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Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019

Objective: To identify factors associated with mortality in indigenous populations diagnosed with tuberculosis in Peru, 2015–2019. Methods: We conducted a nested case-control study in a retrospective cohort using the registry of indigenous peoples of the National Health Strategy for TB Prevention an...

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Autores principales: León-Giraldo, Hoover, Rivera-Lozada, Oriana, Castro-Alzate, Elvis Siprian, Aylas-Salcedo, Rula, Pacheco-López, Robinson, Bonilla-Asalde, César Antonio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690768/
https://www.ncbi.nlm.nih.gov/pubmed/36429736
http://dx.doi.org/10.3390/ijerph192215019
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author León-Giraldo, Hoover
Rivera-Lozada, Oriana
Castro-Alzate, Elvis Siprian
Aylas-Salcedo, Rula
Pacheco-López, Robinson
Bonilla-Asalde, César Antonio
author_facet León-Giraldo, Hoover
Rivera-Lozada, Oriana
Castro-Alzate, Elvis Siprian
Aylas-Salcedo, Rula
Pacheco-López, Robinson
Bonilla-Asalde, César Antonio
author_sort León-Giraldo, Hoover
collection PubMed
description Objective: To identify factors associated with mortality in indigenous populations diagnosed with tuberculosis in Peru, 2015–2019. Methods: We conducted a nested case-control study in a retrospective cohort using the registry of indigenous peoples of the National Health Strategy for TB Prevention and Control of the Ministry of Health of Peru. A descriptive analysis was performed, and then bivariate and multivariate logistic regression was used to evaluate associations between the variables and the outcome (alive–deceased). The results are shown as OR with their respective 95% confidence intervals. Results: The mortality rate of the total indigenous population of Peru was 1.75 deaths per 100,000 indigenous people diagnosed with TB. The community of Kukama Kukamiria-Yagua reported 505 (28.48%) individuals, followed by the Shipibo-Konibo community with 385. The final logistic model showed that indigenous males (OR = 1.93; 95% CI: 1.001–3.7) with a history of HIV prior to TB (OR = 16.7; 95% CI: 4.7–58.7), and indigenous people in old age (OR = 2.95; 95% CI: 1.5–5.7) were factors associated with a greater chance of dying from TB. Conclusions: It is important to reorient health services among indigenous populations, especially those related to improving a timely diagnosis and early treatment of TB/HIV co-infection, to ensure comprehensive care for this population considering that they are vulnerable groups.
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spelling pubmed-96907682022-11-25 Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019 León-Giraldo, Hoover Rivera-Lozada, Oriana Castro-Alzate, Elvis Siprian Aylas-Salcedo, Rula Pacheco-López, Robinson Bonilla-Asalde, César Antonio Int J Environ Res Public Health Article Objective: To identify factors associated with mortality in indigenous populations diagnosed with tuberculosis in Peru, 2015–2019. Methods: We conducted a nested case-control study in a retrospective cohort using the registry of indigenous peoples of the National Health Strategy for TB Prevention and Control of the Ministry of Health of Peru. A descriptive analysis was performed, and then bivariate and multivariate logistic regression was used to evaluate associations between the variables and the outcome (alive–deceased). The results are shown as OR with their respective 95% confidence intervals. Results: The mortality rate of the total indigenous population of Peru was 1.75 deaths per 100,000 indigenous people diagnosed with TB. The community of Kukama Kukamiria-Yagua reported 505 (28.48%) individuals, followed by the Shipibo-Konibo community with 385. The final logistic model showed that indigenous males (OR = 1.93; 95% CI: 1.001–3.7) with a history of HIV prior to TB (OR = 16.7; 95% CI: 4.7–58.7), and indigenous people in old age (OR = 2.95; 95% CI: 1.5–5.7) were factors associated with a greater chance of dying from TB. Conclusions: It is important to reorient health services among indigenous populations, especially those related to improving a timely diagnosis and early treatment of TB/HIV co-infection, to ensure comprehensive care for this population considering that they are vulnerable groups. MDPI 2022-11-15 /pmc/articles/PMC9690768/ /pubmed/36429736 http://dx.doi.org/10.3390/ijerph192215019 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
León-Giraldo, Hoover
Rivera-Lozada, Oriana
Castro-Alzate, Elvis Siprian
Aylas-Salcedo, Rula
Pacheco-López, Robinson
Bonilla-Asalde, César Antonio
Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019
title Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019
title_full Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019
title_fullStr Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019
title_full_unstemmed Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019
title_short Factors Associated with Mortality with Tuberculosis Diagnosis in Indigenous Populations in Peru 2015–2019
title_sort factors associated with mortality with tuberculosis diagnosis in indigenous populations in peru 2015–2019
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9690768/
https://www.ncbi.nlm.nih.gov/pubmed/36429736
http://dx.doi.org/10.3390/ijerph192215019
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