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[巴西巴伊亚州萨尔瓦多市结核病死亡率的空间分布]

[Spatial distribution of tuberculosis mortality in Salvador, Bahia, Brazil].

作者信息

Mota Fábio Frias, Vieira-da-Silva Ligia Maria, Paim Jairnilson Silva, Costa Maria da Conceição Nascimento

机构信息

Instituto de Saúde Coletiva, Universidade Federal da Bahia, Salvador, BA, 40110-170, Brasil.

出版信息

Cad Saude Publica. 2003 Jul-Aug;19(4):915-22. doi: 10.1590/s0102-311x2003000400014. Epub 2003 Sep 8.

Abstract

An ecological study was conducted to describe the urban spatial distribution of mortality attributable to tuberculosis in Salvador, Bahia, Brazil in 1991, 1994, and 1997. The unit of analysis was the Health District (HD). The HD with the highest standardized rates was Sub rbio Ferrovi rio in 1991, 1994, and 1997, with 15.7, 10.6, and 10.6/100.000 inhabitants, respectively. Inequalities in mortality between HDs were high. The year 1997 showed the lowest standardized rates. The proportional mortality ratios for tuberculosis when compared with total deaths from infectious diseases were 20.7%, 18.2%, and 16.9% for 1991, 1994, and 1997 respectively. The highest rates were observed in the age group over 65 years. The authors argue the possibilities of using the results for the implementation of equitable local health policies and health surveillance measures, since the methodology identified both the HD with the highest risk and the most heavily affected age groups.

摘要

开展了一项生态学研究,以描述1991年、1994年和1997年巴西巴伊亚州萨尔瓦多市因结核病所致死亡的城市空间分布情况。分析单位为卫生区(HD)。标准化率最高的卫生区在1991年、1994年和1997年都是费罗维里奥郊区,分别为每10万居民中有15.7例、10.6例和10.6例。各卫生区之间的死亡率不平等程度很高。1997年的标准化率最低。1991年、1994年和1997年,结核病的比例死亡率与传染病总死亡人数相比分别为20.7%、18.2%和16.9%。65岁以上年龄组的发病率最高。作者认为,鉴于该方法既确定了风险最高的卫生区,也确定了受影响最严重的年龄组,因此有可能将研究结果用于实施公平的地方卫生政策和健康监测措施。

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