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[2000 - 2008年巴西南里奥格兰德州萨普卡亚杜尔县的结核病治疗中断率及相关因素]

[Tuberculosis treatment drop out prevalence and associated factors in Sapucaia do Sul County (RS), Brazil, 2000-2008].

作者信息

Heck Maria Antonia, da Costa Juvenal Soares Dias, Nunes Marcelo Felipe

机构信息

Secretaria Municipal de Saúde de Sapucaia de Sul.

出版信息

Rev Bras Epidemiol. 2011 Sep;14(3):478-85. doi: 10.1590/s1415-790x2011000300012.

Abstract

OBJECTIVE

To estimate the Tuberculosis treatment drop out prevalence and the variables associated in the patients registered in the Tuberculosis Control Program in Sapucaia do Sul (Brazil), between 2000 and 2008.

METHOD

A cross-sectional study was conducted, which was based on the notified data in Information System for Disease Surveillance of the City Health Secretariat.

RESULTS

From the 632 cases included in the study, 65 (10.3%; CI95%=7.9-12.7) were classified as treatment abandonment. Between 2000 and 2004, the prevalence of noncompliance was 12.7% (95%CI=9.1-16.2), and in the period 2005 to 2008 decreased to 7.0% (95%CI=4.0-9.9). In the crude analysis, we find association with sex, age and AIDS presence. The adjusted analysis with the Poisson regression didn't show significant differences between the independent variables.

CONCLUSION

The analysis showed reduction in the prevalence of noncompliance with the creation of Tuberculosis Control Program, from 2005, although the confidence intervals are shown superimposed. Still, the prevalence of noncompliance was high and stove above the 5% target, agreed between levels of government.

摘要

目的

评估2000年至2008年期间,巴西南萨普卡亚市结核病控制项目登记患者的结核病治疗中断患病率及相关变量。

方法

开展了一项横断面研究,该研究基于市卫生秘书处疾病监测信息系统中的通报数据。

结果

在纳入研究的632例病例中,65例(10.3%;95%置信区间=7.9-12.7)被归类为治疗中断。2000年至2004年期间,不依从率为12.7%(95%置信区间=9.1-16.2),2005年至2008年期间降至7.0%(95%置信区间=4.0-9.9)。在粗分析中,发现与性别、年龄和是否患有艾滋病有关。泊松回归调整分析显示自变量之间无显著差异。

结论

分析表明,自2005年结核病控制项目设立以来,不依从率有所下降,尽管置信区间显示有重叠。尽管如此,不依从率仍然很高,高于政府各级商定的5%的目标。

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