Departamento de Saúde Pública, Universidade Federal do Maranhão (UFMA). Av. dos Portugueses 1966, Vila Bacanga. 65080-805 São Luís MA Brasil.
Departamento de Enfermagem, UFMA. São Luís MA Brasil.
Cien Saude Colet. 2020 Oct;25(10):3745-3752. doi: 10.1590/1413-812320202510.28482018. Epub 2019 Feb 13.
This paper aims to analyze the trend of tuberculosis (TB) in Brazilian indigenous people from 2011 to 2017. This ecological study was carried out with all new TB cases in indigenous people reported in the Notifiable Diseases Information System during the 2011-2017 period. Thematic maps were prepared to monitor the spatial-temporal evolution of TB in the indigenous population each year, and the Prais-Winsten generalized linear regression model was used to analyze the trend. A total of 6,520 TB cases were reported in indigenous people during the study period. The overall incidence of TB in Brazilian indigenous people for the period was 109/100,000 inhabitants. In the analysis by region of the country, the highest incidence occurred in the Midwest, North, and Southeast regions. In the UF analysis, the highest incidence was found in Mato Grosso, São Paulo, Rondônia, Mato Grosso do Sul, Acre, Maranhão, Pará, and Rio de Janeiro. The trend of the disease in the indigenous was stable both in the country and in most of its regions and UFs. TB disproportionately affects Brazilian indigenous people, and this study can contribute to the elaboration and strengthening of more specific control actions by identifying priority regions and UFs.
本文旨在分析 2011 年至 2017 年巴西原住民结核病(TB)的趋势。这项生态研究是对 2011-2017 年期间可报告疾病信息系统中报告的所有新的原住民结核病病例进行的。每年都准备专题地图来监测原住民人群中结核病的时空演变,并用普赖斯-温斯坦广义线性回归模型来分析趋势。在研究期间,共报告了 6520 例原住民结核病病例。巴西原住民结核病的总发病率为每 10 万人 109 例。在全国各地区的分析中,中西部、北部和东南部地区的发病率最高。在 UF 分析中,发病率最高的是马托格罗索州、圣保罗州、朗多尼亚州、南马托格罗索州、阿克里州、马拉尼昂州、帕拉州和里约热内卢州。该疾病在巴西原住民中的趋势在全国和大多数地区和 UF 中均保持稳定。结核病对巴西原住民的影响不成比例,本研究可以通过确定优先地区和 UF 来为制定和加强更具体的控制措施做出贡献。