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- Title
Leprosy in the context of the Family Health Strategy in an endemic scenario in Maranhão: prevalence and associated factors.
- Authors
de Castro Lopes, Fernanda; Vieira Ramos, Antônio Carlos; Maia Pascoal, Lívia; Stabnow Santos, Floriacy; Tavares Palmeira Rolim, Isaura Leticia; Alves de Oliveira Serra, Maria Aparecida; Hunaldo dos Santos, Leonardo; Santos Neto, Marcelino
- Abstract
This study aimed to describe the prevalence of leprosy and verify the factors associated with multibacillary clinical types in a Family Health Strategy priority setting to control and monitor the disease in northeastern Brazil. This cross-sectional study used data from the Notifiable Diseases Information System related to leprosy cases notified in Imperatriz, Maranhão, between 2008 and 2017. The prevalence was determined yearly and for the period. Poisson regression models with a significance level of 5% were employed to associate the variables and the multibacillary clinical types. Most of the 2,476 leprosy cases analyzed referred to multibacillary clinical types. The prevalence ranged from 7.8 and 15.6/10,000 inhabitants, with high and very high endemicity levels. The variables male, age groups between 30 and 59 years and ≥60 years, schooling <8 years, level 2 physical disability, types 1 and 2 reactive episodes, and urban residence area showed significant associations (p≤0.05) with multibacillary clinical types. Such findings can serve as a basis for elaborating and implementing leprosy control and surveillance measures, gearing actions to the most vulnerable groups, and becoming more effective.
- Subjects
MARANHAO (Brazil); BRAZIL; HANSEN'S disease; FAMILY health; POISSON regression; DISABILITIES; AGE groups
- Publication
Revista Ciência & Saúde Coletiva, 2021, Vol 26, Issue 5, p1805
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-81232021265.04032021