Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista do Instituto de Medicina Tropical de São Paulo |
Texto Completo: | https://www.revistas.usp.br/rimtsp/article/view/151764 |
Resumo: | The Mato Grosso do Sul State (MS) has the second-largest indigenous population and the highest incidence rates of TB among indigenous people in Brazil. However, little is known about the risk factors associated with active TB in indigenous people in the region, especially regarding socioeconomic factors. The aim of this study is to assess the effect of the Family Allowance Program (BFP) and of other predictors of active TB in a high-risk indigenous population in Brazil. We conducted a case-control study with incident TB cases matched by age and by village of residence (1:2 proportion) between March 2011 and December 2012. We used a conditional logistic regression for data analysis. A total of 153 cases and 306 controls were enrolled. The final model included the following risk factors: alcohol consumption (low-risk use OR=2.2; 95% CI 1.1-4.3; risky use OR=2.4; 95% CI 1.0-6.0; dependent/ damaging use OR=9.1; 95% CI 2.9-29.1); recent contact with a TB patient (OR=2.0; 95% CI 1.2-3.5); and male sex (OR=1.9; 95% CI 1.1-3.2). BFP participation (OR=0.5; 95% CI 0.3-0.6) and BCG vaccination (OR=0.5; 95% CI 0.3-0.9) were found to be protective factors against TB. Although the BFP was not designed to target TB-affected households specifically, our findings reveal the importance of the BFP in preventing one of the most important infectious diseases among adults in indigenous villages in Brazil. This result is in line with the End-TB strategy, which identifies social protection, poverty alleviation and targeting other determinants of TB as key actions. |
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Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer programRisk factorsCase-control studyTuberculosisIndigenous populationCash transfer programsThe Mato Grosso do Sul State (MS) has the second-largest indigenous population and the highest incidence rates of TB among indigenous people in Brazil. However, little is known about the risk factors associated with active TB in indigenous people in the region, especially regarding socioeconomic factors. The aim of this study is to assess the effect of the Family Allowance Program (BFP) and of other predictors of active TB in a high-risk indigenous population in Brazil. We conducted a case-control study with incident TB cases matched by age and by village of residence (1:2 proportion) between March 2011 and December 2012. We used a conditional logistic regression for data analysis. A total of 153 cases and 306 controls were enrolled. The final model included the following risk factors: alcohol consumption (low-risk use OR=2.2; 95% CI 1.1-4.3; risky use OR=2.4; 95% CI 1.0-6.0; dependent/ damaging use OR=9.1; 95% CI 2.9-29.1); recent contact with a TB patient (OR=2.0; 95% CI 1.2-3.5); and male sex (OR=1.9; 95% CI 1.1-3.2). BFP participation (OR=0.5; 95% CI 0.3-0.6) and BCG vaccination (OR=0.5; 95% CI 0.3-0.9) were found to be protective factors against TB. Although the BFP was not designed to target TB-affected households specifically, our findings reveal the importance of the BFP in preventing one of the most important infectious diseases among adults in indigenous villages in Brazil. This result is in line with the End-TB strategy, which identifies social protection, poverty alleviation and targeting other determinants of TB as key actions.Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo2018-11-13info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rimtsp/article/view/151764Revista do Instituto de Medicina Tropical de São Paulo; Vol. 60 (2018); e63Revista do Instituto de Medicina Tropical de São Paulo; Vol. 60 (2018); e63Revista do Instituto de Medicina Tropical de São Paulo; v. 60 (2018); e631678-99460036-4665reponame:Revista do Instituto de Medicina Tropical de São Pauloinstname:Instituto de Medicina Tropical (IMT)instacron:IMTenghttps://www.revistas.usp.br/rimtsp/article/view/151764/148673https://www.revistas.usp.br/rimtsp/article/view/151764/148674Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Pauloinfo:eu-repo/semantics/openAccessMalacarne, JocieliKolte, Ida ViktoriaFreitas, Lais PicininiOrellana, Jesem Douglas YamallSouza, Maximiliano Loiola Ponte deSouzaSantos, ReinaldoBasta, Paulo Cesar2018-11-13T11:03:34Zoai:revistas.usp.br:article/151764Revistahttp://www.revistas.usp.br/rimtsp/indexPUBhttps://www.revistas.usp.br/rimtsp/oai||revimtsp@usp.br1678-99460036-4665opendoar:2022-12-13T16:52:46.981441Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT)true |
dc.title.none.fl_str_mv |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
title |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
spellingShingle |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program Malacarne, Jocieli Risk factors Case-control study Tuberculosis Indigenous population Cash transfer programs |
title_short |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
title_full |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
title_fullStr |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
title_full_unstemmed |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
title_sort |
Factors associated with TB in an indigenous population in Brazil: the effect of a cash transfer program |
author |
Malacarne, Jocieli |
author_facet |
Malacarne, Jocieli Kolte, Ida Viktoria Freitas, Lais Picinini Orellana, Jesem Douglas Yamall Souza, Maximiliano Loiola Ponte de SouzaSantos, Reinaldo Basta, Paulo Cesar |
author_role |
author |
author2 |
Kolte, Ida Viktoria Freitas, Lais Picinini Orellana, Jesem Douglas Yamall Souza, Maximiliano Loiola Ponte de SouzaSantos, Reinaldo Basta, Paulo Cesar |
author2_role |
author author author author author author |
dc.contributor.author.fl_str_mv |
Malacarne, Jocieli Kolte, Ida Viktoria Freitas, Lais Picinini Orellana, Jesem Douglas Yamall Souza, Maximiliano Loiola Ponte de SouzaSantos, Reinaldo Basta, Paulo Cesar |
dc.subject.por.fl_str_mv |
Risk factors Case-control study Tuberculosis Indigenous population Cash transfer programs |
topic |
Risk factors Case-control study Tuberculosis Indigenous population Cash transfer programs |
description |
The Mato Grosso do Sul State (MS) has the second-largest indigenous population and the highest incidence rates of TB among indigenous people in Brazil. However, little is known about the risk factors associated with active TB in indigenous people in the region, especially regarding socioeconomic factors. The aim of this study is to assess the effect of the Family Allowance Program (BFP) and of other predictors of active TB in a high-risk indigenous population in Brazil. We conducted a case-control study with incident TB cases matched by age and by village of residence (1:2 proportion) between March 2011 and December 2012. We used a conditional logistic regression for data analysis. A total of 153 cases and 306 controls were enrolled. The final model included the following risk factors: alcohol consumption (low-risk use OR=2.2; 95% CI 1.1-4.3; risky use OR=2.4; 95% CI 1.0-6.0; dependent/ damaging use OR=9.1; 95% CI 2.9-29.1); recent contact with a TB patient (OR=2.0; 95% CI 1.2-3.5); and male sex (OR=1.9; 95% CI 1.1-3.2). BFP participation (OR=0.5; 95% CI 0.3-0.6) and BCG vaccination (OR=0.5; 95% CI 0.3-0.9) were found to be protective factors against TB. Although the BFP was not designed to target TB-affected households specifically, our findings reveal the importance of the BFP in preventing one of the most important infectious diseases among adults in indigenous villages in Brazil. This result is in line with the End-TB strategy, which identifies social protection, poverty alleviation and targeting other determinants of TB as key actions. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-11-13 |
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://www.revistas.usp.br/rimtsp/article/view/151764 |
url |
https://www.revistas.usp.br/rimtsp/article/view/151764 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rimtsp/article/view/151764/148673 https://www.revistas.usp.br/rimtsp/article/view/151764/148674 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2018 Revista do Instituto de Medicina Tropical de São Paulo |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/xml |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
publisher.none.fl_str_mv |
Universidade de São Paulo. Instituto de Medicina Tropical de São Paulo |
dc.source.none.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo; Vol. 60 (2018); e63 Revista do Instituto de Medicina Tropical de São Paulo; Vol. 60 (2018); e63 Revista do Instituto de Medicina Tropical de São Paulo; v. 60 (2018); e63 1678-9946 0036-4665 reponame:Revista do Instituto de Medicina Tropical de São Paulo instname:Instituto de Medicina Tropical (IMT) instacron:IMT |
instname_str |
Instituto de Medicina Tropical (IMT) |
instacron_str |
IMT |
institution |
IMT |
reponame_str |
Revista do Instituto de Medicina Tropical de São Paulo |
collection |
Revista do Instituto de Medicina Tropical de São Paulo |
repository.name.fl_str_mv |
Revista do Instituto de Medicina Tropical de São Paulo - Instituto de Medicina Tropical (IMT) |
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1798951652202381312 |