Deaths by tuberculosis in a priority city for disease control in the Brazilian Northeast: sociodemographic-operational characteristics and vulnerable territories.

  • Marcelino Santos Neto
  • Francisca Bárbara Gomes da Silva Undergraduate Student in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Mariana Borges Sodré Undergraduate Student in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Mellina Yamamura Postdoctoral fellow, Interunit Doctoral Program of School of Nursing and Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Brazil.
  • Floriacy Stabnow Santos Ph.D., Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Ana Cristina Pereira de Jesus Costa Ph.D., Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Maria Aparecida Alves de Oliveira Serra Ph.D., Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Ariadne Siqueira de Araújo Gordon Master’s Degree, Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Lívia Maia Pascoal Ph.D., Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Janaína Miranda Bezerra Ph.D., Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Leonardo Hunaldo dos Santos Ph.D., Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Hamilton Leandro Pinto de Andrade Master’s Degree, Professor in the Nursing Course at the Center of Social Sciences, Health and Technology of the Federal University of Maranhão, Imperatriz, Maranhão, Brazil.
  • Iolanda Graepp Fontoura Ph.D. Student in Postgraduate Program in Health Sciences at the Federal University of Maranhão, São Luís, Maranhão, Brazil.
  • Flávia Menegheti Pieri Ph.D., Professor in the Department of Nursing at the State University of Londrina, Londrina, Paraná, Brazil.
  • Ricardo Alexandre Arcêncio Ph.D., Professor in the Ribeirão Preto College of Nursing, University of São Paulo, São Paulo, Brazil.

Abstract

Introduction: Incorporating spatial approaches into epidemiological research is a challenge in public health research. The goal in this study was to analyze the spatial distribution of cases of deaths by tuberculosis in Imperatriz – MA (Brazil) and to characterize these events according to sociodemographic and operational characteristics.


Methods: In this ecological study, all deaths from tuberculosis as the primary cause registered in the Mortality Information System from 2005 to 2014 were considered. The research variables were subject to descriptive analysis, point density analysis (Kernel Intensity Estimation) and area analysis.


Results: Fifty cases of deaths by TB were identified, particularly the pulmonary clinical form. Male patients were predominant, with a median age of 59 years, mulatto race/color, single, who had finished secondary education. Most deaths happened at the hospital, with medical care before death and without autopsy. Most events happened at the hospital, with medical care delivery by an assistant physician and without autopsy. The point density revealed heterogeneity in the spatial distribution of the deaths, with rates of up to 2.33 deaths/km2. The area analysis by census sector presented age standardized mortality rates of 0.00 to 4.00 deaths/100,000 inhabitants-year.


Conclusion: The results contributed to the knowledge on the spatial distribution of cases of deaths by Tuberculosis and their characteristics in the research scenario. The importance of space is highlighted as a methodological alternative to support the planning, monitoring and assessment of health actions, targeting interventions to the control of the disease in vulnerable territories.


Keywords: Tuberculosis; Health Information Systems; Mortality; Spatial analysis.

Published
Apr 14, 2017
How to Cite
SANTOS NETO, Marcelino et al. Deaths by tuberculosis in a priority city for disease control in the Brazilian Northeast: sociodemographic-operational characteristics and vulnerable territories.. International Archives of Medicine, [S.l.], v. 10, apr. 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2303>. Date accessed: 28 may 2017. doi: http://dx.doi.org/10.3823/2393.
Section
Epidemiology