Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019
Autor(a) principal: | |
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Data de Publicação: | 2024 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.25761/anaisihmt.454 |
Resumo: | Introduction: Leprosy persists as a public health problem in most countries of the Portuguese Speaking Community. Objective: To analyze time series of incidence, prevalence and years of life ordered according to disability (YLD) associated with leprosy in the population of CPLP countries, in addition to comparing the performance of countries according to sociodemographic indices, using data from the Global Burden of Disease (GBD) study) between 1990 and 2019. Methods: Study of time series using GBD data referring to Leprosy in the period from 1990 to 2019. We analyzed: prevalence, incidence and YLD, comparing the rates and percentage of change between 1990 and 2019, between Portuguese speaking countries. Trends between 1990 and 2019 are also presented. The correlation between YLD and the Demographic and Social Index (SDI) was tested, which range from 0 to 1, with 0 being the worst score and 1 being the best. Correlation was calculated using simple linear regression. Results: The incidence rate was highest in Mozambique (13.1/100,000 inhab), followed by East Timor, Equatorial Guinea, Angola and Brazil, with a decline in the incidence rate in all countries, with the smallest decline occurring in Brazil ( -26.9%). Prevalence rates also declined over the period. Portugal had no new cases, nor prevalent cases. As for years lost due to disability, all countries had high rates in 1990, with emphasis on Equatorial Guinea (7.5/100,000 inhab), which had the greatest decline (-97.1%), followed by Mozambique (6.2/ 100,000 inhabitants). All countries showed a decline in the period from 1990 to 2019, Brazil had the lowest (-7.8%). The correlation between SDI and YLD was negative (R= - 0.68 p< 0.0001), that is, as the SDI increased, the disability rates decreased. Conclusion: Leprosy is a major public health challenge in most CPLP countries and is strongly associated with poverty and social inequality. Although there have been advances, with a reduction in prevalence, incidence and disabilities, leprosy requires priority and appropriate interventions. GBD data can support situation diagnosis and comparison between countries. |
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Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019Maladies négligées dans les pays lusophones, une analyse de la lèpre selon l’étude Global Burden of Disease, 1990 a 2019Doenças negligenciadas nos países de língua portuguesa, uma análise da hanseníase segundo o estudo Carga Global de Doenças, 1990 a 2019Introduction: Leprosy persists as a public health problem in most countries of the Portuguese Speaking Community. Objective: To analyze time series of incidence, prevalence and years of life ordered according to disability (YLD) associated with leprosy in the population of CPLP countries, in addition to comparing the performance of countries according to sociodemographic indices, using data from the Global Burden of Disease (GBD) study) between 1990 and 2019. Methods: Study of time series using GBD data referring to Leprosy in the period from 1990 to 2019. We analyzed: prevalence, incidence and YLD, comparing the rates and percentage of change between 1990 and 2019, between Portuguese speaking countries. Trends between 1990 and 2019 are also presented. The correlation between YLD and the Demographic and Social Index (SDI) was tested, which range from 0 to 1, with 0 being the worst score and 1 being the best. Correlation was calculated using simple linear regression. Results: The incidence rate was highest in Mozambique (13.1/100,000 inhab), followed by East Timor, Equatorial Guinea, Angola and Brazil, with a decline in the incidence rate in all countries, with the smallest decline occurring in Brazil ( -26.9%). Prevalence rates also declined over the period. Portugal had no new cases, nor prevalent cases. As for years lost due to disability, all countries had high rates in 1990, with emphasis on Equatorial Guinea (7.5/100,000 inhab), which had the greatest decline (-97.1%), followed by Mozambique (6.2/ 100,000 inhabitants). All countries showed a decline in the period from 1990 to 2019, Brazil had the lowest (-7.8%). The correlation between SDI and YLD was negative (R= - 0.68 p< 0.0001), that is, as the SDI increased, the disability rates decreased. Conclusion: Leprosy is a major public health challenge in most CPLP countries and is strongly associated with poverty and social inequality. Although there have been advances, with a reduction in prevalence, incidence and disabilities, leprosy requires priority and appropriate interventions. GBD data can support situation diagnosis and comparison between countries.Introduction: La lèpre persiste en tant que problème de santé publique dans la plupart des pays de la Communauté de langue portugaise. Objectif: Analyser des séries chronologiques d’incidence, de prévalence et d’années de vie classées selon l’incapacité (YLD) associées à la lèpre dans la population des pays de la CPLP, en plus de comparer les performances des pays selon les indices sociodémographiques, en utilisant les données du Global Burden of Disease (GBD) study ) entre 1990 et 2019. Méthodes: Étude de séries chronologiques utilisant des données GBD se référant à la lèpre dans la période de 1990 à 2019. Nous avons analysé : la prévalence, l’incidence et la YLD, en comparant les taux et le pourcentage de changement entre 1990 et 2019, entre pays lusophones. Sont également présentées les tendances entre 1990 et 2019. La corrélation entre l’YLD et l’Indice Démographique et Social (IDS) a été testée, allant de 0 à 1, 0 étant le pire score et 1 le meilleur. La corrélation a été calculée à l’aide d’une régression linéaire simple. Résultats: Le taux d’incidence était le plus élevé au Mozambique (13,1/100 000 hab), suivi du Timor oriental, de la Guinée équatoriale, de l’Angola et du Brésil, avec une baisse du taux d’incidence dans tous les pays, la baisse la plus faible étant enregistrée au Brésil (-26,9 % ). Les taux de prévalence ont également diminué au cours de la période. Le Portugal n’a pas eu de nouveaux cas, ni de cas prévalents. En ce qui concerne les années perdues pour cause d’incapacité, tous les pays avaient des taux élevés en 1990, avec un accent sur la Guinée équatoriale (7,5/100 000 hab) qui a enregistré la plus forte baisse (-97,1 %), suivie du Mozambique (6,2/100 000 hab). Tous les pays ont affiché une baisse sur la période de 1990 à 2019, le Brésil ayant le plus bas (-7,8%). La corrélation entre SDI et YLD était négative (R = - 0,68 p < 0,0001), c’est-à-dire que plus le SDI augmentait, plus les taux d’incapacité diminuaient. Conclusion: La lèpre est un défi majeur de santé publique dans la plupart des pays de la CPLP et est fortement associée à la pauvreté et aux inégalités sociales. Bien qu’il y ait eu des progrès, avec une réduction de la prévalence, de l’incidence et des incapacités, la lèpre nécessite des interventions prioritaires et appropriées. Les données GBD peuvent soutenir le diagnostic de la situation et la comparaison entre les pays.Introdução: A hanseníase persiste como problema de saúde pública na maioria nos países da Comunidade de Língua Portuguesa. Objetivo: Analisar as séries temporais de incidência, prevalência e anos de vida pedidos segundo incapacidades (YLD) associados à hanseníase na população dos países CPLP, além de comparar o desempenho dos países segundo índices sociodemográficos, utilizando dados do estudo Carga Global de Doenças (GBD) entre 1990 e 2019. Métodos: Estudo de series temporais utilizando dados do GBD referentes a Hanseníase no período de 1990 a 2019. Analisou-se: prevalência, incidência e YLD, comparando as taxas e o percentual de mudança entre 1990 e 2019, entre os paises de língua portuguesa. Apresentam-se ainda as tendências entre 1990 e 2019. Testou-se a correlação entre YLD e o Indice Demografico e Social (SDI), que variam entre 0 a 1, sendo 0 o pior escore e 1 o melhor. A correlação foi calculada empregando-se a regressão linear simples. Resultados: A taxa de incidência foi mais elevada em Moçambique (13,1/100.000 hab), seguida do Timor Leste, Guiné Equatorial, Angola e Brasil havendo um declínio da taxa de incidência em todos os países, o menor declínio ocorreu no Brasil (-26,9%). As taxas de prevalência também reduziram no período estudado. Portugual não teve novos casos, nem casos prevalentes. Quanto aos anos perdidos por incapacidades, todos os países apresentaram taxas altas em 1990 destacando-se Guiné Equatorial (7,5/100.000 hab), que teve o maior declínio (-97,1%), seguido de Moçambique (6,2/100.000 hab.). Todos os países apresentaram declínio no período de 1990 a 2019, o Brasil apresentou o menor (-7,8%). A correlação entre SDI e YLD foi negativa (R= - 0,68 p< 0,0001), ou seja, à medida que aumentou o SDI, reduziram-se as taxas de incapacidade. Conclusão: A hanseníase constitui-se em um grande desafio de Saúde Pública na maior parte dos países do CPLP e está fortemente associado à pobreza e à desigualdade social. Embora tenham ocorridos avanços, com redução de prevalência, incidência e incapacidades, a hanseníase exige prioridade e intervenções apropriadas. Os dados do GBD podem apoiar o diagnóstico de situação e a comparação entre os países.Universidade Nova de Lisboa2024-01-31info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.25761/anaisihmt.454https://doi.org/10.25761/anaisihmt.454Anais do Instituto de Higiene e Medicina Tropical; Vol 22 No 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 33-40Anais do Instituto de Higiene e Medicina Tropical; v. 22 n. 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 33-402184-23100303-7762reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporhttp://anaisihmt.com/index.php/ihmt/article/view/454http://anaisihmt.com/index.php/ihmt/article/view/454/376Direitos de Autor (c) 2024 Anais do Instituto de Higiene e Medicina Tropicalhttp://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessCarvalho Malta, DeborahO. Martins, Maria do RosárioTeixeira, Renato AzeredoU. Ferreira, MarceloNagavi, Mohsen2024-02-14T20:53:03Zoai:ojs.anaisihmt.com:article/454Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:38:14.144710Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 Maladies négligées dans les pays lusophones, une analyse de la lèpre selon l’étude Global Burden of Disease, 1990 a 2019 Doenças negligenciadas nos países de língua portuguesa, uma análise da hanseníase segundo o estudo Carga Global de Doenças, 1990 a 2019 |
title |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 |
spellingShingle |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 Carvalho Malta, Deborah |
title_short |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 |
title_full |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 |
title_fullStr |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 |
title_full_unstemmed |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 |
title_sort |
Neglected diseases in Portuguese-speaking countries, an analysis of Leprosy according to the Global Burden of Disease study, 1990 to 2019 |
author |
Carvalho Malta, Deborah |
author_facet |
Carvalho Malta, Deborah O. Martins, Maria do Rosário Teixeira, Renato Azeredo U. Ferreira, Marcelo Nagavi, Mohsen |
author_role |
author |
author2 |
O. Martins, Maria do Rosário Teixeira, Renato Azeredo U. Ferreira, Marcelo Nagavi, Mohsen |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Carvalho Malta, Deborah O. Martins, Maria do Rosário Teixeira, Renato Azeredo U. Ferreira, Marcelo Nagavi, Mohsen |
description |
Introduction: Leprosy persists as a public health problem in most countries of the Portuguese Speaking Community. Objective: To analyze time series of incidence, prevalence and years of life ordered according to disability (YLD) associated with leprosy in the population of CPLP countries, in addition to comparing the performance of countries according to sociodemographic indices, using data from the Global Burden of Disease (GBD) study) between 1990 and 2019. Methods: Study of time series using GBD data referring to Leprosy in the period from 1990 to 2019. We analyzed: prevalence, incidence and YLD, comparing the rates and percentage of change between 1990 and 2019, between Portuguese speaking countries. Trends between 1990 and 2019 are also presented. The correlation between YLD and the Demographic and Social Index (SDI) was tested, which range from 0 to 1, with 0 being the worst score and 1 being the best. Correlation was calculated using simple linear regression. Results: The incidence rate was highest in Mozambique (13.1/100,000 inhab), followed by East Timor, Equatorial Guinea, Angola and Brazil, with a decline in the incidence rate in all countries, with the smallest decline occurring in Brazil ( -26.9%). Prevalence rates also declined over the period. Portugal had no new cases, nor prevalent cases. As for years lost due to disability, all countries had high rates in 1990, with emphasis on Equatorial Guinea (7.5/100,000 inhab), which had the greatest decline (-97.1%), followed by Mozambique (6.2/ 100,000 inhabitants). All countries showed a decline in the period from 1990 to 2019, Brazil had the lowest (-7.8%). The correlation between SDI and YLD was negative (R= - 0.68 p< 0.0001), that is, as the SDI increased, the disability rates decreased. Conclusion: Leprosy is a major public health challenge in most CPLP countries and is strongly associated with poverty and social inequality. Although there have been advances, with a reduction in prevalence, incidence and disabilities, leprosy requires priority and appropriate interventions. GBD data can support situation diagnosis and comparison between countries. |
publishDate |
2024 |
dc.date.none.fl_str_mv |
2024-01-31 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://doi.org/10.25761/anaisihmt.454 https://doi.org/10.25761/anaisihmt.454 |
url |
https://doi.org/10.25761/anaisihmt.454 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
http://anaisihmt.com/index.php/ihmt/article/view/454 http://anaisihmt.com/index.php/ihmt/article/view/454/376 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2024 Anais do Instituto de Higiene e Medicina Tropical http://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2024 Anais do Instituto de Higiene e Medicina Tropical http://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade Nova de Lisboa |
publisher.none.fl_str_mv |
Universidade Nova de Lisboa |
dc.source.none.fl_str_mv |
Anais do Instituto de Higiene e Medicina Tropical; Vol 22 No 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 33-40 Anais do Instituto de Higiene e Medicina Tropical; v. 22 n. 2 (2023): Medicina Tropical e Desenvolvimento Sustentável - 6.º Congresso Nacional de Medicina Tropical; 33-40 2184-2310 0303-7762 reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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