Spatial analysis of tuberculosis in children under 15 years of age and socioeconomic risk: an ecological study in Paraíba, Brazil, 2007-2016.

Autor: Mendes MDS; Fundação Instituto Oswaldo Cruz, Departamento de Saúde Coletiva, Recife, PE, Brasil., Oliveira ALS; Fundação Instituto Oswaldo Cruz, Núcleo de Estatística e Geoprocessamento, Recife, PE, Brasil., Pimentel LMLM; Fundação Instituto Oswaldo Cruz, Departamento de Imunologia, Recife, PE, Brasil., Figueiredo TMRM; Universidade Estadual da Paraíba, Departamento de Enfermagem, Campina Grande, PB, Brasil., Schindler HC; Fundação Instituto Oswaldo Cruz, Departamento de Imunologia, Recife, PE, Brasil.
Jazyk: English; Portuguese
Zdroj: Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil [Epidemiol Serv Saude] 2021 Aug 04; Vol. 30 (3), pp. e20201038. Date of Electronic Publication: 2021 Aug 04 (Print Publication: 2021).
DOI: 10.1590/S1679-49742021000300006
Abstrakt: Objective: To analyze spatial distribution of tuberculosis in individuals under 15 years old and socioeconomic factors in Paraíba, Brazil, 2007-2016.
Methods: This was an ecological study based on data from the Notifiable Health Conditions Information System (SINAN), taking each municipality to be a unit of analysis. Spatial distribution of incidence was performed, the local empirical Bayesian method and Moran's I were applied. Socioeconomic data were crossed-checked to identify areas of social prosperity.
Results: 426 cases were notified, with average incidence of 4.5/100,000 inhabitants. Moran's I was 0.59 (p=0.010). The Moran Map revealed concentration of cases in children under 15 in 38 high priority municipalities, in clusters with high-high and low-low patterns, in the east and northwest of the state, coinciding with areas of low social prosperity.
Conclusion: There were clusters with greater tuberculosis transmission, indicating priority areas for addressing tuberculosis.
Databáze: MEDLINE