TY - JOUR
T1 - Inequality of gender, age and disabilities due to leprosy and trends in a hyperendemic metropolis
T2 - Evidence from an eleven-year time series study in central-west Brazil
AU - Martoreli Júnior, José Francisco
AU - Ramos, Antônio Carlos Vieira
AU - Alves, Josilene Dalia
AU - Crispim, Juliane de Almeida
AU - Alves, Luana Seles
AU - Berra, Thaís Zamboni
AU - Barbosa, Tatiana Pestana
AU - da Costa, Fernanda Bruzadelli Paulino
AU - Alves, Yan Mathias
AU - Dos Santos, Márcio Souza
AU - Gomes, Dulce
AU - Yamamura, Mellina
AU - Pinto, Ione Carvalho
AU - Fuentealba-Torres, Miguel Angel
AU - Nunes, Carla
AU - Pieri, Flavia Meneguetti
AU - Arcoverde, Marcos Augusto Moraes
AU - Dos Santos, Felipe Lima
AU - Arcêncio, Ricardo Alexandre
N1 - Funding Information:
This study was financed in part by the Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior-Brasil (CAPES)-Finance Code 001 (Process 304483/2018-4) (https://www.gov.br/ capes/pt-br) to RAA. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Publisher Copyright:
© 2021 Martoreli Júnior et al.
PY - 2021/11/16
Y1 - 2021/11/16
N2 - The present study aimed to investigate the epidemiological situation of leprosy (Hansen’s Disease), in a hyperendemic metropolis in the Central-West region of Brazil. We studied trends over eleven years, both in the detection of the disease and in disabilities, analyzing disparities and/or differences regarding gender and age. This is an ecological time series study conducted in Cuiabá, capital of the state of Mato Grosso. The population consisted of patients diagnosed with leprosy between the years 2008 and 2018. The time series of leprosy cases was used, stratifying it according to gender (male and female), disability grade (G0D, G1D, G2D, and not evaluated) and age. The calendar adjustment technique was applied. For modeling the trends, the Seasonal-Trend decomposition procedure based on Loess (STL) was used. We identified 9.739 diagnosed cases, in which 58.37% were male and 87.55% aged between 15 and 59 years. Regarding detection according to gender, there was a decrease among women and an increase in men. The study shows an increasing trend in disabilities in both genders, which may be related to the delay in diagnosis. There was also an increasing number of cases that were not assessed for disability at the time of diagnosis, which denotes the quality of the services.
AB - The present study aimed to investigate the epidemiological situation of leprosy (Hansen’s Disease), in a hyperendemic metropolis in the Central-West region of Brazil. We studied trends over eleven years, both in the detection of the disease and in disabilities, analyzing disparities and/or differences regarding gender and age. This is an ecological time series study conducted in Cuiabá, capital of the state of Mato Grosso. The population consisted of patients diagnosed with leprosy between the years 2008 and 2018. The time series of leprosy cases was used, stratifying it according to gender (male and female), disability grade (G0D, G1D, G2D, and not evaluated) and age. The calendar adjustment technique was applied. For modeling the trends, the Seasonal-Trend decomposition procedure based on Loess (STL) was used. We identified 9.739 diagnosed cases, in which 58.37% were male and 87.55% aged between 15 and 59 years. Regarding detection according to gender, there was a decrease among women and an increase in men. The study shows an increasing trend in disabilities in both genders, which may be related to the delay in diagnosis. There was also an increasing number of cases that were not assessed for disability at the time of diagnosis, which denotes the quality of the services.
KW - Leprosy/epidemiology
KW - Leprosy / psychology
KW - Endemic Diseases/statistics & numerical data
KW - Disabled persons
UR - http://www.scopus.com/inward/record.url?scp=85120605282&partnerID=8YFLogxK
U2 - 10.1371/journal.pntd.0009941
DO - 10.1371/journal.pntd.0009941
M3 - Article
C2 - 34784350
AN - SCOPUS:85120605282
SN - 1935-2727
VL - 15
SP - e0009941
JO - PLoS Neglected Tropical Diseases
JF - PLoS Neglected Tropical Diseases
IS - 11
M1 - e0009941
ER -
