TY - JOUR
T1 - The burden of alcohol, tobacco and others drugs among incarcerated population diagnosed with tuberculosis
T2 - time trends and spatial determinants in Southern Brazil
AU - Scholze, Alessandro Rolim
AU - Dália Alves, Josilene
AU - Berra, Thaís Zamboni
AU - Santos, Felipe Lima dos
AU - Ramos, Antônio Carlos Vieira
AU - Lima de Freitas, Giselle
AU - José Quina Galdino, Maria
AU - Meneguetti Pieri, Flávia
AU - Augusto Moraes Arcoverde, Marcos
AU - Cristina Pillon, Sandra
AU - Monroe, Aline Aparecida
AU - Fronteira, Inês
AU - Gomes, Dulce
AU - Alexandre Arcêncio, Ricardo
N1 - Publisher Copyright:
© 2022, The Author(s).
PY - 2022/12
Y1 - 2022/12
N2 - Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis and is a public health problem worldwide. It is estimated that 90% of the patients diagnosed with TB live in vulnerable environments with limited health resources, such as individuals living in correctional facilities. This study aimed to identify the consumption of alcohol, tobacco, and other drugs among prisoners diagnosed with TB and the spatial determinants and time trends of the phenomenon in southern Brazil. Methods: A cross-sectional study using data from the Brazilian Notifiable Diseases Information System was carried out. TB cases confirmed from 2014 to 2018 in prisons located in Paraná, Brazil, were selected. The Prais-Winsten procedure was performed to identify time trends by calculating monthly rates and the percentage of monthly variation. The Seasonal-Trend by Loess decomposition method was used to verify the time series and trends. The spatial association was verified with the Getis-Ord Gi* technique, and the risk areas were identified using spatial scan statistics. Results: A total of 1,099 TB cases were found in the studied population. The consumption of tobacco (n = 460; 41.9%), illegal drugs (n = 451; 41.0%), and alcohol (n = 179; 16.3%) stood out. An ascending trend was found for the consumption of alcohol (+ 19.4%/mo. (95%CI: 12.20–23.03)), tobacco (+ 20.2%/mo. (95%CI: 12.20–28.82)), and illegal drugs (+ 62.2%/mo. (95%CI: 44.54–81.97)). Spatial analysis revealed clusters for the use of alcohol, tobacco, and illegal drugs. Conclusions: This study advances knowledge presenting the burden of drug use and its typology among individuals diagnosed with TB in the prison system. There is a growing trend among patients to use drugs, especially illegal drugs. The clusters show differences between the places where the prisons are located.
AB - Background: Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis and is a public health problem worldwide. It is estimated that 90% of the patients diagnosed with TB live in vulnerable environments with limited health resources, such as individuals living in correctional facilities. This study aimed to identify the consumption of alcohol, tobacco, and other drugs among prisoners diagnosed with TB and the spatial determinants and time trends of the phenomenon in southern Brazil. Methods: A cross-sectional study using data from the Brazilian Notifiable Diseases Information System was carried out. TB cases confirmed from 2014 to 2018 in prisons located in Paraná, Brazil, were selected. The Prais-Winsten procedure was performed to identify time trends by calculating monthly rates and the percentage of monthly variation. The Seasonal-Trend by Loess decomposition method was used to verify the time series and trends. The spatial association was verified with the Getis-Ord Gi* technique, and the risk areas were identified using spatial scan statistics. Results: A total of 1,099 TB cases were found in the studied population. The consumption of tobacco (n = 460; 41.9%), illegal drugs (n = 451; 41.0%), and alcohol (n = 179; 16.3%) stood out. An ascending trend was found for the consumption of alcohol (+ 19.4%/mo. (95%CI: 12.20–23.03)), tobacco (+ 20.2%/mo. (95%CI: 12.20–28.82)), and illegal drugs (+ 62.2%/mo. (95%CI: 44.54–81.97)). Spatial analysis revealed clusters for the use of alcohol, tobacco, and illegal drugs. Conclusions: This study advances knowledge presenting the burden of drug use and its typology among individuals diagnosed with TB in the prison system. There is a growing trend among patients to use drugs, especially illegal drugs. The clusters show differences between the places where the prisons are located.
KW - Drug utilization
KW - Prisoners
KW - Public health
KW - Tuberculosis
UR - http://www.scopus.com/inward/record.url?scp=85130205654&partnerID=8YFLogxK
U2 - 10.1186/s12889-022-13408-1
DO - 10.1186/s12889-022-13408-1
M3 - Article
C2 - 35581564
AN - SCOPUS:85130205654
SN - 1471-2458
VL - 22
JO - BMC Public Health
JF - BMC Public Health
IS - 1
M1 - 999
ER -
