2023): October Cadernos de Saúde Pública; v. 39 n. 10 (2023): Outubro 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_ |
1798943399529676800 |