巴西东北部囚犯肺结核的临床和环境因素

Cesário Rui Callou Filho, C. A. Mesquita, Ethel Esthephane Alves Vieira, J. J. Leite, Carina Barbosa Bandeira, Flaviano da Silva Santos, M. V. de Lima Saintrain
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摘要

摘要本研究旨在评估与囚犯肺结核相关的临床和环境因素。我们对巴西东北部一家监狱医院的肺结核病例记录进行了一项记录性、回顾性的流行病学研究。样本包括2015年1月至2016年1月被诊断患有结核病的囚犯的医疗记录数据。评估了年龄、种族、婚姻状况、受教育程度、体重、身高、不良习惯等信息,以及粘膜、咳嗽、痰液、呼吸方式、杆菌镜检查、治疗开始和类型、治疗持续时间、原监狱和服刑时间等临床资料。对109份囚犯医疗记录进行了分析。平均年龄28.5(±7.9)岁,大多数囚犯(n=87;79.8%)单身。总的来说,78.0% (n=85)的囚犯受过初等教育,73.4% (n=80)的囚犯自称为pardo(巴西混血儿)。受教育程度与咳嗽患病率(p= 0.042)、入狱时间和咳嗽发生率(p= 0.014)、BMI和粘膜颜色(p= 0.001)之间存在统计学上显著的关联。大多数囚犯的习惯与人们期望的高质量生活不同。此外,囚犯的健康状况也助长了感染。这些调查结果强调需要采取旨在消除囚犯结核病的行动,并采取行动提高对卫生和生活习惯的认识。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical and Environmental Factors Associated with Pulmonary Tuberculosis in Prisoners in Northeastern Brazil
Abstract This study aimed to assess clinical and environmental factors associated with pulmonary tuberculosis in prisoners. We carried out a documentary, retrospective, epidemiological study of records of tuberculosis cases in a prison hospital in Northeastern Brazil. The sample consisted of data from medical records of prisoners diagnosed with TB from January 2015 to January 2016. Information such as age, race, marital status, education level, weight, height, harmful habits, and clinical data on mucous membrane, cough, sputum, breathing pattern, bacilloscopy, initiation and type of treatment, treatment duration, prison of origin and time spent in prison were assessed. A total of 109 medical records of prisoners were analyzed. Mean age was 28.5 (± 7.9) years, and most prisoners (n=87; 79.8%) were single. In all, 78.0% (n=85) of the prisoners had primary education and 73.4% (n=80) were self-declared Pardos (mixed-race Brazilians). Statistically significant associations were found between level of education and prevalence of cough (p=.042), time in prison and presence of cough (p=.014), and BMI and mucous membrane coloration (p=.001). The habits of most prisoners are different from those expected for a good quality of life. In addition, the health conditions of prisoners also contribute to the infection. These findings emphasize the need for actions targeted at eliminating tuberculosis in prisoners and actions to raise awareness about hygiene and life habits.
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