{"title":"Social determinants of health in the epidemiological profile of tuberculosis in Puebla, Mexico, during 2022-2023.","authors":"Ruth Espinosa-Merino, Mireya Montesano-Villamil, Rosario E Ordóñez-Correa, Mónica Cuaya-Coatl, Sagrario Lobato","doi":"10.24875/GMM.M24000944","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Tuberculosis (TB) has been considered a social disease, and the World Health Organization regards it as a severe global public health problem.</p><p><strong>Objective: </strong>To determine the epidemiological profile of TB in Puebla, Mexico, in 2022 and 2023 and its relationship with the Social Determinants of Health (SDH).</p><p><strong>Material and methods: </strong>Correlational and retrospective study with 2,002 subjects. Variables: TB profile (anatomical location, comorbidities, and drug resistance) and SDH (marginalization, educational level, and occupation).</p><p><strong>Results: </strong>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).</p><p><strong>Conclusions: </strong>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.</p>","PeriodicalId":12736,"journal":{"name":"Gaceta medica de Mexico","volume":"160 5","pages":"537-543"},"PeriodicalIF":0.6000,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Gaceta medica de Mexico","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.24875/GMM.M24000944","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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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.
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.
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