Risk areas for tuberculosis among children and their inequalities in a city from Southeast Brazil

BMC Pediatrics

Juliane de Almeida Crispim¹  Ludmilla Leidianne Limirio Souza²  Luiz Henrique Arroyo²  Antonio Carlos Vieira Ramos²  Yan Mathias Alves²  Felipe Lima dos Santos²  Laura Terenciani Campoy²  Luana Seles Alves²  Thaís Zamboni Berra²  Alexandre Tadashi Inomata Bruce²  Ricardo Alexandre Arcêncio³  Ivaneliza Simionato de Assis⁴  Marcos Augusto Moraes Arcoverde⁵ 

[1] Inter-institutional Doctoral Program in Nursing, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil;Public Health Nursing Graduate Program, University of São Paulo at Ribeirão Preto College of Nursing, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, 14040-902, São Paulo, Brazil;University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil;União Dinâmica Cataratas College, Foz do Iguazu, Paraná, Brazil;Western Paraná State University, Foz do Iguaçu, Paraná, Brazil;

关键词: Tuberculosis;    Spatial analysis;    Social vulnerability;   

DOI  :  10.1186/s12887-020-02364-7

来源: Springer

【 摘 要 】

BackgroundThe objective of the study was to identify areas of risk for the appearance of tuberculosis in children and their association with social inequalities in a municipality in southeastern Brazil.MethodsEcological study conducted in Ribeirão Preto, Brazil. To identify areas of spatial risk for tuberculosis in children, we used spatial scanning statistics. To analyze the association of cases of childhood tuberculosis with social vulnerability, we used the Social Vulnerability Index of São Paulo, and four explanatory statistical models were listed.ResultsThere were 96 cases of childhood tuberculosis, of which 90 were geocoded through a process of converting addresses to geographic coordinates. A risk area was identified in the municipality, where children under 15 years old have 3.14 times greater risk of contracting tuberculosis than those living outside this area. The variables identified as risk factors were: number of private and collective households, proportion of children aged 0 to 5 years in the population, proportion of households without per capita income, and the proportion of private households with monthly nominal incomes of up to one quarter of wage minimums. The variables identified as protection factors were the proportion of women under the age of 30 years responsible for the household under and women responsible for the household with an average income over BRL 2344.ConclusionThe study showed areas of risk for the occurrence of tuberculosis in children. The study is in line with the End TB Strategy and the 2030 Agenda, which aim to support strategic actions and, therefore, save the lives of children through the systematic, intensified, and comprehensive identification of children with tuberculosis respiratory symptoms in the community.

【 授权许可】

CC BY