Social determinants of health and unfavourable outcome of tuberculosis treatment in the prison system

被引:0
|
作者
Lima Ferreira, Melisane Regina [1 ]
de Paula Andrade, Rubia Laine [1 ]
Bossonario, Pedro Augusto [1 ]
Fiorati, Regina Celia [2 ]
Arcencio, Ricardo Alexandre [1 ]
Menezes de Rezende, Carlos Eduardo [3 ]
Orfao, Nathalia Halax [4 ]
Monroe, Aline Aparecida [1 ]
机构
[1] Univ Sao Paulo, Escola Enfermagem Ribeirao Preto, Av Bandeirantes 3900, BR-14040902 Ribeirao Preto, SP, Brazil
[2] Univ Sao Paulo, Fac Med Ribeirao Preto, Ribeirao Preto, SP, Brazil
[3] Agencia Nacl Saude Suplementar, Minist Saude, Rio De Janeiro, RJ, Brazil
[4] Univ Fed Rondonia, Dept Med, Porto Velho, RO, Brazil
来源
CIENCIA & SAUDE COLETIVA | 2022年 / 27卷 / 12期
关键词
proves favorable Key words Tuberculosis; Prisons; Treatment out-come; Social determinants of health; Health policy; BRAZILIAN PRISONS; TRANSMISSION; POPULATION; DIAGNOSIS;
D O I
10.1590/1413-812320222712.08632022
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This article aims to analyze the unfa-vorable outcome of tuberculosis treatment among the population deprived of liberty by social deter-minants of health. This retrospective cohort was conducted in the states of Rondonia and Silo Pau-lo, Brazil, with inmates with tuberculosis notified between 2008 and 2017. Data were collected from SINAN and TB-WEB and analyzed by relative risk (RR) and confidence intervals (95%CI), which test -ed the association between the dependent variable (unfavorable outcome (deaths from tuberculosis and other causes, and primary and non-primary lost to follow-up) vs. favorable outcome (cure)) and the structural and intermediary determinants of health. One hundred fifty-eight unfavorable out-comes were registered in Rondonia and 2,227 in Silo Paulo. For Rondonia, this outcome was associ-ated with gender (RR 3.09; 95%CI 1.03-9.27) and AIDS (RR 2.46; 95%CI 1.63-3.71). In Silo Paulo, aged over 30 years (RR 1.36; 95%CI 1.26-1.47), AIDS (RR 3.08; 95%CI 2.81-3.38), alcohol abuse (RR 1.54; 95%CI 1.35-1.76), diabetes (RR 1.70; 95%CI 1.27-2.28) and self-administered treatment (RR 2.55; 95%CI 2.27-2.86) were risk factors for the unfavorable outcome. The study contributes with elements to the risk stratification of people with tuberculosis in prison units and, thus, im-proves health care towards a favorable outcome.
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页数:10
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