Queiroz Ana Angélica Rêgo de, Berra Thaís Zamboni, Garcia Maria Concebida da Cunha, Popolin Marcela Paschoal, Belchior Aylana de Souza, Yamamura Mellina, Santos Danielle Talita Dos, Arroyo Luiz Henrique, Arcêncio Ricardo Alexandre
Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
Rev Lat Am Enfermagem. 2018;26:e2992. doi: 10.1590/1518-8345.2049.2992. Epub 2018 May 7.
To describe the epidemiological profile of mortality due to tuberculosis (TB), to analyze the spatial pattern of these deaths and to investigate the temporal trend in mortality due to tuberculosis in Northeast Brazil.
An ecological study based on secondary mortality data. Deaths due to TB were included in the study. Descriptive statistics were calculated and gross mortality rates were estimated and smoothed by the Local Empirical Bayesian Method. Prais-Winsten's regression was used to analyze the temporal trend in the TB mortality coefficients. The Kernel density technique was used to analyze the spatial distribution of TB mortality.
Tuberculosis was implicated in 236 deaths. The burden of tuberculosis deaths was higher amongst males, single people and people of mixed ethnicity, and the mean age at death was 51 years. TB deaths were clustered in the East, West and North health districts, and the tuberculosis mortality coefficient remained stable throughout the study period.
Analyses of the spatial pattern and temporal trend in mortality revealed that certain areas have higher TB mortality rates, and should therefore be prioritized in public health interventions targeting the disease.
描述结核病（TB）所致死亡的流行病学概况，分析这些死亡的空间模式，并调查巴西东北部结核病所致死亡的时间趋势。
基于二次死亡数据进行生态研究。纳入因结核病死亡的病例进行研究。计算描述性统计量，并通过局部经验贝叶斯方法估计和平滑粗死亡率。采用普雷斯 - 温斯坦回归分析结核病死亡率系数的时间趋势。使用核密度技术分析结核病死亡的空间分布。
结核病导致236人死亡。男性、单身人士和混血人群中结核病死亡负担较高，平均死亡年龄为51岁。结核病死亡集中在东部、西部和北部卫生区，且在整个研究期间结核病死亡率系数保持稳定。
对死亡的空间模式和时间趋势分析表明，某些地区结核病死亡率较高，因此在针对该疾病的公共卫生干预中应予以优先考虑。
