Author:

• Laylla Ribeiro Macedo - Macedo, L. R. - <layllarm@hotmail.com>
ORCID: http://orcid.org/0000-0002-6246-3559

Co-author(s):

• Ethel Leonor Noia Maciel - Maciel, E. L. N. - <ethel.maciel@gmail.com>
ORCID: http://orcid.org/0000-0003-4826-3355
• Cláudio José Struchiner - Struchiner, C. J. - <claustru@gmail.com>
ORCID: https://orcid.org/0000-0003-2114-847X

Abstract:

Objective: assessing the association between being prisoner or homeless and the unsuccessin the outcome of tuberculosis (TB) cases diagnosed in Brazil in 2015.
Methods:The cases of tuberculosis in the prisoners and homeless in Brazil in 2015 have beenstudied throughdescriptive analysis and logistic regression based on the Information System for Notifiable Diseases.
Results: In 2015, 82,056 cases of tuberculosis were reported, of which 7,462 (10.3%) were prisoners and 2,782 (3.9%) homeless. The proportion of success in the outcomes of cases in the prisoners was 78.6%, while in the homeless population, the proportion of failure was 63.2%. Beingprisoner was shown to be a protective factor against theunsuccess in the outcomes of cases (Adjusted Odds Ratio 0.68 CI 95% 0.63-0.73), while being homeless was shown to be a risk factoragainst the unsuccess (Adjusted Odds Ratio) 2.38 CI 95% 2.17-2.61).
Conclusions:The outcome of tuberculosis cases differs between prisoners and homeless, making it necessary to implement public health policies that consider their specificities and be articulated with social and security agencies in order to impact disease indicators.

Keywords:

Tuberculosis; Vulnerable Populations, Prisons; Homeless.

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