André Suzana Rosa, Nogueira Laura Maria Vidal, Rodrigues Ivaneide Leal Ataíde, Cunha Tarcísio Neves da, Palha Pedro Fredemir, Santos Claudia Benedita Dos
Departamento de Enfermagem Comunitária, Escola da Enfermagem Magalhães Barata, Universidade do Estado do Pará, Belém, PA, Brazil.
Programa Nacional de Cooperação Acadêmica da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), MICROARS Consultoria e Projetos, Rio de Janeiro, Rio de Janeiro, Brazil.
Rev Lat Am Enfermagem. 2020;28:e3343. doi: 10.1590/1518-8345.3223.3343. Epub 2020 Aug 31.
to analyze the association between the occurrence of new tuberculosis cases and the Adapted Living Condition Index, and to describe the spatial distribution in an endemic municipality.
this is an analytical and ecological study that was developed from new cases in residents of an endemic municipality in the North Region of Brazil. The data were obtained from the Notifiable Diseases Information System and from the 2010 Demographic Census. The Adapted Living Conditions Index was obtained by factor analysis and its association with the occurrence of the disease was analyzed by means of the chi-square test. The type I error was set at 0.05. Kernel estimation was used to describe the density of tuberculosis in each census sector.
the incidence coefficient was 97.5/100,000 inhabitants. The data showed a statistically significant association between the number of cases and socioeconomic class, with the fact that belonging to the highest economic class reduces the chance of the disease occurring. The thematic maps showed that tuberculosis was distributed in a heterogeneous way with a concentration in the Southern region of the municipality.
tuberculosis, associated with precarious living conditions, reinforces the importance of discussion on social determinants in the health-disease process to subsidize equitable health actions in risk areas, upon a context of vulnerability.
分析新结核病病例的发生与适应性生活条件指数之间的关联，并描述一个地方性流行城市的空间分布情况。
这是一项分析性生态研究，基于巴西北部一个地方性流行城市居民中的新病例展开。数据取自法定传染病信息系统和2010年人口普查。适应性生活条件指数通过因子分析得出，其与疾病发生的关联通过卡方检验进行分析。I型错误设定为0.05。采用核估计来描述每个普查区结核病的密度。
发病率系数为97.5/10万居民。数据显示病例数与社会经济阶层之间存在统计学上的显著关联，即属于最高经济阶层会降低疾病发生的几率。专题地图显示，结核病分布不均，集中在该市南部地区。
结核病与不稳定的生活条件相关，这凸显了在健康 - 疾病过程中讨论社会决定因素的重要性，以便在脆弱性背景下为风险地区公平的健康行动提供支持。
