0378/2017 - Perfil dos municípios brasileiros e a presença de tuberculose e sua forma drogarresistente. Brazilian cities profile and the occurence of tuberculosis and its drug-resistant form.
A tuberculose tem estreita relação com as condições de vida das pessoas. O presente estudo classifica os municípios brasileiros de acordo com a presença ou ausência de casos de tuberculose (TB) e sua forma drogarresistente (TB-DR), e os descreve quanto às condições de saúde da população, os indicadores de controle da tuberculose, perfil demográfico e socioeconômico. Em 2014, 327 municípios registraram casos de TB-DR. Regiões integradas de desenvolvimento ou regiões metropolitanas concentraram 80,1% dos casos de TB-DR do País. Os municípios com casos de TB-DR tiveram piores indicadores de desfecho da TB, mas maiores percentuais de realização de exame de cultura, além de mais habitantes e melhores indicadores socioeconômicos. Os 3644 municípios com casos de TB, mas sem casos de TB-DR tiveram os piores indicadores socioeconômicos entre os três grupos. Os 1594 municípios sem casos de TB tiveram as menores taxas de desemprego e de detecção de aids, e maior cobertura de atenção básica. Os diferentes perfis encontrados no estudo podem dar suporte à lapidação de estratégias nacionais de controle da doença e sua forma drogarresistente no País.
Palavras-chave:
Tuberculose Resistente a Drogas; Fatores Socioeconômicos; Municípios; Equidade em Saúde; Saúde Pública.
Abstract:
Tuberculosis has a close relationship with living conditions. This study classifies Brazilian cities according to the occurrence of tuberculosis (TB) cases and the drug-resistant form (DR-TB), and describes them regarding the population\'s health conditions, tuberculosis control indicators, demographic and socioeconomic profile. In 2014, 327 cities reported cases of DR-TB. Integrated regions of development or metropolitan regions accounted for 80.1% of the country\'s DR-TB cases. Cities with DR-TB cases had worse TB outcome indicators, but higher percentages of culture test. These cities had more inhabitants and better socioeconomic indicators. The 3644 cities with TB cases but without DR-TB cases had the worst socioeconomic indicators among the three groups. The 1594 municipalities without cases of TB had the lowest rates of unemployment and AIDS detection, and greater coverage of primary health care. The different municipal profiles we found can support the improvement of national interventions for tuberculosis control in Brazil.
Keywords:
Drug Resistant Tuberculosis; Socioeconomic Factors; Cities; Health Equity; Public Health.
Brazilian cities profile and the occurence of tuberculosis and its drug-resistant form.
Resumo (abstract):
Tuberculosis has a close relationship with living conditions. This study classifies Brazilian cities according to the occurrence of tuberculosis (TB) cases and the drug-resistant form (DR-TB), and describes them regarding the population\'s health conditions, tuberculosis control indicators, demographic and socioeconomic profile. In 2014, 327 cities reported cases of DR-TB. Integrated regions of development or metropolitan regions accounted for 80.1% of the country\'s DR-TB cases. Cities with DR-TB cases had worse TB outcome indicators, but higher percentages of culture test. These cities had more inhabitants and better socioeconomic indicators. The 3644 cities with TB cases but without DR-TB cases had the worst socioeconomic indicators among the three groups. The 1594 municipalities without cases of TB had the lowest rates of unemployment and AIDS detection, and greater coverage of primary health care. The different municipal profiles we found can support the improvement of national interventions for tuberculosis control in Brazil.
Palavras-chave (keywords):
Drug Resistant Tuberculosis; Socioeconomic Factors; Cities; Health Equity; Public Health.
Jacobs, MG, Pinto Junior,. V.L.. Perfil dos municípios brasileiros e a presença de tuberculose e sua forma drogarresistente.. Cien Saude Colet [periódico na internet] (2017/out). [Citado em 22/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/perfil-dos-municipios-brasileiros-e-a-presenca-de-tuberculose-e-sua-forma-drogarresistente/16430?id=16430
