Inequality of gender, age and disabilities due to leprosy and trends in a hyperendemic metropolis: Evidence from an eleven-year time series study in central-west Brazil

José Francisco Martoreli Júnior*, Antônio Carlos Vieira Ramos, Josilene Dalia Alves, Juliane de Almeida Crispim, Luana Seles Alves, Thaís Zamboni Berra, Tatiana Pestana Barbosa, Fernanda Bruzadelli Paulino da Costa, Yan Mathias Alves, Márcio Souza Dos Santos, Dulce Gomes, Mellina Yamamura, Ione Carvalho Pinto, Miguel Angel Fuentealba-Torres, Carla Nunes, Flavia Meneguetti Pieri, Marcos Augusto Moraes Arcoverde, Felipe Lima Dos Santos, Ricardo Alexandre Arcêncio

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

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.

Original languageEnglish
Article numbere0009941
Pages (from-to)e0009941
Number of pages16
JournalPLoS Neglected Tropical Diseases
Volume15
Issue number11
DOIs
StatePublished - 16 Nov 2021

Bibliographical note

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.

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