Universidade Federal de Alagoas, Departamento de Medicina, Arapiraca, AL, Brasil.
Universidade Federal do Vale do São Francisco, Colegiado de Ciências Farmacêuticas, Petrolina, PE, Brasil.
Rev Soc Bras Med Trop. 2019 Dec 20;53:e20190262. doi: 10.1590/0037-8682-0262-2019. eCollection 2019.
We aimed to analyze the relationship between visceral leishmaniasis mortality and social determinants of health (SDH).
This was an ecological study of all leishmaniasis-related deaths in Brazil, from 2001 to 2015. We analyzed 49 indicators of human development and social vulnerability. The association was tested using the classical and spatial regression model.
Mortality was associated with indicators that expressed low human development and high social vulnerability: lack of garbage collection, low schooling, unemployment rate, low per capita income, and income inequality (Gini index).
There was an association between high mortality by leishmaniasis and low SDH.
本研究旨在分析内脏利什曼病死亡率与健康社会决定因素（SDH）之间的关系。
本研究为 2001 年至 2015 年巴西所有利什曼病相关死亡的生态研究。我们分析了 49 个人类发展和社会脆弱性指标。采用经典和空间回归模型检验关联性。
死亡率与表示人类发展水平低和社会脆弱性高的指标相关：缺乏垃圾收集、低教育水平、失业率、人均收入低以及收入不平等（基尼指数）。
高死亡率与低 SDH 之间存在关联。
