Factors associated with multibacillary leprosy in a region of northeastern Brazil.

Autor:	Da Silva JC; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., De Oliveira RA; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Siqueira Santos LF; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Pascoal LM; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Santos FS; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Pereira de Jesus Costa AC; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Costa Maia Dias IC; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Tavares Palmeira Rolim IL; Nursing Graduate Program, Federal University of Maranhão, São Luís, Maranhão, Brazil., Graepp Fontoura I; Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Siqueira de Araujo Gordon A; Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Santos Melo Lobato J; Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Arrais Sampaio Santos FA; Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Bezerra JM; Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Fontoura VM; Nursing Department, State University of Tocantins, Augustinópolis, Tocantins, Brazil., Vieira Ramos AC; University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil., Hunaldo Dos Santos L; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil., Santos Neto M; Graduate Program in Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
Jazyk:	angličtina
Zdroj:	Journal of infection in developing countries [J Infect Dev Ctries] 2023 Jun 30; Vol. 17 (6), pp. 846-853. Date of Electronic Publication: 2023 Jun 30.
DOI:	10.3855/jidc.17284
Abstrakt:	Introduction: The analysis of factors associated with multibacillary leprosy is important for the development of strategies to mitigate the disease, which persists as a public health problem in Brazil and the world. The objective of this study was to verify the associations between sociodemographic and clinical-epidemiological variables and multibacillary leprosy in the state of northeastern Brazil. Methodology: This is a cross-sectional, analytical, and retrospective study, with a quantitative approach, carried out in 16 municipalities in the southwest of Maranhão State, northeastern Brazil. All cases of leprosy reported between January 2008 and December 2017 were considered. Sociodemographic and clinical-epidemiological variables were analyzed using descriptive statistics. The identification of the risk factors associated with multibacillary leprosy was conducted using Poisson regression models. The prevalence ratios and respective 95% confidence intervals were estimated using regression coefficients at a 5% significance level. Results: A total of 3,903 leprosy cases were analyzed. Individuals older than 15 years, males, with less than 8 years of education, with level I, II, or "not evaluated" disability, and with type 1 or 2 or both reactional states were more likely to have multibacillary leprosy. Therefore, these characteristics may be considered risk factors. No protective factors were identified. Conclusions: The investigation revealed important associations between risk factors and multibacillary leprosy. The findings can be considered during the creation of strategies to control and combat the disease. Competing Interests: No Conflict of Interest is declared (Copyright (c) 2023 Janiel Conceição da Silva, Rayanne Alves de Oliveira, Lívia Fernanda Siqueira Santos, Livia Maia Pascoal, Floriacy Stabnow Santos, Ana Cristina Pereira de Jesus Costa, Ismália Cassandra Costa Maia Dias, Isaura Leticia Tavares Palmeira Rolim, Iolanda Graepp Fontoura, Ariadne Siqueira de Araujo Gordon, Jaisane Santos Melo Lobato, Francisca Aline Arrais Sampaio Santos, Janaína Miranda Bezerra, Volmar Morais Fontoura, Antônio Carlos Vieira Ramos, Leonardo Hunaldo dos Santos, Marcelino Santos Neto.)
Databáze:	MEDLINE
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