Trends in tuberculosis mortality in Brazil (1990-2015): joinpoint analysis

被引：9
|
作者：
Freire de Souza, Carlos Dornels [1 ]
Silva de Paiva, Joao Paulo [1 ]
da Silva, Leonardo Feitosa [1 ]
Leal, Thiago Cavalcanti [1 ]
Figueiredo Mafra Magalhaes, Monica de Avelar [2 ]
机构：
[1] Univ Fed Alagoas, Curso Med, Campus Arapiraca, Arapiraca, AL, Brazil
[2] Fundacao Oswaldo Cruz Fiocruz, Rio De Janeiro, RJ, Brazil
来源：
JORNAL BRASILEIRO DE PNEUMOLOGIA | 2019年 / 45卷 / 02期
关键词：
Tuberculosis/epidemiology; Tuberculosis/mortality; Mortality/trends; Epidemiologic studies; LATIN-AMERICA; STATE;
D O I：
10.1590/1806-3713/e20180393
中图分类号：
R56 [呼吸系及胸部疾病];
学科分类号：
摘要：
The objective of this study was to analyze trends in the tuberculosis mortality rate in Brazil (1990-2015) in an ecological time-series analysis. The indicators were obtained from the Brazilian National Ministry of Health. A joinpoint regression model was applied for the temporal analysis, with a level of significance of 5%. During the period in question, there was a trend toward a reduction in mortality in the country as a whole (p < 0.001) and in each of its five regions. The states with the highest tuberculosis mortality rates were Rio de Janeiro (7.0/100,000 population) and Pernambuco (5.0/100,000 population). Eleven states and the Federal District of Brasilia showed downward trends. Only the state of Alagoas showed a significant increase (p < 0.001). The temporal behavior observed indicates that tuberculosis continues to be a major public health problem in Brazil.
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页数：6
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