Dennis Minoru Fujita, Roberto Fioravante Alvarenga, Heitor Franco de Andrade
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Trends in tuberculosis and inequality-adjusted Human Development Index in Brazil, 2018-2022.
Tuberculosis (TB) remains a significant global health concern, causing 1.5 million deaths annually. We conducted an ecological analysis to examine TB prevalence in Brazil from 2018 to 2022, focusing on its relationship with the Human Development Index (HDI) and its inequality-adjusted version HDI (IHDI). We determined significant correlation between HDI and TB prevalence for the period of 2018-2021 (P = 0.044 in 2018, P = 0.041 in 2019, P = 0.044 in 2020, and P = 0.043 in 2021). However, an unexpected rise in TB cases in 2022, despite an increase in HDI, disrupted this trend (P = 0.12), indicating additional influencing factors. The IHDI showed correlation with TB prevalence, underscoring the importance of addressing socio-economic inequalities. These findings suggest the need for targeted interventions, particularly for vulnerable populations.
期刊介绍：
The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive.
JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones.
JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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