Author:

• Melisane Regina Lima Ferreira - Ferreira, M. R. L. - <melisane1206@gmail.com>
ORCID: https://orcid.org/0000-0003-1694-5124

Co-author(s):

• Rubia Laine de Paula Andrade - Andrade, R.L.P. - <rubia@eerp.usp.br>
ORCID: https://orcid.org/0000-0001-5843-1733
• Pedro Augusto Bossonario - Bossonario, P. A. - <pedro.bossonario@gmail.com>
ORCID: https://orcid.org/0000-0001-6287-174X
• Regina Célia Fiorati - Fiorati, R. C. - <reginacf@fmrp.usp.br>
ORCID: https://orcid.org/0000-0003-3666-9809
• Ricardo Alexandre Arcêncio - Arcêncio, R. A. - <ricardo@eerp.usp.br>
ORCID: https://orcid.org/0000-0003-4792-8714
• Carlos Eduardo Menezes de Rezende - Rezende, C. E. M. - <cemrezende@gmail.com>
ORCID: https://orcid.org/0000-0002-5716-858X
• Nathalia Halax Orfão - Orfão, N. H. - <nathaliahalax@hotmail.com>
ORCID: https://orcid.org/0000-0002-8734-3393
• Aline Aparecida Monroe - Monroe, A. A. - <amonroe@eerp.usp.br>
ORCID: https://orcid.org/0000-0003-4073-2735

Abstract:

Objective: To analyze the unfavourable outcome of tuberculosis treatment among the population deprived of liberty according to social determinants of health. Methods: Retrospective cohort carried out in the states of Rondônia and São Paulo, Brazil, with inmates with tuberculosis notified between 2008 and 2017. Data were collectedSINAN and TB-WEB and analyzed by relative risk (RR) and confidence intervals (95%CI), which tested the association between the dependent variable (unfavourable vs favourable outcome) and the structural and intermediary determinants of health. Results: 158 unfavourable outcomes were registered in Rondônia and 2,227 in São Paulo. For Rondônia, this outcome was associated with the male gender (RR 3.09; 95%CI 1.03-9.27) and AIDS (RR 2.46; 95%CI 1.63-3.71). In São Paulo, aged over 30 years (RR 1.36; 95%CI 1.26-1.47), AIDS (RR 3.08; 95%CI 2.81-3.38), alcoholism (RR 1.54; 95%CI 1.35-1.76), diabetes (RR 1.70; 95%CI 1.27-2.28) and self-administered treatment (RR 2.55; 95%CI 2.27-2.86) were risk factors for the unfavourable outcome. Conclusions: The study contributes with elements to the risk stratification of people with tuberculosis in prison units and, thus, to improve health care towards favorable outcome.

Keywords:

Tuberculosis. Prisons. Treatment Outcome. Social Determinants of Health. Health Policy.

Content:

Access Issue in Scielo

Other languages: