Social determinants of mortality due to visceral leishmaniasis in Brazil (2001-2015): an ecological study

INTRODUCTION: We aimed to analyze the relationship between visceral leishmaniasis mortality and social determinants of health (SDH). METHODS: This was an ecological study of all leishmaniasis-related deaths in Brazil, from 2001 to 2015. We analyzed 49 indicators of human development and social vulne...

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Detalles Bibliográficos
Autores principales: Nunes, Bruno Eduardo Bastos Rolim, Leal, Thiago Cavalcanti, de Paiva, João Paulo Silva, da Silva, Leonardo Feitosa, do Carmo, Rodrigo Feliciano, Machado, Michael Ferreira, de Araújo, Maria Deysiane Porto, Santos, Victor Santana, de Souza, Carlos Dornels Freire
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Medicina Tropical - SBMT 2019
Materias:
Short Communication
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7083365/
https://www.ncbi.nlm.nih.gov/pubmed/31859950
http://dx.doi.org/10.1590/0037-8682-0262-2019
Descripción
Sumario:INTRODUCTION: We aimed to analyze the relationship between visceral leishmaniasis mortality and social determinants of health (SDH). METHODS: This was an ecological study of all leishmaniasis-related deaths in Brazil, from 2001 to 2015. We analyzed 49 indicators of human development and social vulnerability. The association was tested using the classical and spatial regression model. RESULTS: Mortality was associated with indicators that expressed low human development and high social vulnerability: lack of garbage collection, low schooling, unemployment rate, low per capita income, and income inequality (Gini index). CONCLUSIONS: There was an association between high mortality by leishmaniasis and low SDH.

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