Factors associated with activity limitation in new leprosy cases in a Northeastern hyperendemic municipality, Brazil: a cross-sectional study

• Autor(a) principal: Matos, Thais Silva
• Data de Publicação: 2021
• Outros Autores: Souza, Carlos Dornels Freire de, Moura , José Carlos de, Fernandes , Tânia Rita Moreno de Oliveira, Mariano, Renato de Souza
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Brasileira de Medicina de Família e Comunidade (Online)
• Texto Completo: https://www.rbmfc.org.br/rbmfc/article/view/2379
• topic: Leprosy; Dental Care for Disabled; Uses of Epidemiology; Cross-Sectional Studies; Mycobacterium leprae.; Lepra; Atención Dental para Personas con Discapacidades; Usos de la Epidemiología; Estudios Transversales; Mycobacterium leprae.; Hanseníase; Assistência Odontológica para Pessoas com Deficiências; Aplicações da Epidemiologia; Estudos Transversais; Mycobacterium leprae.

Introduction: Leprosy is a neglected tropical disease caused by Mycobacterium leprae. Brazil is one of the main endemic countries for the disease, persisting as a public health problem. In addition, it is the main infectious disease that causes physical disabilities. Objectives: To analyze the magnitude and factors associated with activity limitation in new cases of leprosy diagnosed in the reference center in Northeastern Brazil. Methods: This is a cross-sectional study involving 50 people diagnosed with leprosy. Clinical and sociodemographic variables were collected in addition to the application of the SALSA scale for the analysis of functional limitations. Logistic regression was used with the calculation of odds ratio. Results: The presence of functional limitations was registered in 32% (n=16) of the cases analyzed, especially female (56.3%), elderly (37.5%), low education (87.6%), dimorphic form (62.5%), multibacillary classification (75.0%), and degree 2 of physical disability (50.0%). Functional limitation was associated with an age range ≥45 years (OR 3.80; p=0.047), multibacillary classification (OR 4.28; p=0.021), and OMP score ≥6 (OR 4.69; p=0.041). Conclusion: There was a high frequency of people with physical disabilities. The factors associated with functional limitation were age equal to or greater than 45 years, multibacillary classification and OMP score greater than or equal to six.