Jacobs Marina Gasino, Pinto Junior Vitor Laerte
Departamento de Saúde Coletiva, Faculdade de Ciências da Saúde, Universidade de Brasília. Campos Univ. Darcy Ribeiro s/n, Asa Norte. 70910-900 Brasília DF Brasil.
Departamento de Epidemiologia e Vigilância em Saúde, Fiocruz. Brasília DF Brasil.
Cien Saude Colet. 2019 Jul 22;24(7):2379-2386. doi: 10.1590/1413-81232018247.20532017.
Tuberculosis is closely related to living conditions. This study classifies Brazilian municipalities according to the occurrence of tuberculosis (TB) and drug-resistant TB (DR-TB) cases and describes them with regard to the population's health conditions, tuberculosis control indicators, demographic and socioeconomic profile. In 2014, 327 municipalities reported DR-TB cases. Integrated regions of development or metropolitan regions accounted for 80.1% of national DR-TB cases. Municipalities with DR-TB cases had worse TB outcome indicators, but higher culture test percentages, and more inhabitants and better socioeconomic indicators. The 3,644 municipalities with TB cases, but without DR-TB cases, had the worst socioeconomic indicators among the three groups. The 1,594 municipalities without TB cases had the lowest rates of unemployment and AIDS detection and greater coverage of primary healthcare. The different profiles found in the study can sustain improved national interventions for TB and drug-resistant TB control in Brazil.
结核病与生活条件密切相关。本研究根据结核病（TB）和耐多药结核病（DR-TB）病例的发生情况对巴西各市进行分类，并从人口健康状况、结核病控制指标、人口统计学和社会经济概况等方面对其进行描述。2014年，327个市报告了耐多药结核病病例。综合发展区域或大都市区域占全国耐多药结核病病例的80.1%。有耐多药结核病病例的市结核病结局指标较差，但培养检测百分比更高，居民更多，社会经济指标更好。3644个有结核病病例但无耐多药结核病病例的市在三组中社会经济指标最差。1594个无结核病病例的市失业率和艾滋病检测率最低，初级医疗保健覆盖率更高。该研究中发现的不同概况有助于巴西改进全国结核病和耐多药结核病控制干预措施。
