Spatial pattern and temporal trend of mortality due to tuberculosis

Abstract

Objectives: To describe the epidemiological profile of mortality due to tuberculosis (TB), to analyze the spatial pattern of these deaths and to investigate the temporal trend in mortality due to tuberculosis in Northeast Brazil. Methods: An ecological study based on secondary mortality data. Deaths due to TB were included in the study. Descriptive statistics were calculated and gross mortality rates were estimated and smoothed by the Local Empirical Bayesian Method. Prais-Winsten’s regression was used to analyze the temporal trend in the TB mortality coefficients. The Kernel density technique was used to analyze the spatial distribution of TB mortality. Results: Tuberculosis was implicated in 236 deaths. The burden of tuberculosis deaths was higher amongst males, single people and people of mixed ethnicity, and the mean age at death was 51 years. TB deaths were clustered in the East, West and North health districts, and the tuberculosis mortality coefficient remained stable throughout the study period. Conclusions: Analyses of the spatial pattern and temporal trend in mortality revealed that certain areas have higher TB mortality rates, and should therefore be prioritized in public health interventions targeting the disease.

Tuberculosis associated with the living conditions in an endemic municipality in the North of Brazil*

“…The result observed for class I may be related to the underreporting of cases in this stratum of the population. consumer goods, and health services (27) .…”

“…Individuals living with HIV are 30 times more likely to develop TB than those not infected with the virus, so testing for HIV is considered the standard for people with TB; however, coverage is still restricted in the health services, which demonstrates the opportunistic and lethal potential of TB for patients living with HIV/AIDS ( 21 - 27 ) .…”

“…The result observed for class I may be related to the underreporting of cases in this stratum of the population. Individuals with low levels of education and in poor socioeconomic conditions have less chance of perceiving the risks of TB transmission, showing little commitment to the specific treatment, which is a consequence of restricted access to information, knowledge benefits, consumer goods, and health services ( 27 ) .…”

Spatial patterns of multidrug-resistant tuberculosis: correlation with sociodemographic variables and type of notification

“…The use of technologies to identify the spatial patterns of MDR-TB cases enables greater accuracy and reliability to indicate the spatial location of these cases and relate to the potentializing variables for the occurrence of the phenomenon. In this sense, geoprocessing allows the systematization of data related to the distribution of MDR-TB, with the offer of results to support the implementation of the planning of disease control actions (11)(12) .…”

Mortalidade por tuberculose e tuberculose-HIV, sua relação espacial com os determinantes sociais e tendência temporal: uma abordagem multimétodo em Foz do Iguaçu, PR

“…Foi adotado raio de 1000 metros como parâmetro, seguindo outros estudos semelhantes que utilizaram o mesmo parâmetro (QUEIROZ et al, 2018;FUSCO et al, 2017).…”