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

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

doi: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

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

^*Autor correspondiente de este trabajo

Producción científica: Contribución a una revista › Artículo › revisión exhaustiva

13 Citas (Scopus)

Resumen

Objetivo
Evaluar la magnitud de los determinantes sociales en áreas de riesgo para la mortalidad por tuberculosis en una ciudad de alta incidencia de esta enfermedad.
Método
Estudio ecológico que recogió los casos de muerte por tuberculosis registrados entre 2006 y 2016 en la capital del Estado de Mato Grosso (Brasil). Los determinantes sociales se obtuvieron de las Unidades de Desarrollo Humano. Se utilizó la estadística de barrido para identificar las áreas de riesgo de muerte por tuberculosis. Se realizó un análisis de componentes principales para identificar dimensiones de determinantes sociales, y se aplicó regresión logística múltiple para verificar asociaciones entre las dimensiones de los determinantes sociales y el riesgo de muerte por tuberculosis. El error estándar se estableció en un 5% para todas las pruebas estadísticas.
Resultados
Se registraron 225 muertes por tuberculosis en el periodo, distribuidas heterogéneamente en el espacio. Se identificó un conglomerado de riesgo para la mortalidad por tuberculosis, con un riesgo relativo de 2,09 (intervalo de confianza del 95% [IC95%]: 1,48-2,94; p = 0,04). Los determinantes sociales «bajo nivel escolar» y «pobreza» se mostraron asociados al riesgo de muerte por tuberculosis (odds ratio [OR]: 2,92; IC95%: 1,17-7,28). La renta presentó asociación negativa con el riesgo de muerte por tuberculosis (OR: 0,05; IC95%: 0,00-0,70). El valor de la curva ROC del modelo fue del 92,1%.
Conclusiones
Los resultados confirman que el riesgo de muerte por tuberculosis es un problema asociado a los determinantes sociales. Las políticas de salud y los programas de protección social pueden contribuir a enfrentarse a este problema.

Título traducido de la contribución	Magnitude of social determinants in the risk of death from tuberculosis in Central-west Brazil
Idioma original	Español
Páginas (desde-hasta)	171-178
Número de páginas	8
Publicación	Gaceta Sanitaria
Volumen	34
N.º	2
DOI	https://doi.org/10.1016/j.gaceta.2019.01.004
Estado	Publicada - 1 mar. 2020
Publicado de forma externa	Sí

Nota bibliográfica

Publisher Copyright:
© 2019 SESPAS

ODS de las Naciones Unidas

Este resultado contribuye a los siguientes Objetivos de Desarrollo Sostenible

ODS 1: Fin de la pobreza
ODS 3: Salud y bienestar

Palabras clave

Tuberculosis
Mycobacterium tuberculosis
Determinantes sociales en salud
Mortalidad
Brasil

Acceder al documento

10.1016/j.gaceta.2019.01.004

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Enlace a la publicación en Scopus

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Alves, J. D., Arroyo, L. H., Moraes Arcoverde, M. A., Cartagena-Ramos, D., Zamboni Berra, T., Seles Alves, L., Vieira Ramos, A. C., Fuentealba-Torres, M., Simionato de Assis, I., Fiorati, R. C., Nunes, C., & Arcêncio, R. A. (2020). Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil. Gaceta Sanitaria, 34(2), 171-178. https://doi.org/10.1016/j.gaceta.2019.01.004

@article{8b9369fcf2e04970a14c0323948c9b14,

title = "Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil",

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, Tuberculosis, Mycobacterium tuberculosis, Determinantes sociales en salud, Mortalidad, Brasil",

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\}",

note = "Funding Information: El estudio fue financiado por la Funda{\c c}{\~a}o de Amparo {\`a} Pesquisa do Estado de S{\~a}o Paulo (FAPESP) mediante el proceso 2015/17586-3, y por el Conselho Nacional de Desenvolvimento Cient{\'i}fico e Tecnol{\'o}gico (CNPq) mediante los procesos 305236/2015-6 y 141716/2017-7. Publisher Copyright: {\textcopyright} 2019 SESPAS",

year = "2020",

month = mar,

day = "1",

doi = "10.1016/j.gaceta.2019.01.004",

language = "Spanish",

volume = "34",

pages = "171--178",

journal = "Gaceta Sanitaria",

issn = "0213-9111",

publisher = "Ediciones Doyma, S.L.",

number = "2",

}

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 2020, 'Magnitud de los determinantes sociales en el riesgo de mortalidad por tuberculosis en el Centro-Oeste de Brasil', Gaceta Sanitaria, vol. 34, n.º 2, pp. 171-178. https://doi.org/10.1016/j.gaceta.2019.01.004

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

N1 - Funding Information: El estudio fue financiado por la Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP) mediante el proceso 2015/17586-3, y por el Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) mediante los procesos 305236/2015-6 y 141716/2017-7. Publisher Copyright: © 2019 SESPAS

PY - 2020/3/1

Y1 - 2020/3/1

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

KW - Mycobacterium tuberculosis

KW - Determinantes sociales en salud

KW - Mortalidad

KW - Brasil

UR - https://www.scopus.com/pages/publications/85062803163

U2 - 10.1016/j.gaceta.2019.01.004

DO - 10.1016/j.gaceta.2019.01.004

M3 - Article

C2 - 30878245

AN - SCOPUS:85062803163

SN - 0213-9111

VL - 34

SP - 171

EP - 178

JO - Gaceta Sanitaria

JF - Gaceta Sanitaria

IS - 2

ER -

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

Resumen

Nota bibliográfica

ODS de las Naciones Unidas

Palabras clave

Acceder al documento

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Huella

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