We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Risk factors for physical disability due to leprosy: a case-control study.
- Authors
Bertino Véras, Gerlane Cristinne; Ferreira Lima Júnior, José; Lima Cândido, Estelita; Rodrigues Maia, Evanira
- Abstract
Background: The main consequence of leprosy is physical disability. Objective: To identify risk factors of physical disabilities due to leprosy. Method: Case-control study carried out at the Notifiable Diseases Information System - Leprosy in the 9th Regional Health District of the state of Paraíba, Brazil, between 2001 and 2014. Cases were individuals who presented degree of physical disability 1 or 2 at diagnosis or discharge; and controls included individuals with degree of physical disability 0 also at diagnosis and discharge. A 1:1 (case:control) proportion was used. Data were analyzed using the Epi Info and BioEstat software packages. Results: The following cases and controls (428 each) at risk for physical disability were analyzed: aged ≥15 years (96.5%, OR=0.33, p<0.01), males (59.3%, OR=1.82, p<0.01), low education level (70.4%, OR=2.66, p<0.01), multibacillary classification (72.9%, OR=9.29; p< 0.01), number of lesions ≥5 (34.3%, OR=0.18, p<0.01), and number of nerves affected ≥1 (12.6%, OR=0.05; p<0.01). Late diagnosis, missing/inadequately filled data, absence/non-registration of dermato-neurological evaluation, and low control of contacts were observed. Conclusion: The need for active surveillance and early detection of leprosy cases and contacts is highlighted.
- Subjects
HANSEN'S disease; DISABILITIES; PRIMARY health care
- Publication
Cadernos Saúde Coletiva, 2021, Vol 29, Issue 3, p411
- ISSN
1414-462X
- Publication type
Article
- DOI
10.1590/1414-462X202129030182