10.6084/M9.FIGSHARE.21556899
Melisane Regina Lima Ferreira
Melisane Regina Lima
Ferreira
Rubia Laine de Paula Andrade
Rubia Laine de Paula
Andrade
Pedro Augusto Bossonario
Pedro Augusto
Bossonario
Regina Célia Fiorati
Regina Célia
Fiorati
Universidade de São Paulo
Ricardo Alexandre Arcêncio
Ricardo Alexandre
Arcêncio
Universidade de São Paulo
Carlos Eduardo Menezes de Rezende
Carlos Eduardo Menezes de
Rezende
Nathalia Halax Orfão
Nathalia Halax
Orfão
Aline Aparecida Monroe
Aline Aparecida
Monroe
Universidade de São Paulo
Social determinants of health and unfavourable outcome of tuberculosis treatment in the prison system
<p></p><p>Abstract This article aims to analyze the unfavorable outcome of tuberculosis treatment among the population deprived of liberty by social determinants of health. This retrospective cohort was conducted in the states of Rondônia and São Paulo, Brazil, with inmates with tuberculosis notified between 2008 and 2017. Data were collected from SINAN and TB-WEB and analyzed by relative risk (RR) and confidence intervals (95%CI), which tested the association between the dependent variable (unfavorable outcome (deaths from tuberculosis and other causes, and primary and non-primary lost to follow-up) vs. favorable outcome (cure)) and the structural and intermediary determinants of health. One hundred fifty-eight unfavorable outcomes were registered in Rondônia and 2,227 in São Paulo. For Rondônia, this outcome was associated with gender (RR 3.09; 95%CI 1.03-9.27) and AIDS (RR 2.46; 95%CI 1.63-3.71). In São Paulo, aged over 30 years (RR 1.36; 95%CI 1.26-1.47), AIDS (RR 3.08; 95%CI 2.81-3.38), alcohol abuse (RR 1.54; 95%CI 1.35-1.76), diabetes (RR 1.70; 95%CI 1.27-2.28) and self-administered treatment (RR 2.55; 95%CI 2.27-2.86) were risk factors for the unfavorable outcome. The study contributes with elements to the risk stratification of people with tuberculosis in prison units and, thus, improves health care towards a favorable outcome.</p><p></p>
160508 Health Policy
SciELO journals
2022
2022-11-15
2022-11-15
Dataset
38912 Bytes
10.1590/1413-812320222712.08632022
CC BY 4.0