We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Social determinants of health and unfavourable outcome of tuberculosis treatment in the prison system.
- Authors
Lima Ferreira, Melisane Regina; de Paula Andrade, Rubia Laine; Bossonario, Pedro Augusto; Fiorati, Regina Célia; Arcêncio, Ricardo Alexandre; Menezes, Carlos Eduardo; Halax Orfão, Nathalia; Aparecida Monroe, Aline
- 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.
- Subjects
RONDONIA (Brazil : State); SAO Paulo (Brazil); TUBERCULOSIS; SOCIAL determinants of health; PRISON system; TREATMENT effectiveness; ALCOHOLISM; MEDICAL care
- Publication
Revista Ciência & Saúde Coletiva, 2022, Vol 27, Issue 12, p4451
- ISSN
1413-8123
- Publication type
Article
- DOI
10.1590/1413-812320222712.08632022EN