Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil
Autor(a) principal: | |
---|---|
Data de Publicação: | 2011 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/33012 |
Resumo: | OBJECTIVE: To analyze factors associated with relapse of leprosy. METHODS: Retrospective case-control study including 159 patients older than 15 diagnosed with leprosy attending reference centers for leprosy in five municipalities in the state of Mato Grosso, central-western Brazil. Cases (n=53) were patients with relapsed leprosy diagnosed from 2005 to 2007 who were compared with controls (n=106) matching for gender and operational classification who were considered cured after treatment in 2005. Data was obtained from the local Notifiable Diseases Database, medical records and interviews. For the analyses conditional logistic regression and hierarchical approaches were used. RESULTS: After adjustment, the following factors were associated with relapse of leprosy: living in rental housing (OR = 4.1; 95%CI: 1.43;12.04); living in houses constructed of wood and mud (OR = 3.2; 95%CI: 1.16;8.76); living with dwellings with more than five people (OR = 2.1; 95%CI: 1.03;4.36); alcohol use disorder (OR = 2.8; 95%CI: 1.17;6.79); irregular treatment (OR =3.8; 95%CI: 1.44;10.02); lack of knowledge about the disease/treatment (OR = 2.6; 95%CI: 1.09;6.13); use of public transportation to get to the clinic (OR = 5.5; 95%CI: 2.36;12.63); clinical form of the disease (OR = 7.1; 95%CI: 2.48;20.52), and treatment regimen (OR = 3.7; 95%CI: 1.49;9.11). CONCLUSIONS: The predictive factors of relapse are associated with housing conditions, living habits, organization of health services, clinical forms of leprosy and treatment regimen. Health services should educate patients on the disease as well as ensure consistent treatment. |
id |
USP-23_e5ac609b5e0800132373b946a54101ab |
---|---|
oai_identifier_str |
oai:revistas.usp.br:article/33012 |
network_acronym_str |
USP-23 |
network_name_str |
Revista de Saúde Pública |
repository_id_str |
|
spelling |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil Factores asociados a recidiva en hanseníasis en Mato Grosso, Centro-oeste de Brasil Fatores associados à recidiva em hanseníase em Mato Grosso Hanseníaseprevenção & controleRecidivaHansenostáticosprovisão & distribuiçãoFatores SocioeconômicosEstudos de Casos e ControlesLepraprevención & controlRecurrenciaAgentes Leprostáticosprovisión & distribuciónFactores SocioeconómicosEstudios de Casos y ControlesLeprosyprevention & controlRecurrenceLeprostatic Agentssupply & distributionSocioeconomic FactorsCase-Control Studies OBJECTIVE: To analyze factors associated with relapse of leprosy. METHODS: Retrospective case-control study including 159 patients older than 15 diagnosed with leprosy attending reference centers for leprosy in five municipalities in the state of Mato Grosso, central-western Brazil. Cases (n=53) were patients with relapsed leprosy diagnosed from 2005 to 2007 who were compared with controls (n=106) matching for gender and operational classification who were considered cured after treatment in 2005. Data was obtained from the local Notifiable Diseases Database, medical records and interviews. For the analyses conditional logistic regression and hierarchical approaches were used. RESULTS: After adjustment, the following factors were associated with relapse of leprosy: living in rental housing (OR = 4.1; 95%CI: 1.43;12.04); living in houses constructed of wood and mud (OR = 3.2; 95%CI: 1.16;8.76); living with dwellings with more than five people (OR = 2.1; 95%CI: 1.03;4.36); alcohol use disorder (OR = 2.8; 95%CI: 1.17;6.79); irregular treatment (OR =3.8; 95%CI: 1.44;10.02); lack of knowledge about the disease/treatment (OR = 2.6; 95%CI: 1.09;6.13); use of public transportation to get to the clinic (OR = 5.5; 95%CI: 2.36;12.63); clinical form of the disease (OR = 7.1; 95%CI: 2.48;20.52), and treatment regimen (OR = 3.7; 95%CI: 1.49;9.11). CONCLUSIONS: The predictive factors of relapse are associated with housing conditions, living habits, organization of health services, clinical forms of leprosy and treatment regimen. Health services should educate patients on the disease as well as ensure consistent treatment. OBJETIVO: Analizar factores asociados a la ocurrencia de recidiva en hanseníasis. MÉTODOS: Estudio retrospectivo caso-control con 159 pacientes mayores de 15 años diagnosticados con hanseníasis en cinco municipios del Estado de Mato Grosso, Centro-oeste de Brasil, cuyas unidades de salud eran consideradas de referencia para el atendimiento. El grupo de casos incluyó 53 individuos con recidiva de 2005 a 2007 y fue comparado con el grupo control (106 con alta por cura en 2005), pareados por sexo y clasificación operacional. Se usaron datos del Sistema de Información de Agravios de Notificación, Prontuarios y entrevistas. Se utilizó regresión logística condicional y abordaje jerárquico. RESULTADOS: Posterior al análisis ajustado, se mostraron asociados a la ocurrencia de recidiva: individuos residentes en casas alquiladas (OR=4,1; IC95%:1,43;12,04), en domicilio de madera/tapia (OR=3,2; IC 95%:1,16;8,76), que moraban con más de cinco personas (OR=2,1; IC95%:1,03;4,36), con trastorno por uso de alcohol (OR=2,8;IC95%:1,17;6,79), irregularidad del tratamiento (OR= 3,8; IC95%: 1,44;10,02), sin esclarecimiento sobre la enfermedad/tratamiento (OR= 2,6; IC95%:1,09,6,13), que usaban transporte colectivo para el acceso a la unidad de salud (OR=5,5; IC95%: 2,36;12,63), forma clínica de la enfermedad (OR= 7,1;IC95%: 2,48;20,52) y esquema terapéutico (OR= 3,7; IC95%:1,49;9,11). CONCLUSIONES: Los factores predictivos de recidiva se relacionan con condiciones de vivienda, hábitos de vida, organización de los servicios de salud, formas clínicas y esquemas terapéuticos. Compete a los servicios de salud ofrecer orientaciones adecuadas a los pacientes, así como garantizar la regularidad del tratamiento. OBJETIVO: Analisar fatores associados à ocorrência de recidiva em hanseníase. MÉTODOS: Estudo retrospectivo caso-controle com 159 pacientes maiores de 15 anos diagnosticados com hanseníase em cinco municípios do estado de Mato Grosso, cujas unidades de saúde eram consideradas de referência para o atendimento. O grupo de casos incluiu 53 indivíduos com recidiva de 2005 a 2007 e foi comparado ao grupo controle (106 com alta por cura em 2005), pareados por sexo e classificação operacional. Foram usados dados do Sistema de Informação de Agravos de Notificação, prontuários e entrevistas. Utilizou-se regressão logística condicional e abordagem hierárquica. RESULTADOS: Após análise ajustada, mostraram-se associados à ocorrência de recidiva: indivíduos residentes em casas alugadas (OR = 4,1; IC95%:1,43;12,04), em domicílio de madeira/taipa (OR = 3,2; IC95%: 1,16;8,76), que moravam com mais de cinco pessoas (OR = 2,1; IC95% : 1,03;4,36), com transtorno de uso de álcool (OR = 2,8; IC95%: 1,17;6,79), irregularidade do tratamento (OR = 3,8;IC95%: 1,44;10,02), sem esclarecimento sobre a doença/tratamento (OR = 2,6; IC95%: 1,09;6,13), que usavam transporte coletivo para o acesso à unidade de saúde (OR = 5,5; IC95%: 2,36;12,63), forma clínica da doença (OR = 7,1; IC95%: 2,48;20,52) e esquema terapêutico (OR = 3,7; IC95%: 1,49;9,11). CONCLUSÕES: Os fatores preditivos de recidiva relacionam-se com condições de moradia, hábitos de vida, organização dos serviços de saúde, formas clínicas e esquemas terapêuticos. Cabe aos serviços de saúde oferecer orientações adequadas aos pacientes, bem como garantir a regularidade do tratamento. Universidade de São Paulo. Faculdade de Saúde Pública2011-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3301210.1590/S0034-89102011005000043Revista de Saúde Pública; Vol. 45 No. 4 (2011); 756-764 Revista de Saúde Pública; Vol. 45 Núm. 4 (2011); 756-764 Revista de Saúde Pública; v. 45 n. 4 (2011); 756-764 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/33012/35655https://www.revistas.usp.br/rsp/article/view/33012/35656Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessFerreira, Silvana Margarida BenevidesIgnotti, ElianeGamba, Mônica Antar2012-07-11T22:46:21Zoai:revistas.usp.br:article/33012Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-11T22:46:21Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil Factores asociados a recidiva en hanseníasis en Mato Grosso, Centro-oeste de Brasil Fatores associados à recidiva em hanseníase em Mato Grosso |
title |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil |
spellingShingle |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil Ferreira, Silvana Margarida Benevides Hanseníase prevenção & controle Recidiva Hansenostáticos provisão & distribuição Fatores Socioeconômicos Estudos de Casos e Controles Lepra prevención & control Recurrencia Agentes Leprostáticos provisión & distribución Factores Socioeconómicos Estudios de Casos y Controles Leprosy prevention & control Recurrence Leprostatic Agents supply & distribution Socioeconomic Factors Case-Control Studies |
title_short |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil |
title_full |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil |
title_fullStr |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil |
title_full_unstemmed |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil |
title_sort |
Factors associated to relapse of leprosy in Mato Grosso, Central-Western Brazil |
author |
Ferreira, Silvana Margarida Benevides |
author_facet |
Ferreira, Silvana Margarida Benevides Ignotti, Eliane Gamba, Mônica Antar |
author_role |
author |
author2 |
Ignotti, Eliane Gamba, Mônica Antar |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Ferreira, Silvana Margarida Benevides Ignotti, Eliane Gamba, Mônica Antar |
dc.subject.por.fl_str_mv |
Hanseníase prevenção & controle Recidiva Hansenostáticos provisão & distribuição Fatores Socioeconômicos Estudos de Casos e Controles Lepra prevención & control Recurrencia Agentes Leprostáticos provisión & distribución Factores Socioeconómicos Estudios de Casos y Controles Leprosy prevention & control Recurrence Leprostatic Agents supply & distribution Socioeconomic Factors Case-Control Studies |
topic |
Hanseníase prevenção & controle Recidiva Hansenostáticos provisão & distribuição Fatores Socioeconômicos Estudos de Casos e Controles Lepra prevención & control Recurrencia Agentes Leprostáticos provisión & distribución Factores Socioeconómicos Estudios de Casos y Controles Leprosy prevention & control Recurrence Leprostatic Agents supply & distribution Socioeconomic Factors Case-Control Studies |
description |
OBJECTIVE: To analyze factors associated with relapse of leprosy. METHODS: Retrospective case-control study including 159 patients older than 15 diagnosed with leprosy attending reference centers for leprosy in five municipalities in the state of Mato Grosso, central-western Brazil. Cases (n=53) were patients with relapsed leprosy diagnosed from 2005 to 2007 who were compared with controls (n=106) matching for gender and operational classification who were considered cured after treatment in 2005. Data was obtained from the local Notifiable Diseases Database, medical records and interviews. For the analyses conditional logistic regression and hierarchical approaches were used. RESULTS: After adjustment, the following factors were associated with relapse of leprosy: living in rental housing (OR = 4.1; 95%CI: 1.43;12.04); living in houses constructed of wood and mud (OR = 3.2; 95%CI: 1.16;8.76); living with dwellings with more than five people (OR = 2.1; 95%CI: 1.03;4.36); alcohol use disorder (OR = 2.8; 95%CI: 1.17;6.79); irregular treatment (OR =3.8; 95%CI: 1.44;10.02); lack of knowledge about the disease/treatment (OR = 2.6; 95%CI: 1.09;6.13); use of public transportation to get to the clinic (OR = 5.5; 95%CI: 2.36;12.63); clinical form of the disease (OR = 7.1; 95%CI: 2.48;20.52), and treatment regimen (OR = 3.7; 95%CI: 1.49;9.11). CONCLUSIONS: The predictive factors of relapse are associated with housing conditions, living habits, organization of health services, clinical forms of leprosy and treatment regimen. Health services should educate patients on the disease as well as ensure consistent treatment. |
publishDate |
2011 |
dc.date.none.fl_str_mv |
2011-08-01 |
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/rsp/article/view/33012 10.1590/S0034-89102011005000043 |
url |
https://www.revistas.usp.br/rsp/article/view/33012 |
identifier_str_mv |
10.1590/S0034-89102011005000043 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/33012/35655 https://www.revistas.usp.br/rsp/article/view/33012/35656 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2017 Revista de Saúde Pública |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 45 No. 4 (2011); 756-764 Revista de Saúde Pública; Vol. 45 Núm. 4 (2011); 756-764 Revista de Saúde Pública; v. 45 n. 4 (2011); 756-764 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
instname_str |
Universidade de São Paulo (USP) |
instacron_str |
USP |
institution |
USP |
reponame_str |
Revista de Saúde Pública |
collection |
Revista de Saúde Pública |
repository.name.fl_str_mv |
Revista de Saúde Pública - Universidade de São Paulo (USP) |
repository.mail.fl_str_mv |
revsp@org.usp.br||revsp1@usp.br |
_version_ |
1800221791984025600 |