0389/2020 - Abandono Do Tratamento Da Tuberculose No Brasil, 2012-2018: Tendência E Distribuição Espaço-Temporal Abandonment Of Tuberculosis Treatment In Brazil, 2012-2018: Trend And Spatiotemporal Distribution
Estudo ecológico que analisa a tendência e a distribuição espaço-temporal dos casos novos de tuberculose (TB) que abandonaram o tratamento no Brasil, notificados no Sistema de Informação de Agravos de Notificação, no período de 2012 a 2018. Para o estudo da tendência utilizou-se o modelo de regressão linear generalizada de Prais-Winsten e para a análise espacial os índices Global e Local de Moran. A média e a mediana da proporção de abandono do tratamento da TB no Brasil foram de 10,4%. As maiores médias do indicador concentraram-se nas regiões Sudeste (10,78±1,38), Sul (10,70±2,94) e Norte (10,35±1,13), e; nos estados de Rondônia (14,35±2,34), Rio Grande do Sul (13,60±4,23) e Rio de Janeiro (12,64±1,73), apenas Acre e Piauí apresentaram esse indicador abaixo de 5%. No Brasil, houve tendência de estabilidade na proporção do abandono do tratamento da TB, decréscimo nas regiões Norte, Nordeste e Sul e apenas no Distrito Federal houve crescimento. Verificou-se distribuição heterogênea e não aleatória, com cinco capitais compondo o cluster de Alto-Risco. Concluímos que a proporção de abandono do tratamento da TB no Brasil encontra-se acima do aceitável e que a identificação de áreas de alto risco pode contribuir para a elaboração e fortalecimento de ações de controle mais específicas.
Palavras-chave:
Tuberculose. Estudos de séries temporais. Análise Espacial.
Abstract:
Ecological study that analyzes the trend and the spatiotemporal distribution of new cases of tuberculosis (TB) that abandoned treatment in Brazil, notified in the Notifiable Diseases Information System, in the period2012 to 2018. For the study of the trend used the Prais-Winsten generalized linear regression model was used and the Moran Global and Local indices for spatial analysis. The mean and median proportion of TB treatment dropout in Brazil was 10.4%. The highest averages of the indicator were concentrated in the Southeast (10.78 ± 1.38), South (10.70 ± 2.94) and North (10.35 ± 1.13), and; in the states of Rondônia (14.35 ± 2.34), Rio Grande do Sul (13.60 ± 4.23) and Rio de Janeiro (12.64 ± 1.73), only Acre and Piauí showed this indicator below 5%. In Brazil, there was a tendency towards stability in the proportion of abandonment of TB treatment, a decrease in the North, Northeast and South regions and only in the Federal District there was growth. There was a heterogeneous and non-random distribution, with five capitals comprising the High-Risk cluster. We conclude that the proportion of TB treatment abandonment in Brazil is above what is acceptable and that the identification of high-risk areas can contribute to the elaboration and strengthening of more specific control actions.
Keywords:
Tuberculosis. Time series studies.Spatial Analysis.
Abandonment Of Tuberculosis Treatment In Brazil, 2012-2018: Trend And Spatiotemporal Distribution
Resumo (abstract):
Ecological study that analyzes the trend and the spatiotemporal distribution of new cases of tuberculosis (TB) that abandoned treatment in Brazil, notified in the Notifiable Diseases Information System, in the period2012 to 2018. For the study of the trend used the Prais-Winsten generalized linear regression model was used and the Moran Global and Local indices for spatial analysis. The mean and median proportion of TB treatment dropout in Brazil was 10.4%. The highest averages of the indicator were concentrated in the Southeast (10.78 ± 1.38), South (10.70 ± 2.94) and North (10.35 ± 1.13), and; in the states of Rondônia (14.35 ± 2.34), Rio Grande do Sul (13.60 ± 4.23) and Rio de Janeiro (12.64 ± 1.73), only Acre and Piauí showed this indicator below 5%. In Brazil, there was a tendency towards stability in the proportion of abandonment of TB treatment, a decrease in the North, Northeast and South regions and only in the Federal District there was growth. There was a heterogeneous and non-random distribution, with five capitals comprising the High-Risk cluster. We conclude that the proportion of TB treatment abandonment in Brazil is above what is acceptable and that the identification of high-risk areas can contribute to the elaboration and strengthening of more specific control actions.
Palavras-chave (keywords):
Tuberculosis. Time series studies.Spatial Analysis.
Soeiro, V.M.S, CALDAS, A.J.M.C., Ferreira, TF. Abandono Do Tratamento Da Tuberculose No Brasil, 2012-2018: Tendência E Distribuição Espaço-Temporal. Cien Saude Colet [periódico na internet] (2020/dez). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/abandono-do-tratamento-da-tuberculose-no-brasil-20122018-tendencia-e-distribuicao-espacotemporal/17871?id=17871
