Social determinants of health in the epidemiological profile of tuberculosis in Puebla, Mexico, during 2022-2023.

IF 0.6 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Gaceta medica de Mexico Pub Date : 2024-01-01 DOI:10.24875/GMM.M24000944

Ruth Espinosa-Merino, Mireya Montesano-Villamil, Rosario E Ordóñez-Correa, Mónica Cuaya-Coatl, Sagrario Lobato

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引用次数: 0

Abstract

Background: Tuberculosis (TB) has been considered a social disease, and the World Health Organization regards it as a severe global public health problem.

Objective: To determine the epidemiological profile of TB in Puebla, Mexico, in 2022 and 2023 and its relationship with the Social Determinants of Health (SDH).

Material and methods: Correlational and retrospective study with 2,002 subjects. Variables: TB profile (anatomical location, comorbidities, and drug resistance) and SDH (marginalization, educational level, and occupation).

Results: Negative correlations were found between educational level and occupation with TB and comorbidities (p = 0.05). No correlation was found between marginalization and TB profile (p = 0.05). The correlation between drug resistance and SDH was low or not significant (p > 0.05).

Conclusions: Our study suggests that, although marginalization did not show a significant association with TB in the region, other determinants, such as educational level and occupation, did exhibit an inversely proportional relationship with the presence of the disease and its comorbidities.

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2022-2023年墨西哥普埃布拉州结核病流行病学概况中的健康社会决定因素。

背景：结核病（TB）被认为是一种社会性疾病，世界卫生组织将其视为严重的全球公共卫生问题。目的：了解墨西哥普埃布拉州2022年和2023年结核病流行病学概况及其与健康社会决定因素（SDH）的关系。材料与方法：回顾性相关研究2002例。变量：结核概况（解剖位置、合并症和耐药性）和SDH（边缘化、教育水平和职业）。结果：学历、职业与结核病及合并症呈负相关（p = 0.05）。边缘化与结核概况无相关性（p = 0.05）。耐药与SDH的相关性较低或不显著（p < 0.05）。结论：我们的研究表明，尽管边缘化与该地区的结核病没有显着关联，但其他决定因素，如教育水平和职业，确实与疾病及其合并症的存在呈反比关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gaceta medica de Mexico 医学-医学：内科

CiteScore

1.00

自引率

0.00%

发文量

216

审稿时长

6-12 weeks

期刊介绍： Gaceta Médica de México México is the official scientific journal of the Academia Nacional de Medicina de México, A.C. Its goal is to contribute to health professionals by publishing the most relevant progress both in research and clinical practice. Gaceta Médica de México is a bimonthly peer reviewed journal, published both in paper and online in open access, both in Spanish and English. It has a brilliant editorial board formed by national and international experts.