Hacker Mariana de Andrea Vilas Boas, Sales Anna Maria, Albuquerque Edson Cláudio Araripe, Rangel Emanuel, Nery Jose Augusto Costa, Duppre Nadia Cristina, Sarno Euzenir Nunes
Fundação Oswaldo Cruz, Av. Brasil 4365, Manguinhos. 21045-900 Rio de Janeiro RJ.
Cien Saude Colet. 2012 Sep;17(9):2533-41. doi: 10.1590/s1413-81232012000900033.
The scope of this study was to compare epidemiological data on leprosy patients living in two cities with different socioeconomic and endemic profiles that were monitored in a single center of reference. A descriptive study was made of data from patients in the Souza Araújo Outpatient facility treated in the period 1986-2008, who were resident in the cities of Rio de Janeiro = 1353) and Duque de Caxias (n = 336).
Among patients from Duque de Caxias, in comparison with patients from Rio de Janeiro, there was a higher proportion of cases: below the age of 15 years, multibacillary, higher initial bacilloscopic index (BI) and cases detected through surveillance of contacts. Patients in Duque de Caxias had lower average incomes and education levels. There were no statistically significant differences regarding gender, disability level, reaction in the diagnosis, final BI, bandonment and regularity of treatment. The differences found between the patients monitored in a single center of reference, could be partly related to contextual differences between the municipalities. On the other hand, it was observed that the provision of treatment and monitoring can minimize the effect of different contextual factors on health outcomes.
本研究的范围是比较在单一参考中心接受监测的、生活在两个具有不同社会经济和流行特征城市的麻风病患者的流行病学数据。对1986年至2008年期间在苏扎·阿劳若门诊设施接受治疗、居住在里约热内卢市（n = 1353）和卡希亚斯公爵市（n = 336）的患者的数据进行了描述性研究。
在卡希亚斯公爵市的患者中，与里约热内卢的患者相比，以下病例比例更高：15岁以下、多菌型、初始细菌学指数（BI）更高以及通过接触者监测发现的病例。卡希亚斯公爵市的患者平均收入和教育水平较低。在性别、残疾程度、诊断时的反应、最终BI、放弃治疗和治疗规律性方面没有统计学上的显著差异。在单一参考中心监测的患者之间发现的差异，可能部分与城市之间的背景差异有关。另一方面，观察到提供治疗和监测可以最大限度地减少不同背景因素对健康结果的影响。
