| Autor: |
Boigny RN; Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil., Souza EA; Instituto Multidisciplinar em Saúde, Universidade Federal da Bahia, Vitória da Conquista, Brasil., Romanholo HSB; Faculdade de Ciências Biomédicas de Cacoal, Cacoal, Brasil.; Secretaria Municipal de Saúde de Cacoal, Cacoal, Brasil., Araújo OD; Universidade Federal do Piauí, Teresina, Brasil., Araújo TME; Universidade Federal do Piauí, Teresina, Brasil., Carneiro MAG; Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil., Grijó MDF; Centro de Referência Municipal para Hanseníase, Secretaria Municipal de Saúde, Vitória da Conquista, Brasil., Henz NLFB; Secretaria Estadual de Saúde de Rolim de Moura, Rolim de Moura, Brasil., Reis ADSD; Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil., Pinto MSAP; Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil., Barbosa JC; Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil., Ramos AN Jr; Faculdade de Medicina, Universidade Federal do Ceará, Fortaleza, Brasil. |
| Abstrakt: |
The study sought to analyze the magnitude of occurrence and the sociodemographic, economic and clinical profiles of leprosy associated with household social networks (HSN), with disease overlap in cities from the states of Bahia, Piauí and Rondônia, Brazil, from 2001 to 2014. This is a cross-sectional study using primary and secondary data regarding new cases of leprosy notified to the Brazilian Information System for Notifiable Diseases (SINAN, in Portuguese) residing in the cities. We applied a standardized instrument to the new cases and reviewed data from charts and from SINAN. Of a total of 1,032 (29.6%) assessed cases, 538 (52.1%) had more than one case in their HSN. There were larger frequencies of female sex (292; 54.3%), age between 41 and 60 years (240; 44.6%), primary education (272; 50.6%), income lower than the minimum wage (265; 49.3%) and living with 5 or more people (265; 49.3%). The overlap of cases in the HSN was associated in the multivariate analysis with residing in cities in the state of Rondônia (PR = 1.23; 95%CI: 1.07-1.43; p = 0.003), as well as living with 3 to 4 people in the same household (PR = 1.66; 95%CI: 1.11-2.49; p = 0.014) and having leprosy reaction (PR = 1.31; 95%CI: 0.99-1.70; p = 0.050). Case repetition within the same HSN is a frequent event in the situations we studied. Its occurrence must be considered as a sentinel indicator of greater epidemiological severity in primary health care surveillance. We highlight the vulnerability of affected families. |
