家庭健康战略与巴西直接观察治疗结核病的决定因素：2014-2016 年监测系统数据的横断面研究。

Family Health Strategy and determinants of directly observed treatment for tuberculosis in Brazil: a cross-sectional study with surveillance system data, 2014-2016.

机构信息

Universidade Federal do Espírito Santo, Laboratório de Epidemiologia, Vitória, ES, Brasil.

出版信息

Epidemiol Serv Saude. 2020 Dec 2;29(5):e2020284. doi: 10.1590/S1679-49742020000500010. eCollection 2020.

DOI:10.1590/S1679-49742020000500010

PMID:33295589

Abstract

OBJECTIVE

To assess the association between tuberculosis determinants and performance of directly observed treatment (DOT) under different levels of Family Health Strategy (FHS) coverage in Brazil.

METHODS

This was a cross-sectional study using data on tuberculosis cases notified between 2014 and 2016 on the Notifiable Health Conditions Information System, as well as data on FHS coverage in the municipality of residence. Logistic regression was used.

RESULTS

177,626 individuals were included; being an alcohol user (odds ratio (OR) 1.09 - 95% confidence interval % [95%CI] 1.03;1.16), being deprived of liberty (OR=1.21 - 95%CI 1.12;1.32) and positive sputum smear microscopy (OR=1.15 - 95%CI 1.10;1.21) increased the chances of DOT being performed . When stratified by FHS coverage, these associations became weak in the highest stratum of coverage.

CONCLUSION

DOT being performed was associated with determinants of tuberculosis. However, association was not confirmed among residents in municipalities with higher FHS coverage.

摘要

目的

评估巴西不同家庭健康战略（FHS）覆盖水平下结核病决定因素与直接观察治疗（DOT）实施之间的关联。

方法

这是一项使用 2014 年至 2016 年传染病报告系统报告的结核病病例数据以及居住所在地 FHS 覆盖数据的横断面研究。采用 Logistic 回归分析。

结果

共纳入 177626 人，使用酒精（比值比 [OR] 1.09-95%置信区间 [95%CI] 1.03;1.16）、被剥夺自由（OR=1.21-95%CI 1.12;1.32）和痰涂片阳性（OR=1.15-95%CI 1.10;1.21）的个体实施 DOT 的可能性更高。按 FHS 覆盖分层后，在最高覆盖层，这些关联变得较弱。