Document Detail


[Spatial and temporal distribution of tuberculosis in indigenous and non-indigenous of Rondônia State, Western Amazon, Brazil].
MedLine Citation:
PMID:  22331153     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study analyzed the spatial and temporal distribution of crude and adjusted rates of incidence of tuberculosis (TB) between 1997 and 2006, identifying areas of greatest risk to the indigenous and non-indigenous population of Rondônia State, Brazil. An ecological study was conducted analyzing municipalities and Indian reserves, using the local empirical Bayesian method. The crude average rate of incidence of TB among the non-indigenous population was 35.6/100,000 inhabitants, while for the indigenous population it was 415.0/100,000. Rates greater than 600/100,000 were reported in the Karipuna, Sete de Setembro, Igarapé, Ribeirão and Karitiana reserves. We observed a greater number of cases in under 15 year-olds with little schooling in contrast to the situation in the non-indigenous population. After making adjustments, the rates in some Indian reserves exceeded 240/100,000 inhabitants, while in coinciding municipalities incidence was between the range of 61-120/100,000. The Bayesian method led to decreased overall heterogeneity in rates. Evidence suggests that the indigenous population is more vulnerable to contracting TB and highlighted areas that require further attention to ensure the adequate control of TB in Rondônia.
Authors:
Tatiana Eustáquia Magalhães de Pinho Melo; Ana Paula da Costa Resendes; Reinaldo Souza-Santos; Paulo Cesar Basta
Publication Detail:
Type:  English Abstract; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Cadernos de saúde pública     Volume:  28     ISSN:  1678-4464     ISO Abbreviation:  Cad Saude Publica     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-14     Completed Date:  2012-10-04     Revised Date:  2013-03-18    
Medline Journal Info:
Nlm Unique ID:  8901573     Medline TA:  Cad Saude Publica     Country:  Brazil    
Other Details:
Languages:  por     Pagination:  267-80     Citation Subset:  IM    
Affiliation:
Programa Nacional de Controle da Tuberculose, Ministério da Saúde, Brasília, Brasil.
Vernacular Title:
Distribuição espacial e temporal da tuberculose em indígenas e não indígenas de Rondônia, Amazônia Ocidental, Brasil.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Age Distribution
Aged
Bayes Theorem
Brazil / epidemiology
Child
Child, Preschool
Disease Notification / statistics & numerical data
Female
Humans
Incidence
Indians, South American / statistics & numerical data*
Infant
Infant, Newborn
Male
Middle Aged
Sex Distribution
Socioeconomic Factors
Space-Time Clustering
Time Factors
Tuberculosis / epidemiology*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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