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Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories

OBJECTIVE: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil. METHOD...

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Autores principales: Yamamura, Mellina, Santos-Neto, Marcelino, dos Santos, Rebeca Augusto Neman, Garcia, Maria Concebida da Cunha, Nogueira, Jordana de Almeida, Arcêncio, Ricardo Alexandre
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660414/
https://www.ncbi.nlm.nih.gov/pubmed/26487142
http://dx.doi.org/10.1590/0104-1169.0450.2631
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author Yamamura, Mellina
Santos-Neto, Marcelino
dos Santos, Rebeca Augusto Neman
Garcia, Maria Concebida da Cunha
Nogueira, Jordana de Almeida
Arcêncio, Ricardo Alexandre
author_facet Yamamura, Mellina
Santos-Neto, Marcelino
dos Santos, Rebeca Augusto Neman
Garcia, Maria Concebida da Cunha
Nogueira, Jordana de Almeida
Arcêncio, Ricardo Alexandre
author_sort Yamamura, Mellina
collection PubMed
description OBJECTIVE: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil. METHOD: an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate. RESULTS: of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality. CONCLUSION: the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies.
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spelling pubmed-46604142015-12-07 Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories Yamamura, Mellina Santos-Neto, Marcelino dos Santos, Rebeca Augusto Neman Garcia, Maria Concebida da Cunha Nogueira, Jordana de Almeida Arcêncio, Ricardo Alexandre Rev Lat Am Enfermagem Original Articles OBJECTIVE: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil. METHOD: an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate. RESULTS: of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality. CONCLUSION: the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2015 /pmc/articles/PMC4660414/ /pubmed/26487142 http://dx.doi.org/10.1590/0104-1169.0450.2631 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License
spellingShingle Original Articles
Yamamura, Mellina
Santos-Neto, Marcelino
dos Santos, Rebeca Augusto Neman
Garcia, Maria Concebida da Cunha
Nogueira, Jordana de Almeida
Arcêncio, Ricardo Alexandre
Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
title Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
title_full Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
title_fullStr Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
title_full_unstemmed Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
title_short Epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
title_sort epidemiological characteristics of cases of death from tuberculosis and vulnerable territories
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4660414/
https://www.ncbi.nlm.nih.gov/pubmed/26487142
http://dx.doi.org/10.1590/0104-1169.0450.2631
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