Ceccon Roger Flores, Maffacciolli Rosana, Burille Andréia, Meneghel Stela Nazareth, Oliveira Dora Lúcia Leidens Correa de, Gerhardt Tatiana Engel
Universidade Federal do Rio Grande do Sul, Escola de Enfermagem, Porto Alegre-RS, Brasil.
Universidade Federal do Rio Grande do Sul, Curso de Saúde Coletiva, Porto Alegre-RS, Brasil.
Epidemiol Serv Saude. 2017 Apr-Jun;26(2):349-358. doi: 10.5123/S1679-49742017000200012.
to analyze the association between tuberculosis mortality and socio-demographics and health indicators in the capitals of Brazilian states and the Federal District.
this is an ecological study whose outcome was the standardized coefficient of tuberculosis mortality in the 2008-2010 period; the independent variables comprised 16 indicators, grouped into three blocks; Pearson correlation test and multiple linear regression were applied for analysis.
4,744 deaths from tuberculosis were registered in the 27 municipalities (2.7 deaths per 100,000 inhabitants); the following indicators were associated with tuberculosis mortality (p<0.10): income inequality (Gini index of monthly income of individuals over 10 years old: β=0.454; 95%CI 6.21;28.51), proportion of migrants in the municipality (β=0.537 95%CI 0.12;0.31), poor black-skinned individuals (β=0.302 95%CI 0.004;0.109) and coefficient of Tb/HIV coinfection (β=0.449 95%CI 0.05;0.28).
tuberculosis mortality was higher in capitals with greater income inequality, migration, poverty among black-skinned individuals and occurrence of Tb/HIV coinfection.
分析巴西各州首府及联邦区结核病死亡率与社会人口统计学和健康指标之间的关联。
这是一项生态学研究，其结果为2008 - 2010年期间结核病死亡率的标准化系数；自变量包括16项指标，分为三个板块；采用Pearson相关检验和多元线性回归进行分析。
27个城市共登记了4744例结核病死亡病例（每10万居民中有2.7例死亡）；以下指标与结核病死亡率相关（p<0.10）：收入不平等（10岁以上个人月收入的基尼指数：β=0.454；95%置信区间6.21；28.51）、城市中移民比例（β=0.537，95%置信区间0.12；0.31）、贫困黑人个体（β=0.302，95%置信区间0.004；0.109）以及结核/艾滋病病毒合并感染系数（β=0.449，95%置信区间0.05；0.28）。
在收入不平等程度更高、有移民、黑人个体贫困以及存在结核/艾滋病病毒合并感染的首府城市，结核病死亡率更高。
