Risk factors for physical disability due to leprosy: a case-control study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos Saúde Coletiva (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021000300411 |
Resumo: | ABSTRACT Background The main consequence of leprosy is physical disability. Objective To identify risk factors of physical disabilities due to leprosy. Method Case-control study carried out at the Notifiable Diseases Information System – Leprosy in the 9th Regional Health District of the state of Paraíba, Brazil, between 2001 and 2014. Cases were individuals who presented degree of physical disability 1 or 2 at diagnosis or discharge; and controls included individuals with degree of physical disability 0 also at diagnosis and discharge. A 1:1 (case:control) proportion was used. Data were analyzed using the Epi Info and BioEstat software packages. Results The following cases and controls (428 each) at risk for physical disability were analyzed: aged ≥15 years (96.5%, OR=0.33, p<0.01), males (59.3%, OR=1.82, p<0.01), low education level (70.4%, OR=2.66, p<0.01), multibacillary classification (72.9%, OR=9.29; p< 0.01), number of lesions ≥5 (34.3%, OR=0.18, p<0.01), and number of nerves affected ≥1 (12.6%, OR=0.05; p<0.01). Late diagnosis, missing/inadequately filled data, absence/non-registration of dermato-neurological evaluation, and low control of contacts were observed. Conclusion The need for active surveillance and early detection of leprosy cases and contacts is highlighted. |
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Risk factors for physical disability due to leprosy: a case-control studyleprosypersons with disabilityassistancePrimary Health CareABSTRACT Background The main consequence of leprosy is physical disability. Objective To identify risk factors of physical disabilities due to leprosy. Method Case-control study carried out at the Notifiable Diseases Information System – Leprosy in the 9th Regional Health District of the state of Paraíba, Brazil, between 2001 and 2014. Cases were individuals who presented degree of physical disability 1 or 2 at diagnosis or discharge; and controls included individuals with degree of physical disability 0 also at diagnosis and discharge. A 1:1 (case:control) proportion was used. Data were analyzed using the Epi Info and BioEstat software packages. Results The following cases and controls (428 each) at risk for physical disability were analyzed: aged ≥15 years (96.5%, OR=0.33, p<0.01), males (59.3%, OR=1.82, p<0.01), low education level (70.4%, OR=2.66, p<0.01), multibacillary classification (72.9%, OR=9.29; p< 0.01), number of lesions ≥5 (34.3%, OR=0.18, p<0.01), and number of nerves affected ≥1 (12.6%, OR=0.05; p<0.01). Late diagnosis, missing/inadequately filled data, absence/non-registration of dermato-neurological evaluation, and low control of contacts were observed. Conclusion The need for active surveillance and early detection of leprosy cases and contacts is highlighted.Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro2021-09-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021000300411Cadernos Saúde Coletiva v.29 n.3 2021reponame:Cadernos Saúde Coletiva (Online)instname:Universidade Federal do Rio de Janeiro (UFRJ)instacron:UFRJ10.1590/1414-462x202129030182info:eu-repo/semantics/openAccessVéras,Gerlane Cristinne BertinoLima Júnior,José FerreiraCândido,Estelita LimaMaia,Evanira Rodrigueseng2022-02-23T00:00:00Zoai:scielo:S1414-462X2021000300411Revistahttp://www.iesc.ufrj.br/cadernos/ONGhttps://old.scielo.br/oai/scielo-oai.phpabelha@iesc.ufrj.br||abelha@iesc.ufrj.br2358-291X1414-462Xopendoar:2022-02-23T00:00Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ)false |
dc.title.none.fl_str_mv |
Risk factors for physical disability due to leprosy: a case-control study |
title |
Risk factors for physical disability due to leprosy: a case-control study |
spellingShingle |
Risk factors for physical disability due to leprosy: a case-control study Véras,Gerlane Cristinne Bertino leprosy persons with disability assistance Primary Health Care |
title_short |
Risk factors for physical disability due to leprosy: a case-control study |
title_full |
Risk factors for physical disability due to leprosy: a case-control study |
title_fullStr |
Risk factors for physical disability due to leprosy: a case-control study |
title_full_unstemmed |
Risk factors for physical disability due to leprosy: a case-control study |
title_sort |
Risk factors for physical disability due to leprosy: a case-control study |
author |
Véras,Gerlane Cristinne Bertino |
author_facet |
Véras,Gerlane Cristinne Bertino Lima Júnior,José Ferreira Cândido,Estelita Lima Maia,Evanira Rodrigues |
author_role |
author |
author2 |
Lima Júnior,José Ferreira Cândido,Estelita Lima Maia,Evanira Rodrigues |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Véras,Gerlane Cristinne Bertino Lima Júnior,José Ferreira Cândido,Estelita Lima Maia,Evanira Rodrigues |
dc.subject.por.fl_str_mv |
leprosy persons with disability assistance Primary Health Care |
topic |
leprosy persons with disability assistance Primary Health Care |
description |
ABSTRACT Background The main consequence of leprosy is physical disability. Objective To identify risk factors of physical disabilities due to leprosy. Method Case-control study carried out at the Notifiable Diseases Information System – Leprosy in the 9th Regional Health District of the state of Paraíba, Brazil, between 2001 and 2014. Cases were individuals who presented degree of physical disability 1 or 2 at diagnosis or discharge; and controls included individuals with degree of physical disability 0 also at diagnosis and discharge. A 1:1 (case:control) proportion was used. Data were analyzed using the Epi Info and BioEstat software packages. Results The following cases and controls (428 each) at risk for physical disability were analyzed: aged ≥15 years (96.5%, OR=0.33, p<0.01), males (59.3%, OR=1.82, p<0.01), low education level (70.4%, OR=2.66, p<0.01), multibacillary classification (72.9%, OR=9.29; p< 0.01), number of lesions ≥5 (34.3%, OR=0.18, p<0.01), and number of nerves affected ≥1 (12.6%, OR=0.05; p<0.01). Late diagnosis, missing/inadequately filled data, absence/non-registration of dermato-neurological evaluation, and low control of contacts were observed. Conclusion The need for active surveillance and early detection of leprosy cases and contacts is highlighted. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-09-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021000300411 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1414-462X2021000300411 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/1414-462x202129030182 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
publisher.none.fl_str_mv |
Instituto de Estudos em Saúde Coletiva da Universidade Federal do Rio de Janeiro |
dc.source.none.fl_str_mv |
Cadernos Saúde Coletiva v.29 n.3 2021 reponame:Cadernos Saúde Coletiva (Online) instname:Universidade Federal do Rio de Janeiro (UFRJ) instacron:UFRJ |
instname_str |
Universidade Federal do Rio de Janeiro (UFRJ) |
instacron_str |
UFRJ |
institution |
UFRJ |
reponame_str |
Cadernos Saúde Coletiva (Online) |
collection |
Cadernos Saúde Coletiva (Online) |
repository.name.fl_str_mv |
Cadernos Saúde Coletiva (Online) - Universidade Federal do Rio de Janeiro (UFRJ) |
repository.mail.fl_str_mv |
abelha@iesc.ufrj.br||abelha@iesc.ufrj.br |
_version_ |
1750128227483910144 |