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Spatial analysis of deaths from pulmonary tuberculosis in the city of São Luís, Brazil.

Santos-Neto M, Yamamura M, Garcia MC, Popolin MP, Silveira TR, Arcêncio RA - J Bras Pneumol (2014)

Bottom Line: Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school.There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001).A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2.

View Article: PubMed Central - PubMed

Affiliation: Federal University of Maranhão at Imperatriz, Imperatriz, Brazil.

ABSTRACT

Objective: To characterize deaths from pulmonary tuberculosis, according to sociodemographic and operational variables, in the city of São Luís, Brazil, and to describe their spatial distribution.

Methods: This was an exploratory ecological study based on secondary data from death certificates, obtained from the Brazilian Mortality Database, related to deaths from pulmonary tuberculosis. We included all deaths attributed to pulmonary tuberculosis that occurred in the urban area of São Luís between 2008 and 2012. We performed univariate and bivariate analyses of the sociodemographic and operational variables of the deaths investigated, as well as evaluating the spatial distribution of the events by kernel density estimation.

Results: During the study period, there were 193 deaths from pulmonary tuberculosis in São Luís. The median age of the affected individuals was 52 years. Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school. There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001). A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2.

Conclusions: The sociodemographic and operational characteristics of the deaths from pulmonary tuberculosis evaluated in this study, as well as the identification of priority areas for control and surveillance of the disease, could promote public health policies aimed at reducing health inequities, allowing the optimization of resources, as well as informing decisions regarding the selection of strategies and specific interventions targeting the most vulnerable populations.

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Dot density map of deaths from pulmonary tuberculosis (PTB) in the urbanarea of São Luís, Brazil, 2008-2012.
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f02: Dot density map of deaths from pulmonary tuberculosis (PTB) in the urbanarea of São Luís, Brazil, 2008-2012.

Mentions: Figure 2 shows a thematic map of the distributionof PTB deaths in the urban area of São Luís by home address. The map highlights areas inwhich mortality rates were highest (deaths per km2). These areas arerepresented by darker shades, denoting a heterogeneous spatial distribution of PTBdeaths in São Luís during the study period.


Spatial analysis of deaths from pulmonary tuberculosis in the city of São Luís, Brazil.

Santos-Neto M, Yamamura M, Garcia MC, Popolin MP, Silveira TR, Arcêncio RA - J Bras Pneumol (2014)

Dot density map of deaths from pulmonary tuberculosis (PTB) in the urbanarea of São Luís, Brazil, 2008-2012.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4263336&req=5

f02: Dot density map of deaths from pulmonary tuberculosis (PTB) in the urbanarea of São Luís, Brazil, 2008-2012.
Mentions: Figure 2 shows a thematic map of the distributionof PTB deaths in the urban area of São Luís by home address. The map highlights areas inwhich mortality rates were highest (deaths per km2). These areas arerepresented by darker shades, denoting a heterogeneous spatial distribution of PTBdeaths in São Luís during the study period.

Bottom Line: Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school.There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001).A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2.

View Article: PubMed Central - PubMed

Affiliation: Federal University of Maranhão at Imperatriz, Imperatriz, Brazil.

ABSTRACT

Objective: To characterize deaths from pulmonary tuberculosis, according to sociodemographic and operational variables, in the city of São Luís, Brazil, and to describe their spatial distribution.

Methods: This was an exploratory ecological study based on secondary data from death certificates, obtained from the Brazilian Mortality Database, related to deaths from pulmonary tuberculosis. We included all deaths attributed to pulmonary tuberculosis that occurred in the urban area of São Luís between 2008 and 2012. We performed univariate and bivariate analyses of the sociodemographic and operational variables of the deaths investigated, as well as evaluating the spatial distribution of the events by kernel density estimation.

Results: During the study period, there were 193 deaths from pulmonary tuberculosis in São Luís. The median age of the affected individuals was 52 years. Of the 193 individuals who died, 142 (73.60%) were male, 133 (68.91%) were Mulatto, 102 (53.13%) were single, and 64 (33.16%) had completed middle school. There was a significant positive association between not having received medical care prior to death and an autopsy having been performed (p = 0.001). A thematic map by density of points showed that the spatial distribution of those deaths was heterogeneous and that the density was as high as 8.12 deaths/km2.

Conclusions: The sociodemographic and operational characteristics of the deaths from pulmonary tuberculosis evaluated in this study, as well as the identification of priority areas for control and surveillance of the disease, could promote public health policies aimed at reducing health inequities, allowing the optimization of resources, as well as informing decisions regarding the selection of strategies and specific interventions targeting the most vulnerable populations.

Show MeSH
Related in: MedlinePlus