Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | spa |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://doi.org/10.1016/j.gaceta.2019.01.004 |
Resumo: | Objective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5% error was fixed. The standard error was established at 5% for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95%CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95%CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95%CI: 0.00-0.70). The value of the ROC curve of the model was 92.1%. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem. |
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Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de BrasilMagnitude of social determinants in the risk of death from tuberculosis in Central-west BrazilBrazilMortalityMycobacterium tuberculosisSocial determinants of healthTuberculosisPublic Health, Environmental and Occupational HealthSDG 1 - No PovertySDG 3 - Good Health and Well-beingObjective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5% error was fixed. The standard error was established at 5% for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95%CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95%CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95%CI: 0.00-0.70). The value of the ROC curve of the model was 92.1%. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem.Escola Nacional de Saúde Pública (ENSP)Centro de Investigação em Saúde Pública (CISP/PHRC)RUNAlves, Josilene DáliaArroyo, Luiz HenriqueMoraes Arcoverde, Marcos AugustoCartagena-Ramos, DenisseZamboni Berra, ThaisSeles Alves, LuanaVieira Ramos, Antônio CarlosFuentealba-Torres, MiguelSimionato de Assis, IvanelizaFiorati, Regina CéliaNunes, CarlaArcêncio, Ricardo Alexandre2019-04-23T22:18:47Z2020-01-012020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttps://doi.org/10.1016/j.gaceta.2019.01.004spa0213-9111PURE: 12896026http://www.scopus.com/inward/record.url?scp=85062803163&partnerID=8YFLogxKhttps://doi.org/10.1016/j.gaceta.2019.01.004info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:31:54Zoai:run.unl.pt:10362/67498Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:34:37.424028Repositório 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 |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil Magnitude of social determinants in the risk of death from tuberculosis in Central-west Brazil |
title |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil |
spellingShingle |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil Alves, Josilene Dália Brazil Mortality Mycobacterium tuberculosis Social determinants of health Tuberculosis Public Health, Environmental and Occupational Health SDG 1 - No Poverty SDG 3 - Good Health and Well-being |
title_short |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil |
title_full |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil |
title_fullStr |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil |
title_full_unstemmed |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil |
title_sort |
Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil |
author |
Alves, Josilene Dália |
author_facet |
Alves, Josilene Dália Arroyo, Luiz Henrique Moraes Arcoverde, Marcos Augusto Cartagena-Ramos, Denisse Zamboni Berra, Thais Seles Alves, Luana Vieira Ramos, Antônio Carlos Fuentealba-Torres, Miguel Simionato de Assis, Ivaneliza Fiorati, Regina Célia Nunes, Carla Arcêncio, Ricardo Alexandre |
author_role |
author |
author2 |
Arroyo, Luiz Henrique Moraes Arcoverde, Marcos Augusto Cartagena-Ramos, Denisse Zamboni Berra, Thais Seles Alves, Luana Vieira Ramos, Antônio Carlos Fuentealba-Torres, Miguel Simionato de Assis, Ivaneliza Fiorati, Regina Célia Nunes, Carla Arcêncio, Ricardo Alexandre |
author2_role |
author author author author author author author author author author author |
dc.contributor.none.fl_str_mv |
Escola Nacional de Saúde Pública (ENSP) Centro de Investigação em Saúde Pública (CISP/PHRC) RUN |
dc.contributor.author.fl_str_mv |
Alves, Josilene Dália Arroyo, Luiz Henrique Moraes Arcoverde, Marcos Augusto Cartagena-Ramos, Denisse Zamboni Berra, Thais Seles Alves, Luana Vieira Ramos, Antônio Carlos Fuentealba-Torres, Miguel Simionato de Assis, Ivaneliza Fiorati, Regina Célia Nunes, Carla Arcêncio, Ricardo Alexandre |
dc.subject.por.fl_str_mv |
Brazil Mortality Mycobacterium tuberculosis Social determinants of health Tuberculosis Public Health, Environmental and Occupational Health SDG 1 - No Poverty SDG 3 - Good Health and Well-being |
topic |
Brazil Mortality Mycobacterium tuberculosis Social determinants of health Tuberculosis Public Health, Environmental and Occupational Health SDG 1 - No Poverty SDG 3 - Good Health and Well-being |
description |
Objective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5% error was fixed. The standard error was established at 5% for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95%CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95%CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95%CI: 0.00-0.70). The value of the ROC curve of the model was 92.1%. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-04-23T22:18:47Z 2020-01-01 2020-01-01T00:00:00Z |
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/10.1016/j.gaceta.2019.01.004 |
url |
https://doi.org/10.1016/j.gaceta.2019.01.004 |
dc.language.iso.fl_str_mv |
spa |
language |
spa |
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0213-9111 PURE: 12896026 http://www.scopus.com/inward/record.url?scp=85062803163&partnerID=8YFLogxK https://doi.org/10.1016/j.gaceta.2019.01.004 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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