Tuberculosis as a marker of inequities in the context of socio-spatial transformation

Autores/as

  • Alexandre San Pedro Fundação Oswaldo Cruz; Escola Nacional de Saúde Pública; Departamento de Endemias Samuel Pessoa
  • Gerusa Gibson Universidade Federal do Rio de Janeiro; Instituto de Estudos em Saúde Coletiva
  • Jefferson Pereira Caldas dos Santos Fundação Oswaldo Cruz; Escola Nacional de Saúde Pública; Departamento de Endemias Samuel Pessoa
  • Luciano Medeiros de Toledo Fundação Oswaldo Cruz; Escola Nacional de Saúde Pública; Departamento de Endemias Samuel Pessoa
  • Paulo Chagastelles Sabroza Fundação Oswaldo Cruz; Escola Nacional de Saúde Pública; Departamento de Endemias Samuel Pessoa
  • Rosely Magalhães de Oliveira Fundação Oswaldo Cruz; Escola Nacional de Saúde Pública; Departamento de Endemias Samuel Pessoa

DOI:

https://doi.org/10.1590/s1518-8787.2017051006533

Palabras clave:

Tuberculosis, epidemiology, Socioeconomic Factors, Health Inequalities, Social Inequity, Ecological Studies

Resumen

OBJECTIVE This study aims to analyze the association between the incidence of tuberculosis and different socioeconomic indicators in a territory of intense transformation of the urban space. METHODS This is an ecological study, whose analysis units were the neighborhoods of the city of Itaboraí, state of Rio de Janeiro, Brazil. The data have been analyzed by generalized linear models. The response variable was incidence of tuberculosis from 2006 to 2011. The independent variables were the socio-demographic indicators. The spatial distribution of tuberculosis was analyzed with the elaboration of thematic maps. RESULTS The results have shown a significant association between the incidence of tuberculosis and variables that reflect different dimensions of living conditions, such as consumer goods, housing conditions and its surroundings, agglomeration of population, and income distribution. CONCLUSIONS The disproportionate incidence of tuberculosis in populations with worse living conditions highlights the persistence of socioeconomic determinants in the reproduction of the disease. Different municipal public sectors need to better articulate with local tuberculosis control programs to reduce the social burden of the disease.

Publicado

2017-01-01

Número

Sección

Artigos Originais

Cómo citar

Pedro, A. S., Gibson, G., Santos, J. P. C. dos, Toledo, L. M. de, Sabroza, P. C., & Oliveira, R. M. de. (2017). Tuberculosis as a marker of inequities in the context of socio-spatial transformation. Revista De Saúde Pública, 51, 9. https://doi.org/10.1590/s1518-8787.2017051006533