Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil

Translated title of the contribution: Magnitude of social determinants in the risk of death from tuberculosis in Central-west Brazil

Josilene Dália Alves, Luiz Henrique Arroyo, Marcos Augusto Moraes Arcoverde, Denisse Cartagena-Ramos, Thais Zamboni Berra, Luana Seles Alves, Antônio Carlos Vieira Ramos, Miguel Fuentealba-Torres, Ivaneliza Simionato de Assis, Regina Célia Fiorati, Carla Nunes, Ricardo Alexandre Arcêncio

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Abstract

Objective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5% error was fixed. The standard error was established at 5% for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95%CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95%CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95%CI: 0.00-0.70). The value of the ROC curve of the model was 92.1%. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem.

Original languageSpanish
JournalGaceta Sanitaria
DOIs
Publication statusPublished - 1 Jan 2019

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Brazil
Tuberculosis
Mortality
Human Development
Poverty
Public Policy
Health Policy
Principal Component Analysis
ROC Curve
Logistic Models
Economics
Incidence

Keywords

  • Brazil
  • Mortality
  • Mycobacterium tuberculosis
  • Social determinants of health
  • Tuberculosis

Cite this

Alves, J. D., Arroyo, L. H., Moraes Arcoverde, M. A., Cartagena-Ramos, D., Zamboni Berra, T., Seles Alves, L., ... Arcêncio, R. A. (2019). Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil. Gaceta Sanitaria. https://doi.org/10.1016/j.gaceta.2019.01.004
Alves, Josilene Dália ; Arroyo, Luiz Henrique ; Moraes Arcoverde, Marcos Augusto ; Cartagena-Ramos, Denisse ; Zamboni Berra, Thais ; Seles Alves, Luana ; Vieira Ramos, Antônio Carlos ; Fuentealba-Torres, Miguel ; Simionato de Assis, Ivaneliza ; Fiorati, Regina Célia ; Nunes, Carla ; Arcêncio, Ricardo Alexandre. / Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil. In: Gaceta Sanitaria. 2019.
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abstract = "Objective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5{\%} error was fixed. The standard error was established at 5{\%} for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95{\%}CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95{\%}CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95{\%}CI: 0.00-0.70). The value of the ROC curve of the model was 92.1{\%}. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem.",
keywords = "Brazil, Mortality, Mycobacterium tuberculosis, Social determinants of health, Tuberculosis",
author = "Alves, {Josilene D{\'a}lia} and Arroyo, {Luiz Henrique} and {Moraes Arcoverde}, {Marcos Augusto} and Denisse Cartagena-Ramos and {Zamboni Berra}, Thais and {Seles Alves}, Luana and {Vieira Ramos}, {Ant{\^o}nio Carlos} and Miguel Fuentealba-Torres and {Simionato de Assis}, Ivaneliza and Fiorati, {Regina C{\'e}lia} and Carla Nunes and Arc{\^e}ncio, {Ricardo Alexandre}",
year = "2019",
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doi = "10.1016/j.gaceta.2019.01.004",
language = "Spanish",
journal = "Gaceta Sanitaria",
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Alves, JD, Arroyo, LH, Moraes Arcoverde, MA, Cartagena-Ramos, D, Zamboni Berra, T, Seles Alves, L, Vieira Ramos, AC, Fuentealba-Torres, M, Simionato de Assis, I, Fiorati, RC, Nunes, C & Arcêncio, RA 2019, 'Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil', Gaceta Sanitaria. https://doi.org/10.1016/j.gaceta.2019.01.004

Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil. / Alves, Josilene Dália; Arroyo, Luiz Henrique; Moraes Arcoverde, Marcos Augusto; Cartagena-Ramos, Denisse; Zamboni Berra, Thais; Seles Alves, Luana; Vieira Ramos, Antônio Carlos; Fuentealba-Torres, Miguel; Simionato de Assis, Ivaneliza; Fiorati, Regina Célia; Nunes, Carla; Arcêncio, Ricardo Alexandre.

In: Gaceta Sanitaria, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil

AU - Alves, Josilene Dália

AU - Arroyo, Luiz Henrique

AU - Moraes Arcoverde, Marcos Augusto

AU - Cartagena-Ramos, Denisse

AU - Zamboni Berra, Thais

AU - Seles Alves, Luana

AU - Vieira Ramos, Antônio Carlos

AU - Fuentealba-Torres, Miguel

AU - Simionato de Assis, Ivaneliza

AU - Fiorati, Regina Célia

AU - Nunes, Carla

AU - Arcêncio, Ricardo Alexandre

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Objective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5% error was fixed. The standard error was established at 5% for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95%CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95%CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95%CI: 0.00-0.70). The value of the ROC curve of the model was 92.1%. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem.

AB - Objective: To evaluate the magnitude of social determinants in areas of risk of mortality due to tuberculosis in a high incidence city. Method: Ecological study, which recruited the cases of tuberculosis deaths registered between 2006 and 2016 in the capital of Mato Grosso-Brazil. The social determinants were obtained from the Human Development Units. Sweep statistics were used to identify areas of risk of mortality due to tuberculosis. Principal component analysis was carried out to identify dimensions of social determinants. Multiple logistic regression was applied to verify associations between the dimensions of social determinants and the risk of mortality from tuberculosis. A 5% error was fixed. The standard error was established at 5% for all statistical tests. Results: A total of 225 deaths due to tuberculosis were registered in the period, distributed heterogeneously in the space. A cluster of risk for tuberculosis mortality was identified, with RR = 2.09 (95%CI: 1.48-2.94; p = 0.04). Social determinants, low educational level and poverty were associated with the risk of mortality due to tuberculosis (OR: 2.92; 95%CI: 1.17-7.28). Income had a negative association with the risk of mortality due to tuberculosis (OR: 0.05; 95%CI: 0.00-0.70). The value of the ROC curve of the model was 92.1%. Conclusions: The results confirmed that the risk of mortality due to tuberculosis is a problem associated with social determinants. Health policies and social protection programmes can collaborate to address this problem.

KW - Brazil

KW - Mortality

KW - Mycobacterium tuberculosis

KW - Social determinants of health

KW - Tuberculosis

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DO - 10.1016/j.gaceta.2019.01.004

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JO - Gaceta Sanitaria

JF - Gaceta Sanitaria

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Alves JD, Arroyo LH, Moraes Arcoverde MA, Cartagena-Ramos D, Zamboni Berra T, Seles Alves L et al. Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil. Gaceta Sanitaria. 2019 Jan 1. https://doi.org/10.1016/j.gaceta.2019.01.004