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Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil

OBJECTIVE: To analyze the profile of immigrants with tuberculosis (TB) and to identify the associated vulnerability characteristics. METHODS: A cross-sectional study which used TB-WEB data from cases residing in São Paulo in 2016 (203 immigrants and 6,069 non-immigrants). The variables were analyzed...

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Autores principales: Gonçalves, Denise, Andrade, Rubia Laine de Paula, Netto, Antônio Ruffino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8829127/
https://www.ncbi.nlm.nih.gov/pubmed/35169762
http://dx.doi.org/10.1016/j.jmh.2022.100083
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author Gonçalves, Denise
Andrade, Rubia Laine de Paula
Netto, Antônio Ruffino
author_facet Gonçalves, Denise
Andrade, Rubia Laine de Paula
Netto, Antônio Ruffino
author_sort Gonçalves, Denise
collection PubMed
description OBJECTIVE: To analyze the profile of immigrants with tuberculosis (TB) and to identify the associated vulnerability characteristics. METHODS: A cross-sectional study which used TB-WEB data from cases residing in São Paulo in 2016 (203 immigrants and 6,069 non-immigrants). The variables were analyzed using prevalence ratio and confidence intervals. RESULTS: Among the immigrant cases, 67% were Bolivians. When compared to non-immigrants, immigrants were younger and frequently indigenous or presenting yellow ethnicity. They were also associated with a higher education level. We observed less immigrants having extrapulmonary TB and comorbidities, such as HIV/AIDS, diabetes mellitus, or drug use. Compared to cured cases, immigrants were not associated with treatment default and death, but they were associated with transfer to another state/country. CONCLUSIONS: Younger individuals and higher education levels were identified among immigrants, as well as a lower occurrence of comorbidities and drug use. It is believed that these results have led immigrants to more favorable outcomes of TB treatment.
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spelling pubmed-88291272022-02-14 Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil Gonçalves, Denise Andrade, Rubia Laine de Paula Netto, Antônio Ruffino J Migr Health Article OBJECTIVE: To analyze the profile of immigrants with tuberculosis (TB) and to identify the associated vulnerability characteristics. METHODS: A cross-sectional study which used TB-WEB data from cases residing in São Paulo in 2016 (203 immigrants and 6,069 non-immigrants). The variables were analyzed using prevalence ratio and confidence intervals. RESULTS: Among the immigrant cases, 67% were Bolivians. When compared to non-immigrants, immigrants were younger and frequently indigenous or presenting yellow ethnicity. They were also associated with a higher education level. We observed less immigrants having extrapulmonary TB and comorbidities, such as HIV/AIDS, diabetes mellitus, or drug use. Compared to cured cases, immigrants were not associated with treatment default and death, but they were associated with transfer to another state/country. CONCLUSIONS: Younger individuals and higher education levels were identified among immigrants, as well as a lower occurrence of comorbidities and drug use. It is believed that these results have led immigrants to more favorable outcomes of TB treatment. Elsevier 2022-01-28 /pmc/articles/PMC8829127/ /pubmed/35169762 http://dx.doi.org/10.1016/j.jmh.2022.100083 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Gonçalves, Denise
Andrade, Rubia Laine de Paula
Netto, Antônio Ruffino
Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil
title Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil
title_full Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil
title_fullStr Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil
title_full_unstemmed Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil
title_short Tuberculosis in international immigrants: Profile and vulnerability of cases residing in the municipality of São Paulo, Brazil
title_sort tuberculosis in international immigrants: profile and vulnerability of cases residing in the municipality of são paulo, brazil
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8829127/
https://www.ncbi.nlm.nih.gov/pubmed/35169762
http://dx.doi.org/10.1016/j.jmh.2022.100083
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