Epidemiological profile of tuberculosis in the prison population of Minas Gerais, Brazil
DOI:
https://doi.org/10.15517/psm.v20i2.50840Keywords:
Tuberculosis, Prisons, Epidemiology, Public policyAbstract
Introduction: Tuberculosis is the major cause of health problems among communicable diseases and predominates as an etiology in cases of death from a single infectious agent. In the prison environment, this is even more evident, as overcrowding, poor nutrition, drug consumption and the coexistence of other diseases, associated with the precariousness of the health service, favors the spread of the disease within the walls and to the families of inmates. Currently, it is estimated that the incidence of tuberculosis in the population deprived of liberty corresponds to approximately 11.2% of new cases in the country, and this group represents only 0.3% of the Brazilian population. Methods: In this context, the present study aims to carry out an epidemiological analysis of tuberculosis in the prison population of the state of Minas Gerais, Brazil, based on secondary data from the Notifiable Diseases Information System (SINAN), in addition to identifying the main factors related to this type of involvement using measures of dispersion, central tendency and frequency, as well as Student’s T tests for independent samples and Mann-Whitney U tests in cases where the assumptions for parametric tests were not met, considering a 95 % confidence interval. Results: 1880 cases of tuberculosis were registered, with a monthly average of 22.38 notifications. The proximity of the factors brown ethnicity, male sex, age between 20 and 29 years to the center of case density and between the use of alcohol, other drugs and the abandonment of treatment was notable. Conclusion: Thus, the need for new prevention strategies in this context is highlighted due to the high incidence of tuberculosis, often related to negligence and misinformation.
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Allgayer, M. F., Ely, K. Z., Freitas, G. H. D., Valim, A. R. D. M., Gonzales, R. I. C., Krug, S. B. F., & Possuelo, L. G. (2019). Tuberculose: vigilância e assistência à saúde em prisões. Revista Brasileira de Enfermagem, 72, 1304-1310.
Araujo, A. S., Vieira, S. S., & Junior, B. L. (2017). Fatores condicionantes ao abandono do tratamento da tuberculose relacionados ao usuário e à equipe de saúde. Saúde e Desenvolvimento, 10(6), 1-16. https://cadernosuninter.com/index.php/saude-e-desenvolvimento/article/view/585
Bidinotto, D.., Simonetti, J. P., & Bocchi, S. C. M. (2016). La salud del hombre: las enfermedades crónicas y la vulnerabilidad social. Revista Latino-Americana de Enfermagem, 24, e2756. https://doi.org/10.1590/1518-8345.0735.2756
de Matos Freitas, W, dos Santos, C. C., Silva, M. M., & da Rocha, G. A. (2016). Perfil clínico-epidemiológico de pacientes portadores de tuberculose atendidos em uma unidade municipal de saúde de Belém, Estado do Pará, Brasil. Revista Pan-Amazônica de Saúde, 7(2). http://dx.doi.org/10.5123/S2176-62232016000200005
Ferreira, P. G., Ferreira, A., & Cravo‐Roxo, P. (2015). Constrangimentos ao controlo da tuberculose no sistema prisional”. Revista Portuguesa de Saúde Pública, 33(1), 71-83.
Getahun, H., Gunneberg, C., Granich, R., & Nunn, P. (2010). HIV infection—associated tuberculosis: the epidemiology and the response., Clinical Infectious Diseases, 50(2), 1-7. https://doi.org/10.1086/651492.
Horne, D. J., Kohli, M., Zifodya, J. S., Schiller, I., Dendukuri, N., Tollefson, D., and Steingart, K. R. (2019). Xpert MTB/RIF and Xpert MTB/RIF Ultra for pulmonary tuberculosis and rifampicin resistance in adults. Cochrane Database of Systematic Reviews, 6, 1-279. https://doi.org/10.1002/14651858.cd009593.pub4
Instituto Brasileiro de Geografia e Estatística. (2010). Censo 2010. Author
Macêdo, A. M. J., Neta, M. L. P., Duarte, A. R. A., Soares, T. F. R., Medeiros, L. N. B.,Alcoforado, D. S. G., Fonseca, M. C., Macedo, B. M., Nicoletti, G. P., & Marcos, G. C. (2022). Perfil epidemiológico da tuberculose no Brasil, com base nos dados provenientes do DataSUS nos anos de 2021. Research, Society and Development, 6(11), 1-24. http://dx.doi.org/10.33448/rsd-v11i6.28999
Ministério da Justiça e Segurança Pública. (2017). Levantamento nacional de Informações penitenciárias: IFOPEN. https://www.gov.br/depen/pt-br/servicos/sisdepen/mais-informacoes/relatorios-infopen/relatorios-sinteticos/infopen-jun-2017.pdf
Ministério da Saúde, Gabinete do Ministro, Secretaria de Vigilância em Saúde. (2015). Situação epidemiológica da tuberculose nos estados partes e associados do Mercosul 2009 a 2013.
Ministério da Saúde. (2010). PNCT: manual de recomendações para o controle da tuberculose no Brasil. https://nepas.ufsc.br/files/2012/09/Manual-de-Recomenda%C3%A7%C3%B5es-para-o-Controle-da-Tuberculose-no-Brasil.pdf
Ministério da Saúde. (2016). Série histórica da taxa de incidência de tuberculose.
Ministério da Saúde. (2018). Implantação do Plano Nacional pelo Fim da Tuberculose como Problema de Saúde Pública no Brasil: primeiros passos rumo ao alcance das metas. Bol Epidemiol, 49(11), 1-18.
Ministério da Saúde. (2019). Boletim Epidemiológico, 50(9). https://ameci.org.br/wp-content/uploads/2019/09/boletim-especial-21ago19-web.pdf
Ministério da Saúde. (2020). Tuberculose: o que é, causas, sintomas, tratamento, diagnóstico e prevenção. https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/t/tuberculose
Oliveira, L. G. D. D., Natal, S., & Camacho, L. (2015a). Contextos de implantação do Programa de Controle da Tuberculose nas prisões brasileiras, Revista de Saúde Pública, 49(6), 1-9. https://doi.org/10.1590/S0034-8910.2015049005802
Oliveira, L., Natal, S., & Camacho, L. (2015b). Análise da implantação do Programa de Controle da Tuberculose em unidades prisionais no Brasil. Cadernos de Saúde Pública, 31, 543-554.
Pereira, J., Silva, M., Costa, R. R. D., Guimarães, M. D. C., & Leite, I (2015). Perfil e seguimento dos pacientes com tuberculose em município prioritário no Brasil. Revista de Saúde Pública, 49(6), 1-12. https://doi.org/10.1590/S0034-8910.2015049005304
Pinto, P. F. P. S., Silveira, C., Rujula, M. J. P., Chiaravalloti, F., & Ribeiro, M. C. S. D. A. (2017). Epidemiological profile of tuberculosis in São Paulo municipality from 2006 to 2013, Revista Brasileira de Epidemiologia, 20(3), 549-557. https://doi.org/10.1590/1980-5497201700030016
Rabahi, M. F. (2012). Tuberculose e tabagismo. Pulmão RJ, 21(1), 46-49.
San Pedro, A., & Oliveira, R. M. D. (2013). Tuberculose e indicadores socioeconômicos: revisão sistemática da literatura. Revista Panamericana de Salud Pública, 33, 294-301. https://iris.paho.org/handle/10665.2/9185
Sanchez, A., Gerhardt, G., Natal, S., Capone, D., Espinola, A., Costa, W., and Larouzé, B. (2005). Prevalence of pulmonary tuberculosis and comparative evaluation of screening strategies in a Brazilian prison. The International Journal of Tuberculosis and Lung Disease, 9(6), 633-639.
Santo, M., França, P., Sánchez, A., & Larouzé, B. (2012). Manual de intervenções ambientais para o controle da tuberculose nas prisões. Departamento penitenciário nacional.
Silva, D. R., Muñoz-Torrico, M., Duarte, R., Galvão, T., Bonini, E. H., Arbex, F. F., Aberx, M. A., Augusto, V. M., Rabahi, M. F., & Mello, F. C. D. Q. (2018). Fatores de risco para tuberculose: diabetes, tabagismo, álcool e uso de outras drogas. Jornal brasileiro de Pneumologia, 44(02), 145-152. http://dx.doi.org/10.1590/S1806-37562017000000443
Siqueira, B.., Teixeira, J.., Valença Neto, P., Boery, E. N., Boery, R. N., & Vilela, A. B. A. (2014). Homens e cuidado à saúde nas representações sociais de profissionais de saúde. Escola Anna Nery,18(4), 690-696. https://doi.org/10.5935/1414-8145.20140098
Telarolli, R., Loffredo, L., & Gasparetto, R. (2017). Clinical and epidemiological profile of tuberculosis in an urban area with high human development index in southeastern Brazil. Time series study. Sao Paulo Medical Journal, 135(05), 413-419. https://doi.org/10.1590/1516-3180.2016.0260210317
Viana, P. V. D. S. (2014). Tuberculose no Brasil: Uma análise dos dados de notificação, segundo macroregião e raça/cor, para o período 2008-2011 [Working paper]. Fundação Oswaldo Cruz, Escola Nacional de Saúde Pública Sergio Arouca.
World Health Organization, & End, T. B. (2015). Strategy: Global strategy and targets for tuberculosis prevention, care and control after 2015. World Health Organization.
World Health Organization. (2020). World Health Organization Global Tuberculosis Report 2020 (p. 232). Author
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