Tuberculosis in brazil: one country, multiple realities

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dc.creatorAndreza Oliveira-cortez
dc.creatorAngelita Cristine de Melo
dc.creatorLeonardo Neves
dc.creatorKarina Resende
dc.creatorPaulo Augusto Moreira Camargos
dc.date.accessioned2024-01-09T22:29:28Z
dc.date.accessioned2025-09-09T00:44:54Z
dc.date.available2024-01-09T22:29:28Z
dc.date.issued2021
dc.format.mimetypepdf
dc.identifier.doi10.36416/1806-3756/e20200119
dc.identifier.issn18063713
dc.identifier.urihttps://hdl.handle.net/1843/62530
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJornal Brasileiro de Pneumologia
dc.rightsAcesso Aberto
dc.subjectTuberculosis
dc.subjectEpidemiology
dc.subjectTuberculosis, Pulmonary
dc.subjectHealth Status Indicators
dc.subjectSocial Determinants of Health
dc.subjectHealthcare Disparities
dc.subject.otherTuberculosis
dc.subject.otherEpidemiology
dc.subject.otherTuberculosis, Pulmonary
dc.subject.otherHealth Status Indicators
dc.subject.otherSocial Determinants of Health
dc.subject.otherHealthcare Disparities
dc.titleTuberculosis in brazil: one country, multiple realities
dc.typeArtigo de periódico
local.citation.epage11
local.citation.issue2
local.citation.spage1
local.citation.volume47
local.description.resumoObjective: To identify the determinants of tuberculosis-related variables in the various regions of Brazil and evaluate trends in those variables over the ten-year period preceding the end of the timeframe defined for the United Nations Millennium Development Goals (MDGs). Methods: This was an ecological analytical study in which we utilized eight national public databases to investigate the 716,971 new tuberculosis cases reported between 2006 and 2015. Results: Over the study period, there were slight reductions in the prevalence, incidence, and mortality associated with tuberculosis. Brazil did not reach the MDG for tuberculosis-related mortality. Among the performance indicators of tuberculosis control, there were improvements only in those related to treatment and treatment abandonment. In terms of the magnitude of tuberculosis, substantial regional differences were observed. The tuberculosis incidence rate was highest in the northern region, as were the annual mean temperature and relative air humidity. That region also had the second lowest human development index, primary health care (PHC) coverage, and number of hospitalizations for tuberculosis. The northeastern region had the highest PHC coverage, number of hospitalizations for primary care-sensitive conditions, and tuberculosis-related mortality rate. The southern region showed the smallest reductions in epidemiological indicators, together with the greatest increases in the frequency of treatment abandonment and retreatment. The central-west region showed the lowest overall magnitude of tuberculosis and better monitoring indicators. Conclusions: The situation related to tuberculosis differs among the five regions of Brazil. Those differences can make it difficult to control the disease in the country and could explain the fact that Brazil failed to reach the MDG for tuberculosis-related mortality. Tuberculosis control measures should be adapted to account for regional differences.
local.publisher.countryBrasil
local.publisher.departmentMEDICINA - FACULDADE DE MEDICINA
local.publisher.initialsUFMG
local.url.externahttps://doi.org/10.36416/1806-3756/e20200119

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