Lucas Vinícius de Lima , Gabriel Pavinati , Isadora Gabriella Silva Palmieri , Pedro Henrique Paiva Bernardo , Vitória Maytana Alves dos Santos , Melissa Ferrari Gomes , Juliana Taques Pessoa da Silveira , Francisco Beraldi de Magalhães , Nelly Lopes de Moraes Gil , Gabriela Tavares Magnabosco
{"title":"绘制巴西南部一个州结核病发病率社会经济不平等图谱的生态研究","authors":"Lucas Vinícius de Lima , Gabriel Pavinati , Isadora Gabriella Silva Palmieri , Pedro Henrique Paiva Bernardo , Vitória Maytana Alves dos Santos , Melissa Ferrari Gomes , Juliana Taques Pessoa da Silveira , Francisco Beraldi de Magalhães , Nelly Lopes de Moraes Gil , Gabriela Tavares Magnabosco","doi":"10.1016/j.sste.2024.100689","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>To analyze the spatial patterns and factors associated with tuberculosis incidence in the municipalities of Paraná, Brazil.</p></div><div><h3>Materials and methods</h3><p>Ecological study examining new tuberculosis cases from 2018 to 2022 in Paraná’s 399 municipalities. Incidence coefficients, relative risk, and local indicator of spatial autocorrelation were estimated. Negative binomial models were applied to identify associated factors.</p></div><div><h3>Results</h3><p>High-risk areas were observed in the coastal/port, north, and northeast regions. The following factors positively influenced tuberculosis incidence: municipal development index (incidence rate ratio [IRR]: 1.07; 95 % confidence interval [95 % CI]: 1.01–1.14), hospitalizations due to inadequate environmental sanitation (IRR: 1.07; 95 % CI: 1.01–1.14), and Gini index (IRR: 1.09; 95 % CI: 1.02–1.16).</p></div><div><h3>Conclusions</h3><p>Paradoxically, in municipalities with elevated development indices yet marked by socioeconomic disparities—including deficiencies in sanitation—substantial tuberculosis clusters persist. This suggests that income inequality might play a role in perpetuating the incidence even in regions that are otherwise considered developed.</p></div>","PeriodicalId":46645,"journal":{"name":"Spatial and Spatio-Temporal Epidemiology","volume":"51 ","pages":"Article 100689"},"PeriodicalIF":1.7000,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"An ecological study mapping socioeconomic inequalities in tuberculosis incidence in a southern state of Brazil\",\"authors\":\"Lucas Vinícius de Lima , Gabriel Pavinati , Isadora Gabriella Silva Palmieri , Pedro Henrique Paiva Bernardo , Vitória Maytana Alves dos Santos , Melissa Ferrari Gomes , Juliana Taques Pessoa da Silveira , Francisco Beraldi de Magalhães , Nelly Lopes de Moraes Gil , Gabriela Tavares Magnabosco\",\"doi\":\"10.1016/j.sste.2024.100689\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><p>To analyze the spatial patterns and factors associated with tuberculosis incidence in the municipalities of Paraná, Brazil.</p></div><div><h3>Materials and methods</h3><p>Ecological study examining new tuberculosis cases from 2018 to 2022 in Paraná’s 399 municipalities. Incidence coefficients, relative risk, and local indicator of spatial autocorrelation were estimated. Negative binomial models were applied to identify associated factors.</p></div><div><h3>Results</h3><p>High-risk areas were observed in the coastal/port, north, and northeast regions. The following factors positively influenced tuberculosis incidence: municipal development index (incidence rate ratio [IRR]: 1.07; 95 % confidence interval [95 % CI]: 1.01–1.14), hospitalizations due to inadequate environmental sanitation (IRR: 1.07; 95 % CI: 1.01–1.14), and Gini index (IRR: 1.09; 95 % CI: 1.02–1.16).</p></div><div><h3>Conclusions</h3><p>Paradoxically, in municipalities with elevated development indices yet marked by socioeconomic disparities—including deficiencies in sanitation—substantial tuberculosis clusters persist. This suggests that income inequality might play a role in perpetuating the incidence even in regions that are otherwise considered developed.</p></div>\",\"PeriodicalId\":46645,\"journal\":{\"name\":\"Spatial and Spatio-Temporal Epidemiology\",\"volume\":\"51 \",\"pages\":\"Article 100689\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-08-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Spatial and Spatio-Temporal Epidemiology\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S187758452400056X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Spatial and Spatio-Temporal Epidemiology","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S187758452400056X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
An ecological study mapping socioeconomic inequalities in tuberculosis incidence in a southern state of Brazil
Objective
To analyze the spatial patterns and factors associated with tuberculosis incidence in the municipalities of Paraná, Brazil.
Materials and methods
Ecological study examining new tuberculosis cases from 2018 to 2022 in Paraná’s 399 municipalities. Incidence coefficients, relative risk, and local indicator of spatial autocorrelation were estimated. Negative binomial models were applied to identify associated factors.
Results
High-risk areas were observed in the coastal/port, north, and northeast regions. The following factors positively influenced tuberculosis incidence: municipal development index (incidence rate ratio [IRR]: 1.07; 95 % confidence interval [95 % CI]: 1.01–1.14), hospitalizations due to inadequate environmental sanitation (IRR: 1.07; 95 % CI: 1.01–1.14), and Gini index (IRR: 1.09; 95 % CI: 1.02–1.16).
Conclusions
Paradoxically, in municipalities with elevated development indices yet marked by socioeconomic disparities—including deficiencies in sanitation—substantial tuberculosis clusters persist. This suggests that income inequality might play a role in perpetuating the incidence even in regions that are otherwise considered developed.
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