Limongi Jean Ezequiel, Perissato Izabela Lima, de Oliveira Antônio Marcos Machado, Santos Keile Aparecida Resende
Curso de Saúde Coletiva, Universidade Federal de Uberlândia, Uberlândia, MG, Brazil.
Instituto Nacional do Seguro Social, Uberlândia, MG, Brazil.
Rev Bras Med Trab. 2024 Feb 16;21(4):e20221038. doi: 10.47626/1679-4435-2022-1038. eCollection 2023 Oct-Dec.
Chagas disease is a neglected tropical disease with a chronic clinical course and high rates of morbidity and mortality. Despite a drastic reduction in the disease's incidence in Brazil in recent decades, older cases still impact the national social welfare system.
To analyze the sociodemographic characteristics of Brazilian social welfare beneficiaries affected by the cardiac and digestive forms of chronic Chagas disease between 2004 and 2016.
This cross-sectional study was based on data from the Brazilian Ministry of Labor and Social Security. Crude and adjusted odds ratios were estimated using logistic regression.
Benefits were granted to 25,085 affected individuals, mostly men (15,812; 63%) with the cardiac form (20,424; 81.4%) who resided in urban areas (16,051; 64%). The highest relative frequency of benefits were granted in the Midwest macroregion (31.1/100,000 inhabitants). Male sex (odds ratios = 1.2; 95% CI 1.1-1.2), age 30-49 years (odds ratios = 1.8; 95% CI 1.4-2.1), residence in rural areas (odds ratios = 1.6; 95% CI 1.5-1.7) or the Southeast macroregion (odds ratios = 2.9; 95% CI 2.4-3.4) had the highest association with the cardiac form. Individuals with the cardiac form had a higher median age at disease onset (45 years; p < 0.001) but a lower age at work disability onset (50 years; p = 0.01).
The impact of Chagas disease on Brazilian social welfare is mainly due to chronic Chagas cardiomyopathy, which was mainly associated with men in their productive years who live in rural areas in Southeastern Brazil.
恰加斯病是一种被忽视的热带病，临床病程呈慢性，发病率和死亡率较高。尽管近几十年来巴西该病的发病率大幅下降，但老病例仍对国家社会福利体系产生影响。
分析2004年至2016年间受慢性恰加斯病心脏型和消化型影响的巴西社会福利受益人的社会人口学特征。
这项横断面研究基于巴西劳动和社会保障部的数据。使用逻辑回归估计粗比值比和调整后的比值比。
向25,085名受影响个体提供了福利，其中大多数为男性（15,812名；63%），患有心脏型（20,424名；81.4%），居住在城市地区（16,051名；64%）。中西部大区获得福利的相对频率最高（31.1/10万居民）。男性（比值比 = 1.2；95%置信区间1.1 - 1.2）、30 - 49岁年龄组（比值比 = 1.8；95%置信区间1.4 - 2.1）、居住在农村地区（比值比 = 1.6；95%置信区间1.5 - 1.7）或东南部大区（比值比 = 2.9；95%置信区间2.4 - 3.4）与心脏型关联最高。心脏型患者疾病发病的中位年龄较高（45岁；p < 0.001），但工作致残发病年龄较低（50岁；p = 0.01）。
恰加斯病对巴西社会福利的影响主要归因于慢性恰加斯心肌病，该病主要与巴西东南部农村地区处于工作年龄段的男性相关。
