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巴西街头人群:2014-2019 年社会人口学特征和结核病发病情况的描述性研究。

Street people in Brazil: a descriptive study of their sociodemographic profile and tuberculosis morbidity, 2014-2019.

机构信息

Universidade Federal da Bahia, Instituto de Saúde Coletiva, Salvador, BA, Brasil.

Universidade Federal do Vale do São Francisco, Colegiado de Medicina, Paulo Afonso, BA, Brasil.

出版信息

Epidemiol Serv Saude. 2021;30(1):e2020566. doi: 10.1590/S1679-49742021000100029.

Abstract

OBJECTIVE

To characterize the sociodemographic profile of street people (SP) registered on the Single Register for Social Programs (CadÚnico) as at 2019 and tuberculosis morbidity in this population notified on the Notifiable Health Conditions Information System (Sinan) from 2014 to 2018.

METHODS

This was a descriptive study carried out with data from Sinan and CadÚnico.

RESULTS

127,536 people registered on CadÚnico and 14,059 with tuberculosis notified on Sinan were included in the study. Higher concentrations of SP were found in the states of the South and Southeast regions. In the two subpopulations analyzed, there was a predominance of male SP (CadÚnico = 86.8%; Sinan = 80.9%), people of Black race/skin color (CadÚnico = 67.5%; Sinan = 64.1%) and with incomplete high school education or less (CadÚnico = 81.9%; Sinan = 60.1%). The high treatment dropout proportion (39.0%) was reflected in the high percentage of reentry and relapse.

CONCLUSION

Tuberculosis continues to be a serious Public Health problem that aggravates survival conditions on the streets of Brazil.

摘要

目的

描述 2019 年登记在单一社会计划登记册(CadÚnico)上的流浪街头者(SP)的社会人口学特征,以及 2014 年至 2018 年期间通过法定传染病信息系统(Sinan)报告的该人群中的结核病发病情况。

方法

这是一项描述性研究,使用了 Sinan 和 CadÚnico 的数据。

结果

共纳入了 127536 名在 CadÚnico 上登记的 SP 和 14059 名在 Sinan 上报告的结核病患者。南方和东南部地区的 SP 浓度更高。在分析的两个亚人群中,SP 中男性居多(CadÚnico = 86.8%;Sinan = 80.9%),黑人和棕色人种居多(CadÚnico = 67.5%;Sinan = 64.1%),且受教育程度较低,未完成高中学业(CadÚnico = 81.9%;Sinan = 60.1%)。高治疗脱落率(39.0%)反映在高比例的再次进入和复发。

结论

结核病仍然是巴西街头生存状况恶化的一个严重公共卫生问题。

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