1
|
Soares DDA, Arcêncio RA, Fronteira I. A proposal to evaluate the management of tuberculosis programs: a qualitative, evaluability assessment in the border region of Brazil and Venezuela. CAD SAUDE PUBLICA 2024; 40:e00104823. [PMID: 38656066 PMCID: PMC11034625 DOI: 10.1590/0102-311xen104823] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Revised: 12/14/2023] [Accepted: 01/11/2024] [Indexed: 04/26/2024] Open
Abstract
This study aims to analyze the feasibility of building an evaluative model for the management of the Tuberculosis Prevention and Control Program in the State of Roraima, located on the border between Brazil and Venezuela. This is an evaluability assessment, a type of study used as a pre-evaluation of the development and implementation stages of a program, as well as throughout its execution. The study was developed in stages comprising the: (i) definition of the intervention to be analyzed and its objectives and goals; (ii) construction of the intervention logical model; (iii) screening of parties interested in the evaluation; (iv) definition of the evaluative questions; and (v) design of the evaluation matrix. Four priority components were defined for the evaluation: management of the organization and implementation of tuberculosis (TB) prevention and control policy; epidemiological surveillance management; care network management; and management of expected/achieved results. In this model, and based on theoretical references, we defined the necessary resources, activities, outputs, outcomes, and the expected impact for each of the policy management components. The management of the TB control program is feasible for evaluation based on the design of its components, the definition of structure and process indicators, and relevant results for the analysis of the management of TB prevention and control actions, as well as its influence on compliance with the agreed indicators and targets aiming at eradicating the disease by 2035.
Collapse
Affiliation(s)
- Débora de Almeida Soares
- Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Lisboa, Portugal
- Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, Brasil
| | | | - Inês Fronteira
- Escola Nacional de Saúde Pública, Universidade NOVA de Lisboa, Lisboa, Portugal
| |
Collapse
|
2
|
Montanha RM, Gioia TB, Ramos ACV, Ferreira NMDA, Torres MAF, Pimenta RA, Kerbauy G, Arcêncio RA, Pieri FM. HIV and AIDS in the state of Paraná, Brazil, 2007-2022: trends and spatiotemporal distribution. Rev Bras Epidemiol 2024; 27:e240015. [PMID: 38655944 PMCID: PMC11027434 DOI: 10.1590/1980-549720240015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2023] [Revised: 11/25/2023] [Accepted: 01/02/2024] [Indexed: 04/26/2024] Open
Abstract
OBJECTIVE The aim of this study was to analyze the spatiotemporal evolution of the incidence rates of human immunodeficiency virus (HIV) and acquired immune deficiency syndrome (AIDS) in the state of Paraná, Brazil. METHODS An ecological study with an analytical component of time series analysis was conducted in the state of Paraná from 2007 to 2022. The data source was the Notifiable Diseases Information System. To study the trend, the Prais-Winsten generalized linear regression model was used by decomposing the time series, and for spatial analysis, the Moran's index was applied. RESULTS The total sample consisted of 50,676 HIV/AIDS records. The incidence rate showed an increasing trend, with an average growth of 2.14% [95% confidence interval - 95%CI 1.16-3.13] per month. From 2007 to 2014 and from 2015 to 2022, the average number of cases in the state was 105.64 and 159.20 per 100,000 inhabitants, respectively, with significant variation among municipalities. Spatial clusters of high risk persisted in the metropolitan region, the capital, and coastal areas, and a new cluster was observed in the northern region of the state. CONCLUSION The incidence rates of HIV/AIDS showed an upward trend over time. The number of cases varied considerably in some municipalities, especially in the coastal region. Spatial analysis revealed geospatial patterns of high risk in the main metropolitan areas of Paraná: Curitiba (including the coastal area), Londrina, and Maringá, which share characteristics such as a high degree of urbanization and ongoing economic development.
Collapse
|
3
|
Alves YM, Berra TZ, Tavares RBV, Popolin MAP, da Costa FBP, de Jezus SV, Ferezin LP, Tártaro AF, Serrano-Gallardo MDP, Pinto IC, Maciel ELN, Arcêncio RA. International Migration, Refugees, and Spread of Tuberculosis in Brazil: Analysis of Clusters, Trends, and Associated Factors (2010-2021). Trop Med Infect Dis 2024; 9:82. [PMID: 38668543 PMCID: PMC11053982 DOI: 10.3390/tropicalmed9040082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2024] [Revised: 04/04/2024] [Accepted: 04/05/2024] [Indexed: 04/29/2024] Open
Abstract
BACKGROUND International migration is a global phenomenon with significant implications on the health-disease process due to exposures along transit routes and local/destination epidemiological indicators. We aimed to analyze the transmission and spread of tuberculosis among international migrants and refugees from a spatiotemporal perspective and the associated factors. METHOD This was an ecological study of cases of tuberculosis in international migrants in Brazil, between 2010 and 2021. Annual incidence rates were calculated and spatiotemporal scan techniques were used to identify municipalities at risk. Multiple logistic regression was used to identify factors associated with tuberculosis in international migrants. RESULTS A total of 4037 cases of tuberculosis were reported in Brazil in international migrants. Municipalities at risk for this event were identified using the spatiotemporal scan technique, and a cluster was identified with ITT: +52.01% and ETT: +25.60%. A higher probability of TB infection was identified in municipalities with a TB incidence rate >14.40 cases/100 inhabitants, population >11,042 inhabitants, Gini index >0.49, and illiteracy rate >13.12%. A lower probability was found in municipalities with average per capita household income >BRL 456.43. CONCLUSIONS It is recommended that health authorities implement monitoring and rigorous follow-up in affected areas to ensure proper diagnosis and treatment completion for international migrants, preventing disease spread to other communities.
Collapse
Affiliation(s)
- Yan Mathias Alves
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | - Thaís Zamboni Berra
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | - Reginaldo Bazon Vaz Tavares
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | - Marcela Antunes Paschoal Popolin
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
- Nursing Department, Federal University of Tocantins, Palmas 77001-090, Brazil
| | - Fernanda Bruzadelli Paulino da Costa
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | - Sonia Vivian de Jezus
- Instituto de Ciências da Saúde, Federal University of Mato Grosso, Sinop 78550-728, Brazil
| | - Letícia Perticarrara Ferezin
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | - Ariela Fehr Tártaro
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | | | - Ione Carvalho Pinto
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| | - Ethel Leonor Noia Maciel
- Ministry of Health, Secretary of Health Surveillance and Environment, Brasília 70058-900, Brazil;
| | - Ricardo Alexandre Arcêncio
- Ribeirão Preto College of Nursing, University of São Paulo, São Paulo 14040-902, Brazil; (T.Z.B.); (R.B.V.T.); (M.A.P.P.); (F.B.P.d.C.); (L.P.F.); (A.F.T.); (R.A.A.)
| |
Collapse
|
4
|
Alves YM, de Jesuz SV, Berra TZ, de Araújo VMS, Maciel ELN, Arcêncio RA. Short-duration treatment for latent tuberculosis in migrants: VDOT monitoring in Manaus, AM. Rev Soc Bras Med Trop 2024; 57:e00602. [PMID: 38597524 PMCID: PMC11000505 DOI: 10.1590/0037-8682-0530-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2023] [Accepted: 03/12/2024] [Indexed: 04/11/2024] Open
Affiliation(s)
- Yan Mathias Alves
- Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto, SP, Brasil
| | | | - Thaís Zamboni Berra
- Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto, SP, Brasil
| | | | | | - Ricardo Alexandre Arcêncio
- Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto, SP, Brasil
| |
Collapse
|
5
|
Tavares RBV, Berra TZ, Alves YM, Popolin MAP, Ramos ACV, Tártaro AF, de Souza CF, Arcêncio RA. Unsuccessful tuberculosis treatment outcomes across Brazil's geographical landscape before and during the COVID-19 pandemic: are we truly advancing toward the sustainable development/end TB goal? Infect Dis Poverty 2024; 13:17. [PMID: 38369536 PMCID: PMC10874548 DOI: 10.1186/s40249-024-01184-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 01/31/2024] [Indexed: 02/20/2024] Open
Abstract
BACKGROUND Tuberculosis is one of the most significant infectious diseases for global public health. The reallocation of healthcare resources and the restrictions imposed by the COVID-19 pandemic have hindered access to TB diagnosis and treatment. Increases in unfavorable outcomes of the disease have been observed in Brazil. The objective of this study was to analyze the spatial distribution of unfavorable TB treatment outcomes in Brazil before and during the pandemic. METHODS An ecological study with spatial analysis was conducted with all 5569 municipalities in Brazil. All reported cases of tuberculosis between January 2010 and December 2021, as well as reported cases of COVID-19 from February 2020 to December 2021, were included. The outcomes studied encompass loss to follow-up, drug-resistant tuberculosis, and death. The Getis Ord GI* technique was employed to assess spatial association, and the Kernel density estimator was used to identify areas with concentrated increases or decreases in outcomes. Bivariate Local Moran's I was used to examine the spatial association between outcomes and COVID-19 incidence. The study was approved by the Research Ethics Committee of Ribeirão Preto Nursing School, University of São Paulo. RESULTS There were 134,394 cases of loss to follow-up, 10,270 cases of drug resistance, and 37,863 deaths. Clusters of high and low values were identified for all three outcomes, indicating significant changes in the spatial distribution patterns. Increases in concentrations were observed for lost to follow-up cases in the Southeast, while reductions occurred in the Northeast, South, and Midwest. Drug-resistant tuberculosis experienced an increase in the Southern and Southeastern regions and a decrease in the Northeast and South. TB-related deaths showed notable concentrations in the Midwest, Northeast, South, and Southeast. There was an increase in high occurrence clusters for deaths after 2020 and 2021 in the Northeast. CONCLUSIONS The pandemic has brought additional challenges, emphasizing the importance of enhancing efforts and disease control strategies, prioritizing early identification, treatment adherence, and follow-up. This commitment is vital for achieving the goal of tuberculosis elimination.
Collapse
Affiliation(s)
- Reginaldo Bazon Vaz Tavares
- Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing (USP/RPCN), Avenida Dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil.
| | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing (USP/RPCN), Avenida Dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil
| | - Yan Mathias Alves
- Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing (USP/RPCN), Avenida Dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil
| | - Marcela Antunes Paschoal Popolin
- Federal University of Tocantins, Palmas Campus (FUT), Quadra 109 Norte, Avenida NS 15, Plano Diretor Norte, Palmas, Tocantins, Brazil
| | - Antônio Carlos Vieira Ramos
- State University of Minas Gerais, Passos Campus (SUMG), Avenida Juca Stockler, 1130, Bairro Belo Horizonte, Passos, Minas Gerais, Brazil
| | - Ariela Fehr Tártaro
- Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing (USP/RPCN), Avenida Dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil
| | - Clara Ferreira de Souza
- Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing (USP/RPCN), Avenida Dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing (USP/RPCN), Avenida Dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
6
|
Bruzadelli Paulino da Costa F, Zamboni Berra T, Garcia de Almeida Ballestero J, Bartholomay Oliveira P, Maria Pelissari D, Mathias Alves Y, Carlos Vieira Ramos A, Queiroz Rocha de Paiva J, Kehinde Ayandeyi Teibo T, Alexandre Arcêncio R. Treatment of drug-resistant tuberculosis in children and young adolescents in Brazil. J Clin Tuberc Other Mycobact Dis 2023; 33:100388. [PMID: 37588725 PMCID: PMC10425933 DOI: 10.1016/j.jctube.2023.100388] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/18/2023] Open
Abstract
Introduction Drug-resistant tuberculosis (DR-TB) is a global threat and a challenge for public health authorities worldwide. In children, the diagnosis is even more challenging and DR-TB is poorly described in the literature, as are its treatment outcomes. In this study, we aimed to describe the treatment of drug-resistant TB in children and young adolescents in Brazil. Methods A descriptive epidemiological study of treatment for DR-TB in children under 15 years of age in Brazil between 2013 and 2020. The primary data source was the Information System for Special Tuberculosis Treatments (SITE-TB). Categorical variables were analyzed using relative frequencies (%) and continuous variables by measures of central tendency to characterize the profile of the cases, namely: sociodemographic, clinical characteristics, procedures, tests performed and treatment success. In order to verify the distribution of cases, a spatial analysis was carried out based on the municipality where the cases resided. Results Between 2013 and 2020, 19,757 tuberculosis (TB) cases occurred in children aged <15 years in Brazil, and 46 cases of treatment for DR-TB were reported during the same period (annual average of 6 cases). Of these, 73.9% were aged 10-14, 65.2% were male, 4.3% were HIV+ and 43.3% were underweight (BMI<18.5) at the start of treatment. 17.4% had previous contact with TB, 69.6% had primary resistance, 47.8% multidrug resistance. The median duration of treatment was 15 months. DOT and standardized treatment regimen were performed in 52.2% of cases. Bacilloscopy was performed for 97.8% (57.8% positive); culture for 89.1% (75.6% positive), rapid molecular test for 73.9% with proven resistance to rifampicin in 55.8%. Susceptibility testing revealed resistance mainly to isoniazid (87.8%) and rifampicin (60.6%). 73.9% of cases were successfully treated and one death was reported. Cases were treated in 26 Brazilian municipalities, with the majority in Rio de Janeiro (15) and São Paulo (4). Conclusion DR-TB treatment was recorded in <1% of general TB cases in children and young adolescents, suggesting underreporting of drug-resistant cases in the country. Despite the low number of registered cases, the data reflect the situation of DR-TB in this population and describe important aspects of the problem, as the child needs comprehensive, individualized care, with support from different professionals. We recommend a strengthening of the country's referral services for the care of children with DR-TB so that surveillance and health care services can work together to identify and follow up cases.
Collapse
Affiliation(s)
- Fernanda Bruzadelli Paulino da Costa
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | | | - Daniele Maria Pelissari
- Coordination of the Surveillance of Tuberculosis, Endemic Mycoses and Non-Tuberculous Mycobacteria, Ministry of Health, Brazil
| | - Yan Mathias Alves
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | | | - Titilade Kehinde Ayandeyi Teibo
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
7
|
Jezus SVD, Sales CMM, Rissino SDD, Mocelin HJS, Araújo MPDS, Arcêncio RA, Araújo VMS, Terena NDFM, Freitas PDSS, Maciel ELN. Prevalencia de tuberculosis, COVID-19, condiciones crónicas y vulnerabilidades en inmigrantes y refugiados: encuesta electrónica. Rev Lat Am Enfermagem 2023. [DOI: 10.1590/1518-8345.5928.3689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Resumen Objetivo: analizar la prevalencia de tuberculosis, coronavirus, condiciones crónicas y vulnerabilidades en inmigrantes y refugiados en Brasil. Método: se trata de un estudio transversal, del tipo encuesta electrónica, realizado con migrantes internacionales durante la pandemia de COVID-19. Para el análisis se aplicó estadística descriptiva, con cálculo de medidas de posición y dispersión. En cuanto a las variables categóricas, se estimaron las frecuencias relativas y absolutas. Resultados: participaron del estudio 553 inmigrantes y refugiados, la prevalencia de tuberculosis era del 3,07%, de COVID-19 del 7,2% y de condiciones crónicas del 27,3%. Entre las vulnerabilidades, el 32% reportó desempleo, el 37,6% emigró a Brasil por la situación social de su país y el 33,6% vivía en un asilo o albergue. Conclusión: la tuberculosis, las enfermedades crónicas y el COVID-19 fueron más prevalentes en inmigrantes y refugiados que en la población general. Por tratarse de una población que aún tiene grandes dificultades para acceder a los servicios de salud y sistemas de protección social, el estudio contribuirá, con base en la evidencia, a las políticas públicas, la atención de enfermería y la incorporación de nuevas rutinas en el servicio.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Ethel Leonor Noia Maciel
- Universidade Federal do Espírito Santo, Brazil; Rede Brasileira de Pesquisas em Tuberculose REDE-TB, Brazil
| |
Collapse
|
8
|
Jezus SVD, Sales CMM, Rissino SDD, Mocelin HJS, Araújo MPDS, Arcêncio RA, Araújo VMS, Terena NDFM, Freitas PDSS, Maciel ELN. Prevalência de tuberculose, COVID-19, condições crônicas e vulnerabilidades entre migrantes e refugiados: inquérito eletrônico. Rev Lat Am Enfermagem 2023. [DOI: 10.1590/1518-8345.5928.3691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Resumo Objetivo: analisar a prevalência de tuberculose, coronavírus, condições crônicas e vulnerabilidades entre migrantes e refugiados no Brasil. Método: trata-se de estudo transversal, do tipo inquérito eletrônico, realizado com migrantes internacionais durante a pandemia de COVID-19. Para a análise, aplicou-se estatística descritiva, com cálculo de medidas de posição e de dispersão. Quanto às variáveis categóricas, estimaram-se as frequências relativas e absolutas. Resultados: participaram do estudo 553 migrantes e refugiados, verificando-se prevalência de 3,07% de tuberculose, 7,2% de COVID-19 e 27,3% de condições crônicas. Entre as vulnerabilidades, 32% referiram desemprego, 37,6% mudaram para o Brasil em decorrência da situação social do seu país e 33,6% residiam em asilo e ou abrigo. Conclusão: a tuberculose, as doenças crônicas e a COVID-19 apresentaram maior prevalência em migrantes e refugiados que na população em geral. Por tratar-se de uma população ainda com grande dificuldade de acesso aos serviços de saúde e aos sistemas de proteção social, o estudo subsidiará, com base em evidências, as políticas públicas, o atendimento do enfermeiro e a incorporação de novas rotinas no serviço.
Collapse
Affiliation(s)
| | | | | | | | | | | | | | | | | | - Ethel Leonor Noia Maciel
- Universidade Federal do Espírito Santo, Brazil; Rede Brasileira de Pesquisas em Tuberculose REDE-TB, Brazil
| |
Collapse
|
9
|
Arcêncio RA, Chimara E, Silva JRLE, Croda J, Carvalho ACC. Research, Innovation, and National Production of Strategic Inputs for Tuberculosis Elimination in Brazil: Contributions from the REDE-TB. Rev Soc Bras Med Trop 2023; 56:e0518. [PMID: 38055542 PMCID: PMC10691762 DOI: 10.1590/0037-8682-0518-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2023] [Accepted: 11/08/2023] [Indexed: 12/08/2023] Open
Affiliation(s)
| | | | | | - Julio Croda
- Universidade Federal de Mato Grosso do Sul, Faculdade de Medicina, Campo Grande, MS, Brasil
| | | |
Collapse
|
10
|
Nanque AR, Ramos ACV, Moura HSD, Berra TZ, Tavares RBV, Monroe AA, Pinto IC, Arcêncio RA. Spatial and temporal analysis of tuberculosis incidence in Guinea-Bissau, 2018 to 2020. Rev Bras Enferm 2023; 76:e20220481. [PMID: 37820137 PMCID: PMC10561932 DOI: 10.1590/0034-7167-2022-0481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2022] [Accepted: 03/10/2023] [Indexed: 10/13/2023] Open
Abstract
OBJECTIVE to analyze the epidemiological profile, spatial and temporal distribution of tuberculosis in Guinea-Bissau from 2018 to 2020. METHODS an ecological study, carried out in Guinea-Bissau, considering new cases of tuberculosis. Spatial analysis of areas was used to verify tuberculosis distribution in the country, and time series were used to identify incidence evolution over the years of study. RESULTS a total of 6,840 new cases of tuberculosis were reported. Tuberculosis incidence rate in the country ranged from 36.8 to 267.7 cases/100,000 inhabitants, with emphasis on the regions of Bissau and Biombo (over 90 cases/100,000). By using time series, it was possible to observe an increase in case incidence over the years of study. CONCLUSIONS the study made it possible to identify the epidemiological profile of tuberculosis in Guinea-Bissau, spatial distribution heterogeneity, in addition to identifying the disease evolution over the years of investigation.
Collapse
|
11
|
Pereira MAD, Arroyo LH, Gallardo MDPS, Arcêncio RA, Gusmão JD, Amaral GG, de Oliveira VC, Guimarães EADA. Vaccination coverage in children under one year of age and associated socioeconomic factors: maps of spatial heterogeneity. Rev Bras Enferm 2023; 76:e20220734. [PMID: 37729269 PMCID: PMC10506597 DOI: 10.1590/0034-7167-2022-0734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2022] [Accepted: 02/15/2023] [Indexed: 09/22/2023] Open
Abstract
OBJECTIVE to analyze vaccination coverage spatial distribution in children under one year old and the socioeconomic factors associated with meeting the recommended goals in Minas Gerais. METHODS an ecological study, carried out in 853 municipalities in the state. Pentavalent, poliomyelitis, meningococcal conjugate, yellow fever, rotavirus, and 10-valent pneumococcal conjugate vaccination coverage were analyzed. Scan statistics and multiple logistic regression were performed to identify spatial clusters and factors associated with meeting coverage goals. RESULTS spatial analysis revealed clusters with risk of low coverage for all vaccines. Number of families with per capita income of up to 1/2 wage, Minas Gerais Social Responsibility Index and percentage of the poor or extremely poor population were associated with meeting the established goals. CONCLUSIONS the results are useful for designing interventions regarding the structuring of vaccination services and the implementation of actions to increase vaccination coverage in clusters with less propensity to vaccinate.
Collapse
Affiliation(s)
| | | | | | | | - Josianne Dias Gusmão
- Secretaria de Estado da Saúde de Minas Gerais. Belo Horizonte, Minas Gerais, Brazil
| | | | | | | |
Collapse
|
12
|
Moura HSD, Berra TZ, Rosa RJ, Silva RVDS, Soares DDA, de Araújo JST, Costa FBP, de Souza RMP, do Nascimento MC, Teibo TKA, Serrano-Gallardo MDP, Arcêncio RA. Health condition, income loss, food insecurity and other social inequities among migrants and refugees during the COVID-19 pandemic in Brazil. BMC Public Health 2023; 23:1728. [PMID: 37670227 PMCID: PMC10481567 DOI: 10.1186/s12889-023-16620-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 08/25/2023] [Indexed: 09/07/2023] Open
Abstract
BACKGROUND Brazil is the destination of many international migrants and refugees and, given the circumstances of their entry into the country, many face difficulties due to the absence of targeted policies. Thus, the objective of this study was to survey the social impact of COVID-19 on international migrants and refugees regarding income loss, food insecurity and other social inequities, and to identify explanatory factors on these aspects. METHODS This is a cross-sectional, analytical study. We used a validated instrument applied by trained interviewers. Descriptive analysis and binary logistic regression were performed to identify factors associated with income loss and food insecurity. RESULTS A total of 360 individuals from sub-Saharan African and South American countries participated in the study. Individuals who were white, black/brown, yellow, had an occupation/employment, and earned less than one minimum wage were more likely to lose income. Those who reported no income, received less than one minimum wage, and were diagnosed with COVID-19 were more likely to be food insecure. CONCLUSIONS The study advances knowledge by identifying factors associated with income loss, food insecurity, and individuals' difficulty in accessing health services and social support measures in Brazil.
Collapse
Affiliation(s)
- Heriederson Sávio Dias Moura
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902.
| | - Thaís Zamboni Berra
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| | - Rander Junior Rosa
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| | - Ruan Víctor Dos Santos Silva
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| | - Débora de Almeida Soares
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
- Institute of Hygiene and Tropical Medicine, New University of Lisbon, Lisbon, Portugal, Rua da Junqueira, 100, 1349-008
| | - Juliana Soares Tenório de Araújo
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| | - Fernanda Bruzadelli Paulino Costa
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| | | | | | - Titilade Kehinde Ayandeyi Teibo
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| | | | - Ricardo Alexandre Arcêncio
- Avenida dos Bandeirantes, University of São Paulo at Ribeirão Preto School of Nursing, São Paulo, Brazil, 3900, Monte Alegre, Ribeirão Preto, 14040-902
| |
Collapse
|
13
|
Teibo TKA, Andrade RLDP, Rosa RJ, Tavares RBV, Berra TZ, Arcêncio RA. Geo-spatial high-risk clusters of Tuberculosis in the global general population: a systematic review. BMC Public Health 2023; 23:1586. [PMID: 37598144 PMCID: PMC10439548 DOI: 10.1186/s12889-023-16493-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2023] [Accepted: 08/09/2023] [Indexed: 08/21/2023] Open
Abstract
INTRODUCTION The objective of this systematic review is to identify tuberculosis (TB) high-risk among the general population globally. The review was conducted using the following steps: elaboration of the research question, search for relevant publications, selection of studies found, data extraction, analysis, and evidence synthesis. METHODS The studies included were those published in English, from original research, presented findings relevant to tuberculosis high-risk across the globe, published between 2017 and 2023, and were based on geospatial analysis of TB. Two reviewers independently selected the articles and were blinded to each other`s comments. The resultant disagreement was resolved by a third blinded reviewer. For bibliographic search, controlled and free vocabularies that address the question to be investigated were used. The searches were carried out on PubMed, LILACS, EMBASE, Scopus, and Web of Science. and Google Scholar. RESULTS A total of 79 published articles with a 40-year study period between 1982 and 2022 were evaluated. Based on the 79 studies, more than 40% of all countries that have carried out geospatial analysis of TB were from Asia, followed by South America with 23%, Africa had about 15%, and others with 2% and 1%. Various maps were used in the various studies and the most used is the thematic map (32%), rate map (26%), map of temporal tendency (20%), and others like the kernel density map (6%). The characteristics of the high-risk and the factors that affect the hotspot's location are evident through studies related to poor socioeconomic conditions constituting (39%), followed by high population density (17%), climate-related clustering (15%), high-risk spread to neighbouring cities (13%), unstable and non-random cluster (11%). CONCLUSION There exist specific high-risk for TB which are areas that are related to low socioeconomic conditions and spectacular weather conditions, these areas when well-known will be easy targets for intervention by policymakers. We recommend that more studies making use of spatial, temporal, and spatiotemporal analysis be carried out to point out territories and populations that are vulnerable to TB.
Collapse
Affiliation(s)
- Titilade Kehinde Ayandeyi Teibo
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil.
| | - Rubia Laine de Paula Andrade
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil
| | - Rander Junior Rosa
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil
| | - Reginaldo Bazon Vaz Tavares
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil
| | - Thais Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, Sao Paulo, Brazil
| |
Collapse
|
14
|
Rosa RJ, de Araújo JST, Berra TZ, Ramos ACV, Moura HSD, do Nascimento MC, Tártaro AF, Silva RVDS, Delpino FM, Fiorati RC, Teibo TKA, Alves YM, de Paiva JQR, Arcoverde MAM, Scholze AR, Arcêncio RA. Factors associated with status and self-perceived mental health changes in the face of the COVID-19 pandemic in Brazil. PLOS Glob Public Health 2023; 3:e0001636. [PMID: 37594925 PMCID: PMC10437945 DOI: 10.1371/journal.pgph.0001636] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/26/2022] [Accepted: 07/19/2023] [Indexed: 08/20/2023]
Abstract
The SARS-CoV-2-triggered Public Health Emergency of International Importance has significantly contributed to emotional and mental health issues. The aim of this study was to identify factors associated with self-perceived mental health changes while facing the COVID-19 pandemic in Brazil. This was a cross-sectional, descriptive, and analytical study that collected data via a web survey using a validated instrument. The study included individuals over 18 years old residing in the 26 federal units and the Federal District from August 2020 to November 2022. The sample was recruited using the snowball technique. Two logistic regression analyses were conducted to identify factors associated with the outcomes of interest. The first analysis considered individuals who rated their mental health condition as poor as the dependent variable, while the second analysis considered individuals who reported changes in their mental health during the pandemic as the dependent variable. The study found that individuals with complete college education and those using tranquilizers or antidepressants were more likely to perceive their mental health as poor (1.97 and 2.04 times higher likelihood, respectively). Increased consumption of ultra-processed foods during the pandemic was associated with a 2.49 higher likelihood of reporting mental health changes. Participants also reported more difficulty sleeping. The negative self-perception of mental health varied across Brazil's regions and changed over time, with different patterns observed before and after the vaccination period. In 2022, most regions of Brazil classified their mental health as "poor." The study highlights the impact of the COVID-19 pandemic on mental health, with increased prevalence of mental disorders and emotional problems among the population. The results highlight the presence of mental disorders and increased reporting of emotional problems among the population due to the impact of the COVID-19 pandemic.
Collapse
Affiliation(s)
- Rander Junior Rosa
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Juliana Soares Tenório de Araújo
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Thaís Zamboni Berra
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Heriederson Sávio Dias Moura
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Murilo César do Nascimento
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Ariela Fehr Tártaro
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Ruan Victor dos Santos Silva
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Felipe Mendes Delpino
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Regina Célia Fiorati
- Department of Neurosciences and Behavioral Sciences, Ribeirão Preto Medical School of the University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Titilade Kehinde Ayandeyi Teibo
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Yan Mathias Alves
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Juliana Queiroz Rocha de Paiva
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| | - Marcos Augusto Moraes Arcoverde
- Center for Education, Letters and Health, Western Paraná State University, Campus Foz do Iguaçu, Foz do Iguaçu, Paraná, Brazil
| | | | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, São Paulo, Brazil
| |
Collapse
|
15
|
Gonçalves LC, Fuentealba-Torres M, Bolorino N, Ferreira NMDA, Freitas FMBD, Tiroli CF, Pimenta RA, Arcêncio RA, Pieri FM. Effectiveness of neurolysis as a treatment for complications of leprosy neuritis: a systematic review. Rev Soc Bras Med Trop 2023; 56:e0123-e2023. [PMID: 37531518 DOI: 10.1590/0037-8682-0123-2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2023] [Accepted: 06/27/2023] [Indexed: 08/04/2023] Open
Abstract
BACKGROUND Complications of leprosy neuritis are considered serious and apparent, with the potential to disable and/or limit individuals. These complications affect not only a patient's physical functioning, but also their family and social lives, while directly impacting the ability to work and/or maintain financial independence, subsequently interfering with their overall quality of life. The present review, therefore, aimed to analyze the effectiveness of neurolysis as an alternative treatment for the complications associated with leprosy neuritis. METHODS The present review was performed based on the Joanna Briggs Institute methodology, in an effort to answer the following research question: what is the effectiveness of neurolysis as a treatment for leprosy neuritis complications? This research question was defined using the patient-intervention-outcome (PIO) framework, where leprosy represents 'P', neurolysis for 'I', and neuropathic pain/motor function/sensorial function/physical disability/quality of life for 'O'. Randomized and non-randomized clinical trials and prospective observational cohort studies were included in the present review, with no time or date restrictions. RESULTS The present review included 1 randomized clinical trial and 10 prospective studies, published between 1976 and 2020. All of the outcomes showed improvement, with relief from neuropathic pain being the primary finding. CONCLUSIONS The evidence obtained in the present review suggested that neurolysis is an effective alternative for the treatment of physical disabilities, the recovery of sensory and motor function, the restoration of quality of life, and neuropathic pain relief.
Collapse
Affiliation(s)
- Laís Cristina Gonçalves
- Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem, Londrina, PR, Brasil
| | | | - Natacha Bolorino
- Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem, Londrina, PR, Brasil
| | | | | | - Carla Fernanda Tiroli
- Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem, Londrina, PR, Brasil
| | | | - Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto. Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto, SP, Brasil
| | - Flávia Meneguetti Pieri
- Universidade Estadual de Londrina, Programa de Pós-Graduação em Enfermagem, Londrina, PR, Brasil
| |
Collapse
|
16
|
Giacomet CL, Ramos ACV, Moura HSD, Berra TZ, Alves YM, Delpino FM, Farley JE, Reynolds NR, Alonso JB, Teibo TKA, Arcêncio RA. A distributional regression approach to modeling the impact of structural and intermediary social determinants on communities burdened by tuberculosis in Eastern Amazonia - Brazil. Arch Public Health 2023; 81:135. [PMID: 37475059 DOI: 10.1186/s13690-023-01147-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 07/02/2023] [Indexed: 07/22/2023] Open
Abstract
BACKGROUND Tuberculosis (TB) is a disease that is influenced by social determinants of health. However, the specific structural and intermediary determinants of TB in Eastern Amazonia remain unclear. Despite being rich in natural resources, the region faces significant challenges related to poverty, inequality, and neglected diseases. The objective of this study was to use mathematical modeling to evaluate the influence of structural and intermediary determinants of health on TB in Eastern Amazonia, Brazil. METHODS This cross-sectional included all TB cases diagnosed and registered in the Notifiable Diseases Information System (SINAN) from 2001 to 2017. Data on social determinants were collected at the census tract level. The generalized additive model for location, scale, and shape (GAMLSS) framework was employed to identify the effect of social determinants on communities with a high TB prevalence. The Double Poisson distribution (DPO) was chosen, and inclusion of quadratic effects was tested. RESULTS A total of 1730 individuals were diagnosed with TB and reported in SINAN during the analyzed period. The majority were female (59.3%), aged 31 to 59 years (47.6%), identified as blacks (67.9%), and had incomplete elementary education (46.6%). The prevalence of alcoholism was 8.6% and mental illness was 0.7%. GAMLSS analyses demonstrated that the risk of community incidence of TB is associated with the proportion of the population lacking basic sanitation, as well as with the age groups of 16-31 years and > 61 years. CONCLUSIONS The study highlights the strategic utility of GAMLSS in identifying high-risk areas for TB. Models should encompass a broader range of social determinants to inform policies aimed at reducing inequality and achieving the goals of the End TB strategy.
Collapse
Affiliation(s)
- Clóvis Luciano Giacomet
- Interunits PhD Program in Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Antônio Carlos Vieira Ramos
- Graduate Program in Public Health Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Heriederson Sávio Dias Moura
- Graduate Program in Public Health Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Thaís Zamboni Berra
- Graduate Program in Public Health Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Yan Mathias Alves
- Graduate Program in Public Health Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Felipe Mendes Delpino
- Graduate Program in Public Health Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
- Postgraduate Program in Nursing, Federal University of Pelotas, Pelotas, Brazil
| | - Jason E Farley
- The Center for Infectious Disease and Nursing Innovation, Johns Hopkins School of Nursing, Baltimore, United States of America
| | - Nancy R Reynolds
- The Center for Infectious Disease and Nursing Innovation, Johns Hopkins School of Nursing, Baltimore, United States of America
| | - Jonas Bodini Alonso
- Research Support Center, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Titilade Kehinde Ayandeyi Teibo
- Graduate Program in Public Health Nursing, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil
| | - Ricardo Alexandre Arcêncio
- Department of Maternal and Child Nursing and Public Health, University of São Paulo College of Nursing at Ribeirão Preto, Ribeirão Preto, Brazil.
| |
Collapse
|
17
|
Delpino FM, Caputo EL, Arcêncio RA, Cassuriaga J, Huckembeck CM, Nunes BP, Rombaldi AJ, Reichert FF, da Silva MC, Feter N. Association of Sleep Duration and Use of Sleeping Medication with Multimorbidity in Adults: Results from the PAMPA (Brazil) Cohort Study. Sleep Sci 2023; 16:68-74. [PMID: 37151761 PMCID: PMC10157832 DOI: 10.1055/s-0043-1767757] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2022] [Accepted: 07/14/2022] [Indexed: 05/09/2023] Open
Abstract
Objective To analyze the association of sleep duration and use of sleeping medication with multimorbidity. Materials and Methods We conducted a cross-sectional study using data from the Prospective Study about Mental and Physical Health (PAMPA) cohort. Multimorbidity was defined as the presence of two or more conditions from a list of twelve health problems. Descriptive analyses were performed considering proportion and its 95% confidence interval (95%CI). We performed logistic regression (to obtain odds ratios, ORs) to estimate the associations, including models adjusted for confounding factors. Results In total, 2,936 participants were included, 79,1% of them women, 54.2% aged between 18 and 39 years, and 88.9% with white skin color. Compared with regular sleep (seven to eight hours a day), five hours or less of sleep increased the odds of multimorbidity by 145% (95%CI: 1.90-3.14), and 9 hours or more of sleep increased the odds by 49% (95%CI: 1.14-1.95) for the crude model; the results remained significant even in the adjusted models. Discussion Consumption of sleeping medication was associated with multimorbidity. Short and prolonged sleep duration increased the odds of multimorbidity, regardless of the sociodemographic and behavior characteristics. The regular use of sleeping medication was also associated with multimorbidity. The results of the present study are important but require caution due to reverse causality, and longitudinal studies are needed to confirm the findings.
Collapse
Affiliation(s)
- Felipe Mendes Delpino
- Federal University of Pelotas, Postgraduate Program in Nursing, Pelotas, Rio Grande do Sul, Brazil
- University of São Paulo, Postgraduate Program in Nursing in Public Health, São Paulo, São Paulo, Brazil
- Address for correspondence Felipe Mendes Delpino
| | - Eduardo L. Caputo
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| | | | - Júlia Cassuriaga
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| | - Caroline Malue Huckembeck
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| | - Bruno Pereira Nunes
- Federal University of Pelotas, Postgraduate Program in Nursing, Pelotas, Rio Grande do Sul, Brazil
| | - Airton José Rombaldi
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| | - Felipe Fossati Reichert
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| | - Marcelo Cozzensa da Silva
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| | - Natan Feter
- Federal University of Pelotas, Postgraduate Program in Physical Education, Pelotas, Rio Grande do Sul, Brazil
| |
Collapse
|
18
|
Moura HSD, Fiorati RC, Arcêncio RA. COVID-19 Social Thermometer Project: transnational articulations to approach populations in situations of social vulnerability. Rev Bras Enferm 2023; 76Suppl 2:e76suppl201. [PMID: 36753068 PMCID: PMC9901343 DOI: 10.1590/0034-7167.202376suppl201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
Affiliation(s)
| | - Regina Célia Fiorati
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto. Ribeirão Preto, São Paulo, Brazil
| | | |
Collapse
|
19
|
Rodrigues TB, Dias BRL, Gomes D, Arcêncio RA, Andrade JAA, Ferreira GRON, Gonçalves LHT, Botelho EP. AIDS-related mortality in Pará Province, Brazilian Amazon region: Spatial and temporal analysis. PLoS One 2023; 18:e0279483. [PMID: 36662846 PMCID: PMC9858710 DOI: 10.1371/journal.pone.0279483] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2021] [Accepted: 12/08/2022] [Indexed: 01/21/2023] Open
Abstract
Despite considerable therapeutic advances in the care of people living with human immunodeficiency virus (HIV) and with the acquired immunodeficiency syndrome (AIDS) and an overall reduction of 47% in the AIDS mortality rate in the last decade, the AIDS-mortality rates remains high. The social determinants of health (SDH) have a direct influence on the dynamics of this phenomenon. However, changes in SDH caused by the implemented policies against HIV have been poorly investigated. Moreover, the Brazilian rainforest has had the highest and continuously increasing AIDS mortality rate in Brazil since the 1980s. In this study, AIDS mortality in a province of the Brazilian rainforest was examined by using temporal and spatial analyses. METHODS In this ecological study, data from 2007 to 2018 were extracted from the Mortality Information System provided by the State Department of Public Health of Pará. For the temporal analysis, the integrated autoregressive model of moving average (ARIMA) and locally weighted polynomial regression (STLF) were used to forecast AIDS mortality from 2019 to 2022. For the spatial analysis, spatial autocorrelation and geographically weighted regression (GWR) analyses were employed. RESULTS The samples consisted of 6,498 notifications for AIDS-related deaths. From 2007 to 2013, the AIDS mortality rates showed an upward trend, followed by a stabilization until 2018 and an upward forecasted trend from 2019 to 2022. High mortality rates and high-high clusters were found in economic pole municipalities. Furthermore, AIDS mortality risk was directly associated with per capita income and demographic density, except in the southwestern region of Pará, which exhibited an inverse association with population density. CONCLUSION Although the policies against HIV may have contributed to the stabilization of AIDS mortality rates from 2013 in Pará, the upward forecasted trend until 2022 raises an alert and concern to health authorities to provide reinforcement of the policies. The geographic variability of AIDS mortality promoted by SDH provides subsidies to health authorities to implement SDH-focused strategies for AIDS mortality reduction.
Collapse
Affiliation(s)
| | | | - Dulce Gomes
- Department of Mathematics, University of Évora, Évora, Portugal
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil
| | | | | | | | - Eliã Pinheiro Botelho
- Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil
| |
Collapse
|
20
|
Placeres AF, de Almeida Soares D, Delpino FM, Moura HSD, Scholze AR, dos Santos MS, Arcêncio RA, Fronteira I. Epidemiology of TB in prisoners: a metanalysis of the prevalence of active and latent TB. BMC Infect Dis 2023; 23:20. [PMID: 36631770 PMCID: PMC9835258 DOI: 10.1186/s12879-022-07961-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2022] [Accepted: 12/20/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Tuberculosis (TB) in prisons usually occurs at higher rates than in the general population, especially in developing countries. TB has been reported as the most common cause of death among prisoners. Studies have shown limitations for early detection of TB in prisons that seem to result from mistaken concepts about TB, delayed diagnosis mainly due to the naturalization of lack of healthcare for this population METHODS: A scoping review was performed using the methodology of the Joanna Briggs Institute to assess "What are the scientific evidences on the epidemiology of TB in the prison system?". Then, a meta-analysis was performed to assess the prevalence of TB (active and latent) TB in prisoners. The results are presented as prevalence, in percentage, through random effects models, with a confidence interval of 95%. RESULTS Regarding active TB, the results of the metanalysis showed that countries with a high burden of TB had a prevalence of 3.54% [2.71; 4.63], countries not considered to be high burden TB countries had a prevalence of 1.43% [0.86; 2.37]. Latent TB had a prevalence of 51.61% [39.46; 63.58] in high TB burden countries and a prevalence of 40.24% [23.51; 59.61] in countries with low TB burden. In terms of development, in low- and lower-middle-income countries, the prevalence of active TB was 3.13% [1.84; 5.29] and in high- and upper-middle income countries the prevalence was 2.25% [1.70; 2.99]. The prevalence of latent TB in high- and middle-income countries was 43.77% [28.61; 60.18] and of 49.42% [45.91; 52.94] in low and lower middle-income countries. CONCLUSION Our analysis suggests that TB, and probably other infectious diseases, find fertile ground in prisons where previous acquire social disadvantages seem to thrive-therefore, TB in prisons is a global public health problem and effective strategies are needed to control the disease are needed targeting the prison environment, including rapid health assessments to understand each context and to implement tailored and precision interventions.
Collapse
Affiliation(s)
- Aline Ferreira Placeres
- grid.10772.330000000121511713Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, Rua da Junqueira 100, 1349-008 Lisbon, Portugal
| | - Débora de Almeida Soares
- grid.10772.330000000121511713Instituto de Higiene e Medicina Tropical (IHMT), Universidade Nova de Lisboa, Rua da Junqueira 100, 1349-008 Lisbon, Portugal
| | - Felipe Mendes Delpino
- grid.411221.50000 0001 2134 6519Programa de Pós Graduação em Enfermagem, Universidade Federal de Pelotas, Pelotas, Brazil
| | - Heriederson Sávio Dias Moura
- grid.11899.380000 0004 1937 0722Escola de Enfermagem de Ribeirão Preto (EERP/USP), Universidade de São Paulo, São Paulo, Brazil
| | - Alessandro Rolim Scholze
- grid.441795.aUniversidade Estadual do Norte do Paraná, Campus Luiz Meneguel de Bandeirantes, Bandeirantes, Brazil
| | - Márcio Souza dos Santos
- grid.11899.380000 0004 1937 0722Escola de Enfermagem de Ribeirão Preto (EERP/USP), Universidade de São Paulo, São Paulo, Brazil
| | - Ricardo Alexandre Arcêncio
- grid.11899.380000 0004 1937 0722Escola de Enfermagem de Ribeirão Preto (EERP/USP), Universidade de São Paulo, São Paulo, Brazil
| | - Inês Fronteira
- grid.10772.330000000121511713Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, Universidade NOVA de Lisboa, Lisbon, Portugal
| |
Collapse
|
21
|
Martoreli JF, Ramos ACV, Berra TZ, do Nascimento MC, Tavares RBV, Moura HSD, de Mello DF, Alves JD, Arcêncio RA. Clusters of risk for the occurrence of leprosy and disabilities in children under 15 years of age in Cuiabá: a geospatial study. Rev Bras Epidemiol 2023; 26:e230006. [PMID: 36629618 PMCID: PMC9838240 DOI: 10.1590/1980-549720230006.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2022] [Accepted: 10/13/2022] [Indexed: 01/10/2023] Open
Abstract
OBJECTIVE This study aimed to analyze the spatial distribution of leprosy and disabilities in children under 15 years of age in Cuiabá. METHODS Ecological study carried out in the city of Cuiabá, Mato Grosso, Brazil. The study population consisted of leprosy cases in children under 15 years old notified in the Notifiable Diseases Information System, between 2008 and 2018. Based on residential addresses, cases were georeferenced. In the analysis of the spatial distribution of the cases, the estimation of the Kernel density was used and, later, the statistics of spatial, spatio-temporal and Spatial Variation in Temporal Trends were applied. RESULTS 514 cases of leprosy were reported in children under 15 years of age in Cuiabá, with a percentage of 10.1% of cases with degree of physical disability 1 and 2.3% with degree of physical disability 2 at the time of diagnosis. With the techniques of spatial and spatio-temporal scanning, clusters of risk for leprosy were identified in the North, West, East and South regions of Cuiabá, and with the technique of Spatial Variation in Temporal Trends, a cluster was identified in the West region of Cuiabá. CONCLUSION In Cuiabá, cases of leprosy in children under 15 years of age with disabilities were distributed throughout the urban area of the city, with the highest density of cases in the North and West regions, followed by the East region. The clusters with the highest Relative Risk were identified in the East and West regions, characterized by having low and medium income levels.
Collapse
Affiliation(s)
- José Francisco Martoreli
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| | - Antônio Carlos Vieira Ramos
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| | - Thaís Zamboni Berra
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| | | | - Reginaldo Bazon Vaz Tavares
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| | - Heriederson Sávio Dias Moura
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| | - Débora Falleiros de Mello
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| | | | - Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Escola de Enfermagem – Ribeirão Preto (SP), Brasil
| |
Collapse
|
22
|
Alvim FLK, de Jezus SV, da Silva AI, Leão AC, Zambonin F, Maciel ELN, Arcêncio RA. [Addressing HIV/AIDS and syphilis in Venezuelan migrant women from the perspective of health managers in the North of BrazilManejo de la infección por el VIH/sida y la sífilis en mujeres migrantes venezolanas desde la perspectiva de los gestores de salud en el norte de Brasil]. Rev Panam Salud Publica 2023; 47:e83. [PMID: 37197597 PMCID: PMC10184579 DOI: 10.26633/rpsp.2023.83] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2022] [Accepted: 02/17/2023] [Indexed: 05/19/2023] Open
Abstract
Objective To identify the perception of health managers regarding the actions taken and the challenges encountered in addressing HIV and syphilis in Venezuelan migrant women in Brazil. Method This descriptive-exploratory study using a qualitative approach was conducted from January to March 2021 in the municipalities of Boa Vista (state of Roraima) and Manaus (state of Amazonas). Audio interviews with the participants were transcribed in full and examined using thematic content analysis. Results Ten managers were interviewed (five in Boa Vista and five in Manaus). Content analysis identified the following domains and themes: available infrastructure for diagnosis and treatment of AIDS and syphilis - access, availability of medical appointments /waiting list, training of health teams, and psychosocial support; challenges faced by Venezuelan women - language, documentation issues, and frequent address changes; and strategies and actions adopted and expectations for addressing HIV/AIDS and syphilis in the context of migration. Conclusions Despite the care provided to Venezuelan women in Brazil - guaranteed by the universal nature of the Brazilian health system - language and lack of documentation remain as barriers. Given the absence of action plans and future planning for the care of migrant women with HIV or syphilis in municipalities, it is important to develop public policies aimed at minimizing the difficulties faced by this population.
Collapse
Affiliation(s)
- Fernanda Luiza Kill Alvim
- Universidade Federal do Espírito SantoPrograma de Pós-graduação em Saúde ColetivaVitória (ES)BrasilUniversidade Federal do Espírito Santo, Programa de Pós-graduação em Saúde Coletiva, Vitória (ES), Brasil.
| | - Sonia Vivian de Jezus
- Universidade Federal de Mato GrossoInstituto de Ciências da SaúdeSinop (MT)BrasilUniversidade Federal de Mato Grosso, Instituto de Ciências da Saúde, Sinop (MT), Brasil.
| | - Adriana Ilha da Silva
- Universidade Federal do Espírito SantoLaboratório de EpidemiologiaVitória (ES)BrasilUniversidade Federal do Espírito Santo, Laboratório de Epidemiologia, Vitória (ES), Brasil.
| | - Ana Carolina Leão
- Secretaria Municipal de SaúdeManaus (AM)BrasilSecretaria Municipal de Saúde, Manaus (AM), Brasil.
| | - Fernanda Zambonin
- Secretaria Municipal de SaúdeBoa Vista (RR)BrasilSecretaria Municipal de Saúde, Boa Vista (RR), Brasil.
| | - Ethel Leonor Noia Maciel
- Universidade Federal do Espírito SantoLaboratório de EpidemiologiaVitória (ES)BrasilUniversidade Federal do Espírito Santo, Laboratório de Epidemiologia, Vitória (ES), Brasil.
| | - Ricardo Alexandre Arcêncio
- Universidade de São PauloEscola de Enfermagem de Ribeirão PretoRibeirão Preto (SP)BrasilUniversidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Ribeirão Preto (SP), Brasil.
| |
Collapse
|
23
|
Delpino FM, Figueiredo LM, Costa ÂK, Carreno I, Silva LND, Flores AD, Pinheiro MA, Silva EPD, Marques GÁ, Saes MDO, Duro SMS, Facchini LA, Vissoci JRN, Flores TR, Demarco FF, Blumenberg C, Chiavegatto Filho ADP, Silva ICD, Batista SR, Arcêncio RA, Nunes BP. Emergency department use and Artificial Intelligence in Pelotas: design and baseline results. Rev Bras Epidemiol 2023; 26:e230021. [PMID: 36921129 PMCID: PMC10000014 DOI: 10.1590/1980-549720230021] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 01/09/2023] [Indexed: 03/12/2023] Open
Abstract
OBJETIVO To describe the initial baseline results of a population-based study, as well as a protocol in order to evaluate the performance of different machine learning algorithms with the objective of predicting the demand for urgent and emergency services in a representative sample of adults from the urban area of Pelotas, Southern Brazil. METHODS The study is entitled "Emergency department use and Artificial Intelligence in PELOTAS (RS) (EAI PELOTAS)" (https://wp.ufpel.edu.br/eaipelotas/). Between September and December 2021, a baseline was carried out with participants. A follow-up was planned to be conducted after 12 months in order to assess the use of urgent and emergency services in the last year. Afterwards, machine learning algorithms will be tested to predict the use of urgent and emergency services over one year. RESULTS In total, 5,722 participants answered the survey, mostly females (66.8%), with an average age of 50.3 years. The mean number of household people was 2.6. Most of the sample has white skin color and incomplete elementary school or less. Around 30% of the sample has obesity, 14% diabetes, and 39% hypertension. CONCLUSION The present paper presented a protocol describing the steps that were and will be taken to produce a model capable of predicting the demand for urgent and emergency services in one year among residents of Pelotas, in Rio Grande do Sul state.
Collapse
Affiliation(s)
| | | | | | - Ioná Carreno
- Universidade Federal de Pelotas - Pelotas (RS), Brazil
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|
24
|
de Jezus SV, Sales CMM, Rissino SDD, Mocelin HJS, Araújo MPDS, Arcêncio RA, Araújo VMS, Terena NDFM, Freitas PDSS, Maciel ELN. Prevalence of tuberculosis, COVID-19, chronic conditions and vulnerabilities among migrants and refugees: an electronic survey. Rev Lat Am Enfermagem 2023; 31:e3690. [PMID: 36790278 PMCID: PMC10586797 DOI: 10.1590/1518-8345.5928.3690] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2021] [Accepted: 06/17/2022] [Indexed: 02/04/2023] Open
Abstract
OBJECTIVE to analyze the prevalence of tuberculosis, coronavirus, chronic conditions and vulnerabilities among migrants and refugees in Brazil. METHOD this is a cross-sectional study of the electronic survey type conducted with international migrants during the COVID-19 pandemic. Descriptive statistics was applied for the analysis, with calculation of position and dispersion measures. Regarding the categorical variables, relative and absolute frequencies were estimated. RESULTS the study participants were 553 migrants and refugees, verifying 3.07%, 7.2% and 27.3% prevalence of tuberculosis, COVID-19 and chronic conditions, respectively. Among the vulnerabilities, 32% reported unemployment, 37.6% moved to Brazil as a result of the social situation in their countries and 33.6% were living as refugees or sheltered people. CONCLUSION tuberculosis, chronic diseases and COVID-19 presented higher prevalence values in migrants and refugees than in the general population. As this is a population group that still has significant difficulty accessing health services and social protection systems, based on diverse evidence, the study will subsidize public policies, Nursing care and the incorporation of new routines in the service.
Collapse
Affiliation(s)
- Sonia Vivian de Jezus
- Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Vitória, ES, Brazil
| | | | - Silvia das Dores Rissino
- Universidade Federal do Espírito Santo, Centro Universitário Norte do Espírito Santo (CEUNES), São Mateus, ES, Brazil
| | | | | | - Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP, Brazil
| | - Vania Maria Silva Araújo
- Rede Brasileira de Pesquisas em Tuberculose REDE-TB, Parque Tecnológico da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | | | | | - Ethel Leonor Noia Maciel
- Universidade Federal do Espírito Santo, Centro de Ciências da Saúde, Vitória, ES, Brazil
- Rede Brasileira de Pesquisas em Tuberculose REDE-TB, Parque Tecnológico da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| |
Collapse
|
25
|
Arcêncio RA, Palha PF, Maciel ELN. O diagnóstico e o tratamento da tuberculose latente por enfermeiros no Brasil: estratégia necessária. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167.2023760101pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
|
26
|
Moura HSD, Fiorati RC, Arcêncio RA. Projeto Termômetro Social COVID-19: articulações transnacionais para aproximação das populações em situação de vulnerabilidade social. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167.202376suppl201pt] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023] Open
|
27
|
Moura HSD, Fiorati RC, Arcêncio RA. Proyecto Termómetro Social COVID-19: articulaciones transnacionales para abordar poblaciones en situación de vulnerabilidad social. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167.202376suppl201es] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
|
28
|
Arcêncio RA, Palha PF, Maciel ELN. El diagnóstico y tratamiento de la tuberculosis latente por enfermeros en Brasil: una estrategia necesaria. Rev Bras Enferm 2023. [DOI: 10.1590/0034-7167.2023760101esp] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
|
29
|
Martoreli Júnior JF, Ramos ACV, Berra TZ, Nascimento MCD, Tavares RBV, Moura HSD, Mello DFD, Alves JD, Arcêncio RA. Clusters of risk for the occurrence of leprosy and disabilities in children under 15 years of age in Cuiabá: a geospatial study. Rev bras epidemiol 2023. [DOI: 10.1590/1980-549720230006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
Abstract
ABSTRACT Objective This study aimed to analyze the spatial distribution of leprosy and disabilities in children under 15 years of age in Cuiabá. Methods Ecological study carried out in the city of Cuiabá, Mato Grosso, Brazil. The study population consisted of leprosy cases in children under 15 years old notified in the Notifiable Diseases Information System, between 2008 and 2018. Based on residential addresses, cases were georeferenced. In the analysis of the spatial distribution of the cases, the estimation of the Kernel density was used and, later, the statistics of spatial, spatio-temporal and Spatial Variation in Temporal Trends were applied. Results 514 cases of leprosy were reported in children under 15 years of age in Cuiabá, with a percentage of 10.1% of cases with degree of physical disability 1 and 2.3% with degree of physical disability 2 at the time of diagnosis. With the techniques of spatial and spatio-temporal scanning, clusters of risk for leprosy were identified in the North, West, East and South regions of Cuiabá, and with the technique of Spatial Variation in Temporal Trends, a cluster was identified in the West region of Cuiabá. Conclusion In Cuiabá, cases of leprosy in children under 15 years of age with disabilities were distributed throughout the urban area of the city, with the highest density of cases in the North and West regions, followed by the East region. The clusters with the highest Relative Risk were identified in the East and West regions, characterized by having low and medium income levels
Collapse
|
30
|
da Costa FBP, Ramos ACV, Berra TZ, Alves YM, Silva RVDS, Crispim JDA, dos Santos MS, Nanque AR, Teibo TKA, Arcêncio RA. Spatial Distribution and Temporal Trend of Childhood Tuberculosis in Brazil. Trop Med Infect Dis 2022; 8:tropicalmed8010012. [PMID: 36668919 PMCID: PMC9865747 DOI: 10.3390/tropicalmed8010012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Revised: 12/20/2022] [Accepted: 12/22/2022] [Indexed: 12/28/2022] Open
Abstract
Tuberculosis (TB) in children presents specificities in its diagnosis, which makes it prone to underreporting: therefore, the disease in this group is still a serious public health problem in several countries. We aimed to analyze the spatial distribution and temporal trend of childhood TB in Brazil. An ecological study with time series, spatial analysis, and description of cases in Brazil between 2010-2021 was conducted. A total of 1,054,263 TB cases were reported in the period, with 30,001 (2.8%) in children. The yearly average was 2,500 cases, with a trend toward an increase in the incidence rate in 2018 and 2019 and a decline in 2020. Children under 5 years old represented 38.2% of cases, 5.2% were indigenous, and 424 children (1.4%) died. Sputum culture was performed for 18.4% of pulmonary TB. The incidence rates were higher in municipalities in the north and midwest regions, with high occurrence locations (hot spots), especially on borders with other countries. There was a reduction in childhood TB in 2020, possibly related to the COVID-19 pandemic. Strategies are needed for the identification and monitoring of childhood TB, with reinforcement of professional training for assistance and control, especially in the most vulnerable locations and groups.
Collapse
|
31
|
Ferreira MRL, Andrade RLDP, Bossonario PA, Fiorati RC, Arcêncio RA, Rezende CEMD, Orfão NH, Monroe AA. Social determinants of health and unfavourable outcome of tuberculosis treatment in the prison system. Ciênc saúde coletiva 2022. [DOI: 10.1590/1413-812320222712.08632022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
Abstract This article aims to analyze the unfavorable outcome of tuberculosis treatment among the population deprived of liberty by social determinants of health. This retrospective cohort was conducted in the states of Rondônia and São Paulo, 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 tested 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 outcomes were registered in Rondônia and 2,227 in São Paulo. For Rondônia, this outcome was associated with gender (RR 3.09; 95%CI 1.03-9.27) and AIDS (RR 2.46; 95%CI 1.63-3.71). In São 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, improves health care towards a favorable outcome.
Collapse
|
32
|
Ferreira MRL, Andrade RLDP, Bossonario PA, Fiorati RC, Arcêncio RA, Rezende CEMD, Orfão NH, Monroe AA. Determinantes sociais da saúde e desfecho desfavorável do tratamento da tuberculose no sistema prisional. Ciênc saúde coletiva 2022; 27:4451-4459. [DOI: 10.1590/1413-812320222712.08632022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/13/2021] [Accepted: 06/17/2022] [Indexed: 12/23/2022] Open
Abstract
Resumo O objetivo deste artigo é analisar o desfecho desfavorável do tratamento da tuberculose entre a população privada de liberdade segundo os determinantes sociais de saúde. Coorte retrospectiva realizada nos estados de Rondônia e São Paulo, Brasil, com detentos com tuberculose notificados entre 2008 e 2017. Os dados foram coletados do SINAN e do TB-WEB e analisados pelo risco relativo (RR), com intervalos de confiança (IC95%), testando a associação entre a variável dependente [desfecho desfavorável (óbitos por tuberculose e outras causas, assim como os abandonos, primários ou não) x favorável (cura)] e os determinantes estruturais e intermediários da saúde. Foram registrados 158 desfechos desfavoráveis em Rondônia e 2.227 em São Paulo. Para Rondônia, tal desfecho esteve associado a sexo masculino (RR 3,09; IC95% 1,03-9,27) e Aids (RR 2,46; IC95% 1,63-3,71). Em São Paulo, idade superior a 30 anos (RR 1,36; IC95% 1,26-1,47), Aids (RR 3,08; IC95% 2,81-3,38), alcoolismo (RR 1,54; IC95% 1,35-1,76), diabetes (RR 1,70; IC95% 1,27-2,28) e tratamento autoadministrado (RR 2,55; IC95% 2,27-2,86) constituíram fatores de risco para o desfecho desfavorável. O estudo contribui com elementos para a estratificação de risco das pessoas com tuberculose nas unidades de saúde prisionais, fornecendo subsídios para qualificar a assistência para o desfecho favorável dos casos.
Collapse
|
33
|
Arcêncio RA, Palha PF, Maciel ELN. The diagnosis and treatment of latent tuberculosis by nurses in Brazil: a necessary strategy. Rev Bras Enferm 2022; 76:e760101. [PMID: 36449979 PMCID: PMC9728814 DOI: 10.1590/0034-7167.2023760101] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Affiliation(s)
- Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Department of Maternal-Child Nursing and Public Health. Ribeirão Preto, São Paulo, Brazil
| | - Pedro Fredemir Palha
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Department of Maternal-Child Nursing and Public Health. Ribeirão Preto, São Paulo, Brazil
| | | |
Collapse
|
34
|
da Silva VC, Coêlho AA, de Queiroz AAR, Costa GMC, Alchieri JC, Arcêncio RA, Uchôa SADC. Effectiveness of Agreement Criteria and Flows of Collaborative Care in Primary Mental Health Care in Brazil. Int J Environ Res Public Health 2022; 19:15148. [PMID: 36429865 PMCID: PMC9690976 DOI: 10.3390/ijerph192215148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 09/27/2022] [Accepted: 10/14/2022] [Indexed: 06/16/2023]
Abstract
The supply of mental health processes in primary care has gaps. This study aims to analyze the association of agreement criteria and flows between primary care teams and the Family Health Support Center (NASF) for mental health collaborative care, considering the difference between capital and non-capital cities in Brazil. This cross-sectional study was conducted based on secondary data from the Primary Care Access and Quality Improvement Program. Agreement criteria and flows were obtained from 3883 NASF teams of the matrix support or collaborative care. The Chi-square test and multiple Poisson regression were used; p < 0.05 was considered statistically significant. Prevalence ratios of negative associations demonstrated protective factors for support actions: follow-up at Psychosocial Care Center, management of psychopharmacotherapy, offer of other therapeutic actions, care process for users of psychoactive substances, and offer of activities to prevent the use of psychoactive substances. Collaborative care in primary care was effective, and capital cities were a protective factor compared with non-capital cities.
Collapse
Affiliation(s)
- Valdecir Carneiro da Silva
- Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
| | - Ardigleusa Alves Coêlho
- Department of Nursing, State University of Paraiba, Rua José do Ó, 596, Campina Grande 58401-411, Brazil
| | | | | | - João Carlos Alchieri
- Department of Psychology, Federal University of Rio Grande do Norte, Natal 59078-970, Brazil
| | | | | |
Collapse
|
35
|
de Araújo JST, Delpino FM, Berra TZ, Moura HSD, Ramos ACV, do Nascimento MC, Alonso JB, Silva RVDS, de Freitas GL, Teibo TKA, Gonzales RIC, Arcêncio RA. Level of Trust of the Population in the Unified Health System in the Midst of the COVID-19 Crisis in Brazil. Int J Environ Res Public Health 2022; 19:14999. [PMID: 36429718 PMCID: PMC9690632 DOI: 10.3390/ijerph192214999] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/08/2022] [Revised: 11/08/2022] [Accepted: 11/09/2022] [Indexed: 06/16/2023]
Abstract
OBJECTIVE to assess the level of trust in health services during the COVID-19 pandemic in Brazil. METHODS A cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. Nonprobabilistic sampling was used. Descriptive and inferential statistics were applied, using the local bivariate Moran's technique to verify the existence of spatial dependence between the incidence and mortality of COVID-19 and trust in health services. Furthermore, multinomial regression was also used to analyze the factors associated with the confidence level, with the calculation of the odds ratio and with a confidence interval of 95%. RESULTS A total of 50.6% reported trust in hospital services, while 41.4% did not trust primary health care services. With the application of the local bivariate Moran, both for the incidence and mortality of COVID-19, the trust in tertiary care and primary care services showed a statistically significant spatial association predominant in the Midwest (high-low) and North (low-high) regions of Brazil. The level of trust was associated with education, religion, region of the country and income. CONCLUSIONS The level of trust in hospital services, more than primary health care services, may be related to the population's culture of prioritizing the search for hospital care at the detriment of health promotion and disease prevention.
Collapse
Affiliation(s)
- Juliana Soares Tenório de Araújo
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Felipe Mendes Delpino
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Thaís Zamboni Berra
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Heriederson Sávio Dias Moura
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Antônio Carlos Vieira Ramos
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Murilo César do Nascimento
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
- Nursing School, Federal University of Alfenas, Minas Gerais, Belo Horizonte 37048-395, MG, Brazil
| | - Jonas Bodini Alonso
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Ruan Víctor dos Santos Silva
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | - Giselle Lima de Freitas
- Departament of Nursing, Federal University of Minas Gerais, Belo Horizonte 31270-901, MG, Brazil
| | - Titilade Kehinde Ayandeyi Teibo
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| | | | - Ricardo Alexandre Arcêncio
- College of Nursing, University of São Paulo at Ribeirão Preto, Avenida dos Bandeirantes, 3900, Monte Alegre, Ribeirão Preto 14040-902, SP, Brazil
| |
Collapse
|
36
|
dos Santos MS, Pieri FM, Berra TZ, Scholze AR, Ramos ACV, de Almeida Crispim J, Giacomet CL, Alves YM, da Costa FBP, Moura HSD, Teibo TKA, Alonso JB, de Freitas GL, Arcêncio RA. Acquired and Transmitted Multidrug-Resistant Tuberculosis among the Incarcerated Population and Its Determinants in the State of Paraná-Brazil. Int J Environ Res Public Health 2022; 19:14895. [PMID: 36429614 PMCID: PMC9691214 DOI: 10.3390/ijerph192214895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Revised: 10/31/2022] [Accepted: 11/09/2022] [Indexed: 06/16/2023]
Abstract
(1) Background: Tuberculosis remains a public health problem in the world. The study analyzed the factors associated with drug-resistant tuberculosis in the prison population of the state of Paraná. (2) Methods: Ecological study of drug-resistant tuberculosis cases registered in the Paraná Information System, Brazil (2008 to 2018). We performed descriptive statistics of quantitative parameters calculated with absolute frequencies. Additionally, we used binary regression logistics, where the odds ratio with its respective confidence interval was calculated. (3) Results: Of the 653 cases registered as cases of tuberculosis in the incarcerated population, 98 were drug-resistant tuberculosis. We observed that educational level of up to 8 to 11 years of schooling, negative bacterial culture (test outcome) and no tobacco use were factors associated with the non-development of drug-resistant tuberculosis, while clinically confirmed pulmonary TB and positive sputum smear microscopy in the fourth month of follow-up showed an association for the development of drug resistance. (4) Conclusions: The study showed that clinically confirmed pulmonary TB and a positive sputum smear microscopy in the fourth month of follow-up were associated with drug-resistant tuberculosis.
Collapse
Affiliation(s)
- Márcio Souza dos Santos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | | | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Alessandro Rolim Scholze
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Juliane de Almeida Crispim
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Clóvis Luciano Giacomet
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Yan Mathias Alves
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Fernanda Bruzadelli Paulino da Costa
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Heriederson Sávio Dias Moura
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Titilade Kehinde Ayandeyi Teibo
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Jonas Bodini Alonso
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Giselle Lima de Freitas
- Department of Nursing, Federal University of Minas Gerais, Belo Horizonte 30130-100, MG, Brazil
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| |
Collapse
|
37
|
Rodrigues RN, do Nascimento GLM, Arroyo LH, Arcêncio RA, de Oliveira VC, Guimarães EADA. The COVID-19 pandemic and vaccination abandonment in children: spatial heterogeneity maps. Rev Lat Am Enfermagem 2022; 30:e3642. [PMID: 36228235 PMCID: PMC9545939 DOI: 10.1590/1518-8345.6132.3642] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 05/03/2022] [Indexed: 11/07/2022] Open
Abstract
OBJECTIVE to identify spatial clusters corresponding to abandonment of routine vaccines in children. METHOD an ecological study, according to data from the 853 municipalities of a Brazilian state. The records analyzed were those of the multidose pentavalent, pneumococcal 10-valent, inactivated poliomyelitis and oral human rotavirus vaccines of 781,489 children aged less than one year old. The spatial scan statistics was used to identify spatial clusters and assess the relative risk based on the vaccination abandonment indicator. RESULTS the spatial scan statistics detected the presence of statistically significant clusters for abandonment regarding the four vaccines in all the years analyzed. However, the highest number of clusters with high relative risk estimates was identified in 2020. The Vale do Aço and West, North and West, and Southwest regions stand out for the pentavalent, poliomyelitis and rotavirus vaccines, respectively. CONCLUSION in an attempt to mitigate the devastating impact of the COVID-19 pandemic, the immunization program experienced setbacks. The presence of clusters points to the need to implement integrated strategies that may involve different sectors for an active search for children and prevent outbreaks of vaccine-preventable diseases in the near future.
Collapse
Affiliation(s)
| | | | | | - Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
Centro Colaborador da OPAS/OMS para o Desenvolvimento da Pesquisa em Enfermagem,
Ribeirão Preto, SP, Brazil
| | | | | |
Collapse
|
38
|
Siqueira Santos LF, Vilarino Carneiro PH, Alves de Oliveira Serra MA, Hunaldo dos Santos L, Pinto de Andrade HL, Maia Pascoal L, Pereira de Jesus Costa AC, Stabnow Santos F, Da Silva de Sousa GG, Graepp Fontoura I, Santos Melo Lobato J, De Andrade Arrais Rosa CR, Sousa Siqueira L, Alexandre Arcêncio R, Yamamura M, Santos Neto M. Tuberculosis/HIV co-infection in Northeastern Brazil: Prevalence trends, spatial distribution, and associated factors. J Infect Dev Ctries 2022; 16:1490-1499. [DOI: 10.3855/jidc.16570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2022] [Accepted: 08/13/2022] [Indexed: 11/07/2022] Open
Abstract
Introduction: The objective was to analyze the prevalence trend, spatial distribution, and TB-HIV co-infection-associated factors in an endemic scenario for TB in Northeastern Brazil.
Methods: An ecological and temporal series study was conducted based on secondary data obtained from the Brazilian Notifiable Diseases Information System between January 2008 and December 2019. The prevalence rates were determined for each year and the average for the period. Prais-Winsten regressions were used for temporal variation analysis, scanning techniques were used to detect spatial clusters, and the Poisson regression model was used to explore the factors associated with the outcome.
Results: A total of 947 TB cases were reported, of which 501 (52.9%) underwent HIV testing, and of these, 73 were positive. The average prevalence was 20.0%, ranging from 1.5% in 2018 to 44.4% in 2009. A decreasing trend was found. Sixty-seven cases (92%) were geocoded, and two statistically significant (p < 0.005) high relative risk (RR) spatial clusters were detected. Statistically significant associations (p < 0.05) between the co-infection and variables such as male gender, living in the urban area, entry due to relapse, and case closure due to loss to follow-up were evidenced, and these variables constituted risk factors.
Conclusions: A decreasing prevalence of TB-HIV co-infection has been found, as well as a heterogeneous spatial distribution with the formation of spatial clusters in urban areas characterized by socio-spatial inequalities associated with clinical-epidemiological factors. Such findings provide subsidies for rethinking health care activities and improving public policies for vulnerable populations.
Collapse
|
39
|
Lima de Freitas G, Moreira França GE, Rodrigues de Souza T, de Moura Macário V, Figueiredo Camargo A, Protti-Zanatta S, Arcêncio RA. DIAGNOSIS AND MONITORING OF TUBERCULOSIS – DIFFERENCES BETWEEN THE GENERAL POPULATION AND THOSE WITH VULNERABILITIES. Cogitare Enferm 2022. [DOI: 10.5380/ce.v27i0.87364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Objective: to compare the performance of diagnostic exams and monitoring of tuberculosis between the general population and those in situations of social vulnerability from the municipality of Belo Horizonte/MG.
Method: an epidemiological study of the tuberculosis cases recorded between 2001 and 2017 in the Information System of Belo Horizonte - Brazil. A descriptive analysis and a comparison were performed between the general population and those in street situations and deprived of their freedom.
Results: diagnostic and follow-up tests were performed more frequently in vulnerable populations, in up to 30%, with low use of the rapid molecular test (mean of 35.4%) and of the observed treatment, with 22% of performance in the street population. and 38% in individuals deprived of freedom.
Conclusion: the study points to the need to prioritize the rapid test and the observed treatment, especially among vulnerable groups. Disseminating the use of these tools can determine interruption of the transmission chain, the possibility of a cure and non-occurrence resistance.
Collapse
|
40
|
Lima de Freitas G, Moreira França GE, Rodrigues de Souza T, de Moura Macário V, Figueiredo Camargo A, Protti-Zanatta S, Arcêncio RA. DIAGNÓSTICO Y SEGUIMIENTO DE LA TUBERCULOSIS – DIFERENCIAS ENTRE LA POBLACIÓN GENERAL Y GRUPOS CON VULNERABILIDADES. Cogitare Enferm 2022. [DOI: 10.5380/ce.v27i0.87365] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Objetivo: comparar la realización de pruebas de diagnóstico y de seguimiento de la tuberculosis entre la población general y grupos en situación de vulnerabilidad social en el municipio de Belo Horizonte/MG.
Método: estudio epidemiológico de los casos de tuberculosis registrados entre 2001 y 2017 en el Sistema de Información de Belo Horizonte - Brasil. Se realizó un análisis descriptivo y una comparación entre la población general y grupos de personas en situación de calle y privadas de su libertad.
Resultados: las pruebas diagnósticas y de seguimiento se realizaron con hasta un 30% mayor frecuencia en poblaciones vulnerables, con bajo uso de la prueba molecular rápida (media de 35,4%) y tratamiento observado, con un 22% de realización en la población en situación de calle y 38% en personas privadas de su libertad.
Conclusión: el estudio apunta a la necesidad de priorizar la prueba rápida y el tratamiento observado, especialmente entre los grupos vulnerables. Difundir el uso de estas herramientas puede determinar la interrupción de la cadena de transmisión, la posibilidad de cura y la ausencia de resistencia.
Collapse
|
41
|
Lima de Freitas G, Moreira França GE, Rodrigues de Souza T, de Moura Macário V, Figueiredo Camargo A, Protti-Zanatta S, Alexandre Arcêncio R. DIAGNÓSTICO E ACOMPANHAMENTO DA TUBERCULOSE – DIFERENÇAS
ENTRE POPULAÇÃO GERAL E POPULAÇÕES VULNERABILIZADAS. Cogitare Enferm 2022. [DOI: 10.5380/ce.v27i0.83607] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022] Open
Abstract
Objetivo:comparar a realização de exames diagnósticos e do acompanhamento da tuberculose entre população geral e populações em situação de vulnerabilidade social no município de Belo Horizonte/MG. Método: estudo epidemiológico dos casos de tuberculose do Sistema de Informação de Belo Horizonte - Brasil, 2001 a 2017. Realizou-se análise descritiva e comparação entre população geral, população em situação de rua e privada de liberdade. Resultados:os exames diagnósticos e de acompanhamento foram realizados com mais frequência nas populações vulnerabilizadas em até 30%, com baixo uso do teste rápido molecular(média de 35,4%) e do tratamento observado, com 22% de realização na população de rua e 38% na privada de liberdade.Conclusão: o estudo sinaliza para a necessidade de priorização do teste rápido e do tratamento observado, especialmente entre públicos vulnerabilizados. Disseminar o uso dessas ferramentas pode determinar a interrupção da cadeia de transmissão, a possibilidade da cura e a não ocorrência de resistência.
Collapse
|
42
|
dos Santos MS, Berra TZ, Scholze AR, Delpino FM, Ramos ACV, Alves YM, da Costa FBP, de Almeida Crispim J, Giacomet CL, Moura HSD, Teibo TKA, Peres ACS, de Freitas GL, Pieri FM, Arcêncio RA. Trend and Spatial Distribution of Drug-Resistant Tuberculosis in Liberty-Deprived Populations in the State of Paraná, Brazil. Trop Med Infect Dis 2022; 7:tropicalmed7100266. [PMID: 36288007 PMCID: PMC9610271 DOI: 10.3390/tropicalmed7100266] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 09/16/2022] [Accepted: 09/20/2022] [Indexed: 11/16/2022] Open
Abstract
(1) Background: Tuberculosis remains a public health problem in the world. This study evaluated the temporal trends, distribution, and spatial associations of drug-resistant tuberculosis in liberty-deprived populations in the state of Paraná, Brazil. (2) Methods: An ecological study was developed using all cases of drug-resistant tuberculosis in penal establishments reported by the Brazilian Notifiable Diseases Information System between 2008 and 2018. For the time trend, the Prais–Winsten method was used. To verify the spatial association, the Getis–Ord Gi* technique was used. (3) Results: During the study period, 653 cases of tuberculosis were reported in the studied population, of which 98 (15%) were drug-resistant. Prais–Winsten autoregression identified an increasing trend, with APC = 15.08% (95% CI: 0.02–0.09) from 2008 to 2018; when analyzed from 2012 to 2018, the trend increased even more, with APC = 23.31% (95% CI: 0.01–0.16). Hotspots were also noted in the north, east, and west macro-regions of the state. (4) Conclusions: The presence of drug-resistant tuberculosis, as well as an increasing trend of these cases, was evidenced in all regions of the state among liberty-deprived populations,. The spatial analysis revealed priority areas for drug-resistant tuberculosis in penal establishments.
Collapse
Affiliation(s)
- Márcio Souza dos Santos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
- Correspondence: ; Tel.: +55-43-99657-0531
| | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Alessandro Rolim Scholze
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Felipe Mendes Delpino
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Yan Mathias Alves
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Fernanda Bruzadelli Paulino da Costa
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Juliane de Almeida Crispim
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Clóvis Luciano Giacomet
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Heriederson Sávio Dias Moura
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Titilade Kehinde Ayandeyi Teibo
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Ana Carolina Silva Peres
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| | - Giselle Lima de Freitas
- Department of Nursing, Federal University of Minas Gerais, Belo Horizonte 30130-100, MG, Brazil
| | | | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 05403-000, SP, Brazil
| |
Collapse
|
43
|
Berra TZ, Ramos ACV, Alves YM, Tavares RBV, Tartaro AF, do Nascimento MC, Moura HSD, Delpino FM, de Almeida Soares D, Silva RVDS, Gomes D, Monroe AA, Arcêncio RA. Impact of COVID-19 on Tuberculosis Indicators in Brazil: A Time Series and Spatial Analysis Study. Trop Med Infect Dis 2022; 7:tropicalmed7090247. [PMID: 36136658 PMCID: PMC9500936 DOI: 10.3390/tropicalmed7090247] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2022] [Revised: 08/29/2022] [Accepted: 09/06/2022] [Indexed: 11/16/2022] Open
Abstract
Background: We aimed to visualize and classify the time series of COVID-19, tuberculosis (TB) notification, and TB outcomes (cure, treatment abandonment, and death), verify the impact of the new coronavirus pandemic on these indices in Brazil, and verify the presence of spatial autocorrelation between COVID-19 and TB. Methods: This was an ecological time series study that considered TB and COVID-19 cases. Seasonal Trend Decomposition using Loess (STL) was used to trace the temporal trend, Prais–Winsten was used to classify the temporal trend, Interrupted Time Series (ITS) was used to verify the impact of COVID-19 on TB rates, and the Bivariate Moran Index (Global and Local) was used to verify the spatial autocorrelation of events. Results: Brazil and its macro-regions showed an increasing temporal trend for the notification of TB in the pre-pandemic period. Only the Northeast Region showed a decreasing temporal trend for cured cases. For treatment abandonment, all regions except for the Northeast showed an increasing temporal trend, and regarding death, Brazil and the Northeast Region showed an increasing temporal trend. With the ITS, COVID-19 caused a decline in TB notification rates and TB outcome rates. With the global spatial analysis, it was possible to identify the existence of spatial autocorrelation between the notification rate of COVID-19 and the TB notification rate and deaths. With the local analysis, it was possible to map the Brazilian municipalities and classify them according to the relationship between the rates of both diseases and space. Conclusions: COVID-19 influenced the follow-up of and adherence to TB treatment and intensified social vulnerability and, consequently, affected the notification of TB since the relationship between the disease and social determinants of health is already known. The restoration and strengthening of essential services for the prevention and detection of cases and treatment of TB in endemic environments such as Brazil have been oriented as a priority in the global health agenda.
Collapse
Affiliation(s)
- Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
- Correspondence: ; Tel.: +55-1633151408
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Yan Mathias Alves
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Reginaldo Bazon Vaz Tavares
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Ariela Fehr Tartaro
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Murilo César do Nascimento
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Heriederson Sávio Dias Moura
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Felipe Mendes Delpino
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Débora de Almeida Soares
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Ruan Víctor dos Santos Silva
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Dulce Gomes
- Mathematics Department, University of Évora, 7000-671 Évora, Portugal
| | - Aline Aparecida Monroe
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, SP, Brazil
| |
Collapse
|
44
|
Leite KFDS, dos Santos SR, Andrade RLDP, de Faria MGBF, Saita NM, Arcêncio RA, Isaac ISDS, de Rezende CEM, Villa TCS, Pontes Neto OM, Monroe AA. Reducing care time after implementing protocols for acute ischemic stroke: a systematic review. Arq Neuropsiquiatr 2022; 80:725-740. [PMID: 36254446 PMCID: PMC9685828 DOI: 10.1055/s-0042-1755194] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Abstract
Abstract
Background The treatment of acute ischemic stroke with cerebral reperfusion therapy requires rapid care and recognition of symptoms.
Objective To analyze the effectiveness of implementing protocols for acute ischemic stroke in reducing care time.
Methods Systematic review, which was performed with primary studies in Portuguese, English, and Spanish published between 2011 and 2020. Inclusion criteria: study population should comprise people with acute ischemic stroke and studies should present results on the effectiveness of using urgent care protocols in reducing care time. The bibliographic search was conducted in June 2020 in the LILACS, MEDLINE, Embase, Scopus, CINAHL, Academic Search Premier, and SocINDEX databases. The articles were selected, and data were extracted by two independent reviewers; the synthesis of the results was performed narratively. The methodological quality of articles was evaluated through specific instruments proposed by the Joanna Briggs Institute.
Results A total of 11,226 publications were found, of which 35 were included in the study. Only one study reported improvement in the symptoms-onset-to-door time after protocol implementation. The effectiveness of the therapeutic approach protocols for ischemic stroke was identified in improving door-to-image, image-to-needle, door-to-needle and symptoms-onset-to-needle times. The main limitation found in the articles concerned the lack of clarity in relation to the study population.
Conclusions Several advances have been identified in in-hospital care with protocol implementation; however, it is necessary to improve the recognition time of stroke symptoms among those who have the first contact with the person affected by the stroke and among the professionals involved with the prehospital care.
Collapse
Affiliation(s)
- Karina Fonseca de Souza Leite
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Samuel Ribeiro dos Santos
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Rubia Laine de Paula Andrade
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Mariana Gaspar Botelho Funari de Faria
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Nanci Michele Saita
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Ricardo Alexandre Arcêncio
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Igor Simões da Silva Isaac
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Carlos Eduardo Menezes de Rezende
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
- Ministério da Saúde, Agência Nacional de Saúde Suplementar, Brasília DF, Brazil
| | - Tereza Cristina Scatena Villa
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| | - Octavio Marques Pontes Neto
- Universidade de São Paulo, Faculdade de Medicina de Ribeirão Preto, Departamento de Neurociências e Ciências do Comportamento, Ribeirão Preto SP, Brazil
| | - Aline Aparecida Monroe
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Ribeirão Preto SP, Brazil
| |
Collapse
|
45
|
Scholze AR, Alves JD, Berra TZ, Ramos ACV, Pieri FM, Pillon SC, Martins JT, Galdino MJQ, Melo EC, Delpino FM, Tártaro AF, Fronteira I, Arcêncio RA. Tuberculosis among People Living on the Street and Using Alcohol, Tobacco, and Illegal Drugs: Analysis of Territories in Extreme Vulnerability and Trends in Southern Brazil. IJERPH 2022; 19:ijerph19137721. [PMID: 35805377 PMCID: PMC9265499 DOI: 10.3390/ijerph19137721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/26/2022] [Revised: 06/15/2022] [Accepted: 06/21/2022] [Indexed: 11/30/2022]
Abstract
(1) Background: Tuberculosis presents an epidemiological trend toward inequality, especially among people in social exclusion and situations of vulnerability. This study aimed to analyze territories with a concentration of people diagnosed with tuberculosis in a street situation and who partake in chronic use of alcohol, tobacco, and illicit drugs. We also analyzed trends in this health condition in southern Brazil. (2) Methods: Ecological study, developed in the 399 municipalities of Paraná, southern Brazil, with all tuberculosis cases in the homeless population registered in the Information System of Notifiable Diseases between 2014 and 2018. For data analysis, we used descriptive statistics, the Prais–Winsten autoregression method for the time series, and the Getis-Ord Gi technique* for spatial analysis. (3) Results: in total, 560 cases were reported. We found a predominance of alcohol, smoking, and illicit drug users, with an increasing trend in the state and clusters of spatial risk in the East health macro-region. (4) Conclusions: We observed territories with critical levels of highly vulnerable people who use psychoactive substances and are in a street situation. The results highlight the importance of incorporating public policies of social protection for these individuals and resolutive health services that receive these cases and assist in eradicating TB.
Collapse
Affiliation(s)
- Alessandro Rolim Scholze
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
- Correspondence: ; Tel.: +55-(43)-99602-8846
| | - Josilene Dália Alves
- Institute of Biological Sciences and Health, Federal University of Mato Grosso, Barra do Garças 78605-091, Brazil;
| | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Flávia Meneguetti Pieri
- Department of Nursing, State University of Londrina, Londrina 86057-970, Brazil; (F.M.P.); (J.T.M.)
| | - Sandra Cristina Pillon
- Department of Psychiatric Nursing and Human Sciences, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil;
| | - Júlia Trevisan Martins
- Department of Nursing, State University of Londrina, Londrina 86057-970, Brazil; (F.M.P.); (J.T.M.)
| | - Maria José Quina Galdino
- Department of Nursing, State University of Northern Paraná, Bandeirantes 86360-000, Brazil; (M.J.Q.G.); (E.C.M.)
| | - Emiliana Cristina Melo
- Department of Nursing, State University of Northern Paraná, Bandeirantes 86360-000, Brazil; (M.J.Q.G.); (E.C.M.)
| | - Felipe Mendes Delpino
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Ariela Fehr Tártaro
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| | - Inês Fronteira
- Global Health and Tropical Medicine, Instituto de Higiene e Medicina Tropical, University Nova de Lisboa, 1349-008 Lisboa, Portugal;
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto 14040-902, Brazil; (T.Z.B.); (A.C.V.R.); (F.M.D.); (A.F.T.); (R.A.A.)
| |
Collapse
|
46
|
Berra TZ, Ramos ACV, Arroyo LH, Delpino FM, de Almeida Crispim J, Alves YM, dos Santos FL, da Costa FBP, dos Santos MS, Alves LS, Fiorati RC, Monroe AA, Gomes D, Arcêncio RA. Risk-prone territories for spreading tuberculosis, temporal trends and their determinants in a high burden city from São Paulo State, Brazil. BMC Infect Dis 2022; 22:515. [PMID: 35655177 PMCID: PMC9161466 DOI: 10.1186/s12879-022-07500-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2021] [Accepted: 05/25/2022] [Indexed: 11/12/2022] Open
Abstract
Objectives To identify risk-prone areas for the spread of tuberculosis, analyze spatial variation and temporal trends of the disease in these areas and identify their determinants in a high burden city. Methods An ecological study was carried out in Ribeirão Preto, São Paulo, Brazil. The population was composed of pulmonary tuberculosis cases reported in the Tuberculosis Patient Control System between 2006 and 2017. Seasonal Trend Decomposition using the Loess decomposition method was used. Spatial and spatiotemporal scanning statistics were applied to identify risk areas. Spatial Variation in Temporal Trends (SVTT) was used to detect risk-prone territories with changes in the temporal trend. Finally, Pearson's Chi-square test was performed to identify factors associated with the epidemiological situation in the municipality. Results Between 2006 and 2017, 1760 cases of pulmonary tuberculosis were reported in the municipality. With spatial scanning, four groups of clusters were identified with relative risks (RR) from 0.19 to 0.52, 1.73, 2.07, and 2.68 to 2.72. With the space–time scan, four clusters were also identified with RR of 0.13 (2008–2013), 1.94 (2010–2015), 2.34 (2006 to 2011), and 2.84 (2014–2017). With the SVTT, a cluster was identified with RR 0.11, an internal time trend of growth (+ 0.09%/year), and an external time trend of decrease (− 0.06%/year). Finally, three risk factors and three protective factors that are associated with the epidemiological situation in the municipality were identified, being: race/brown color (OR: 1.26), without education (OR: 1.71), retired (OR: 1.35), 15 years or more of study (OR: 0.73), not having HIV (OR: 0.55) and not having diabetes (OR: 0.35). Conclusion The importance of using spatial analysis tools in identifying areas that should be prioritized for TB control is highlighted, and greater attention is necessary for individuals who fit the profile indicated as “at risk” for the disease. Supplementary Information The online version contains supplementary material available at 10.1186/s12879-022-07500-5.
Collapse
|
47
|
Da Silva de Sousa GG, Yamamura M, Moura de Araújo MF, Vieira Ramos AC, Arcêncio RA, Pereira de Jesus Costa AC, Maia Pascoal L, Stabnow Santos F, Alves de Oliveira Serra MA, Graepp Fontoura I, Pinto de Andrade HL, Siqueira Santos LF, Santos Melo Lobato J, De Andrade Arrais Rosa CR, Santos Neto M. Vulnerable territories to tuberculosis-diabetes mellitus comorbidity in a northeastern Brazilian scenario. J Infect Dev Ctries 2022; 16:813-820. [PMID: 35656952 DOI: 10.3855/jidc.15797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2021] [Accepted: 12/29/2021] [Indexed: 10/31/2022] Open
Abstract
INTRODUCTION Epidemiological investigations on tuberculosis-diabetes comorbidity using spatial analysis should be encouraged towards a more comprehensive view of the health of individuals affected by such comorbidity in different contexts. This study analyzes the territories vulnerable to tuberculosis-diabetes comorbidity in a municipality in northeastern Brazil using spatial analysis techniques. METHODS An ecological study was carried out in Imperatriz, Maranhão, Brazil. Tuberculosis-diabetes cases reported in the Brazilian Notifiable Diseases Information System between 2009 and 2018 were analyzed. Kernel density estimation and spatial scanning techniques were used to identify the areas with the greatest occurrence of spatial clusters. RESULTS A heterogeneous spatial distribution was found, ranging from 0.00 to 4.12 cases/km2. The spatial scanning analysis revealed three high-risk spatial clusters with statistical significance (p < 0.05), involving eleven strictly urban sectors with a relative risk of 4.00 (95% CI: 2.60-6.80), 5.10 (95% CI: 2.75-7.30), and 6.10 (95% CI: 3.21-8.92), indicating that the population living in these areas had a high risk of tuberculosis-diabetes comorbidity. CONCLUSIONS The highest concentration of cases/km2, as well as risk clusters, were found in areas with high circulation of people and socio-economic and environmental vulnerabilities. Such findings reinforce the need for public health interventions to reduce social inequalities.
Collapse
Affiliation(s)
| | - Mellina Yamamura
- Department of Nursing, Federal University of São Carlos, São Paulo, Brazil
| | | | | | | | | | - Livia Maia Pascoal
- Nursing Graduate Program, Federal University of Maranhão, São Luís, Maranhão, Brazil
| | - Floriacy Stabnow Santos
- Health and Technology Graduate Program, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
| | | | - Iolanda Graepp Fontoura
- Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
| | | | | | - Jaisane Santos Melo Lobato
- Center of Social Sciences, Health and Technology, Federal University of Maranhão, Imperatriz, Maranhão, Brazil
| | | | - Marcelino Santos Neto
- Nursing Graduate Program, Federal University of Maranhão, São Luís, Maranhão, Brazil
| |
Collapse
|
48
|
Scholze AR, Dália Alves J, Berra TZ, Santos FLD, Ramos ACV, Lima de Freitas G, José Quina Galdino M, Meneguetti Pieri F, Augusto Moraes Arcoverde M, Cristina Pillon S, Monroe AA, Fronteira I, Gomes D, Alexandre Arcêncio R. The burden of alcohol, tobacco and others drugs among incarcerated population diagnosed with tuberculosis: time trends and spatial determinants in Southern Brazil. BMC Public Health 2022; 22:999. [PMID: 35581564 PMCID: PMC9112653 DOI: 10.1186/s12889-022-13408-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2021] [Accepted: 05/12/2022] [Indexed: 12/05/2022] Open
Abstract
BACKGROUND Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis and is a public health problem worldwide. It is estimated that 90% of the patients diagnosed with TB live in vulnerable environments with limited health resources, such as individuals living in correctional facilities. This study aimed to identify the consumption of alcohol, tobacco, and other drugs among prisoners diagnosed with TB and the spatial determinants and time trends of the phenomenon in southern Brazil. METHODS A cross-sectional study using data from the Brazilian Notifiable Diseases Information System was carried out. TB cases confirmed from 2014 to 2018 in prisons located in Paraná, Brazil, were selected. The Prais-Winsten procedure was performed to identify time trends by calculating monthly rates and the percentage of monthly variation. The Seasonal-Trend by Loess decomposition method was used to verify the time series and trends. The spatial association was verified with the Getis-Ord Gi* technique, and the risk areas were identified using spatial scan statistics. RESULTS A total of 1,099 TB cases were found in the studied population. The consumption of tobacco (n = 460; 41.9%), illegal drugs (n = 451; 41.0%), and alcohol (n = 179; 16.3%) stood out. An ascending trend was found for the consumption of alcohol (+ 19.4%/mo. (95%CI: 12.20-23.03)), tobacco (+ 20.2%/mo. (95%CI: 12.20-28.82)), and illegal drugs (+ 62.2%/mo. (95%CI: 44.54-81.97)). Spatial analysis revealed clusters for the use of alcohol, tobacco, and illegal drugs. CONCLUSIONS This study advances knowledge presenting the burden of drug use and its typology among individuals diagnosed with TB in the prison system. There is a growing trend among patients to use drugs, especially illegal drugs. The clusters show differences between the places where the prisons are located.
Collapse
Affiliation(s)
- Alessandro Rolim Scholze
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil.
| | - Josilene Dália Alves
- Institute of Biological Sciences and Health, Federal University of Mato Grosso, Barra do Garças, Mato Grosso, Brazil
| | - Thaís Zamboni Berra
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil
| | - Felipe Lima Dos Santos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil
| | - Antônio Carlos Vieira Ramos
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil
| | - Giselle Lima de Freitas
- Department of Maternal-Infant and Public Health Nursing, College of Nursing, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | | | | | - Sandra Cristina Pillon
- Department of Psychiatric Nursing and Human Sciences, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil
| | - Aline Aparecida Monroe
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil
| | - Inês Fronteira
- Global Health and Tropical Medicine, Instituto de Higiene E Medicina Tropical, Universidade Nova de Lisboa, Lisbon, Portugal
| | - Dulce Gomes
- School of Science and Technology, Research Center in Mathematics and Application, University of Évora, Évora, Portugal
| | - Ricardo Alexandre Arcêncio
- Department of Maternal-Infant and Public Health Nursing, Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Ribeirão Preto, Brazil
| |
Collapse
|
49
|
Wauters M, Zamboni Berra T, de Almeida Crispim J, Arcêncio RA, Cartagena-Ramos D. Calidad de vida del personal de salud durante la pandemia de COVID-19: revisión exploratoria. Rev Panam Salud Publica 2022; 46:e30. [PMID: 35509639 PMCID: PMC9060205 DOI: 10.26633/rpsp.2022.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2021] [Accepted: 10/25/2021] [Indexed: 11/24/2022] Open
Abstract
Objetivo. Describir la calidad de vida del personal de salud, el ambiente laboral y la interacción entre el empleado y ambiente laboral durante la pandemia. Métodos. Se realizó una revisión exploratoria. Se utilizaron las bases de datos electrónicas PubMed, Cumulative Index of Nursing and Allied Literature Complete, Google Scholar y los repositorios de la Organización Mundial de la Salud y los Centro para el Control y Prevención de Enfermedades. Se incluyeron estudios primarios, secundarios y literatura gris publicados entre diciembre de 2019 y marzo de 2021 en idioma español, inglés y portugués. La calidad metodológica fue evaluada por la lista de verificación de Autoridad, exactitud, cobertura, objetividad, fecha e importancia (AACODS, por su sigla en inglés) A measurement tool to assess systematic reviews (AMSTAR) y Critical Appraisal Checklist for Text and Opinion Papers. Se efectuó un análisis temático basado en el modelo de calidad de vida y bienestar. Resultados. De un total de 208 artículos, se incluyeron 11. La calidad de vida del personal de salud durante pandemia por COVID-19 estuvo influenciada por las características del personal de salud, el ambiente laboral y la interacción entre el empleado y el ambiente laboral; se observaron falencias relacionadas con factores psicosociales y ocupacionales. Discusión. La calidad de vida del personal de salud estuvo caracterizada por estigmatización, estrés, ansiedad y fatiga. La gestión organizacional y la aplicación de intervenciones psicológicas evidencian un efecto en la interacción entre el empleado y el ambiente laboral, e influyen en su calidad de vida.
Collapse
Affiliation(s)
| | - Thaís Zamboni Berra
- Departamento de Enfermagem Materno Infantil e Saúde Pública, Universidade de São Paulo, Ribeirão Preto, Brasil
| | - Juliane de Almeida Crispim
- Departamento de Enfermagem Materno Infantil e Saúde Pública, Universidade de São Paulo, Ribeirão Preto, Brasil
| | - Ricardo Alexandre Arcêncio
- Departamento de Enfermagem Materno Infantil e Saúde Pública, Universidade de São Paulo, Ribeirão Preto, Brasil
| | | |
Collapse
|
50
|
Freitas GLD, Souza TRD, Lana FCF, Matozinhos FP, Moreira AD, Arcêncio RA. Tendências temporais de internações de crianças por condições sensíveis à atenção primária em Minas Gerais, Brasil. REME Rev Min Enferm 2022. [DOI: 10.35699/2316-9389.2022.38797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
Abstract
Objetivo: analisar a tendência das internações por condições sensíveis à atenção primária em crianças menores de cinco anos de idade, no estado de Minas Gerais. Métodos: estudo ecológico de séries temporais utilizou registros do Sistema de Informação Hospitalar, período de 2008 a 2018. As análises de tendência foram realizadas pelo método de Prais-Winsten para verificar tendências: estacionárias (p > 0,05), decrescentes (p < 0,05 e coeficiente de regressão negativo) ou ascendentes (p < 0,05 e coeficiente de regressão positivo) por região de saúde e por grupo etário (até um ano e de um a quatro anos). Resultados: houve tendência decrescente de internações entre crianças no estado (variação percentual anual = -4,96%; p < 0,05), com redução de internações por gastroenterites infecciosas e complicações, pneumonias bacterianas e asma. Observou-se aumento de internações por anemia; doenças pulmonares e infecções de ouvido, nariz e garganta. Para crianças menores de um ano, foi observado que as internações por doenças preveníveis por imunização e condições sensíveis apresentaram tendência ascendente (ß=5,69 e p < 0,05), com destaque para a sífilis congênita. Conclusões: o cenário de Minas Gerais é similar ao de outros estados brasileiros, nos quais se observa redução de internação de crianças de até cinco anos, com aumento de internações por anemia, doenças pulmonares e infecção de ouvido, nariz e garganta. Ainda que existam melhorias nas práticas e políticas voltadas para a saúde da criança, os achados reforçam o planejamento de ações para o cuidado a agravos preveníveis na atenção primária.
Collapse
|