ArticleBMC pulmonary medicine2019
Social determinants of pulmonary tuberculosis in Brazil: an ecological study.
Article in BMC pulmonary medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Tuberculosis and social aspects in a Brazilian state of high vulnerability: a systematic review.Revista brasileira de enfermagem · 2026Pooled it
- Space-time clustering and temporal trend analysis of pulmonary tuberculosis in Brazil, 2010-2023.PloS one · 2026Article
- Temporal changes in pediatric tuberculosis incidence in Rio de Janeiro (2010-2023): An analysis using the Joinpoint model.PloS one · 2026Article
- Projecting tuberculosis control progress in metropolitan and non-metropolitan areas of Brazil, 2001-2035: a Bayesian age-period-cohort analysis.Infectious diseases of poverty · 2025Article
- Incidence and mortality by pulmonary tuberculosis in Brazil: Trends and projections, 2002-2034.IJID regions · 2025Article
- Impact of the improvement of living conditions on tuberculosis mortality in Brazil: an ecological study.Sao Paulo medical journal = Revista paulista de medicina · 2024Article
- A distributional regression approach to modeling the impact of structural and intermediary social determinants on communities burdened by tuberculosis in Eastern Amazonia - Brazil.Archives of public health = Archives belges de sante publique · 2023Article
- Excess tuberculosis cases and deaths following an economic recession in Brazil: an analysis of nationally representative disease registry data.The Lancet. Global health · 2022Article
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Authors and funding
4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundSocial determinants may influence the incidence and control of tuberculosis (TB). The aim of this study was to evaluate the correlation between social determinants and pulmonary TB (PTB) incidence and treatment outcomes in different regions in Brazil.
methodsIn this ecological study, PTB incidence and treatment outcome rates as well as HIV incidence for all 5560 Brazilian cities as reported to the Brazilian Tuberculosis Program in 2010 were correlated with two social indicators, the Human Development Index (HDI) and Gini Index (GI). Cities were stratified into six groups based on location (metropolitan region or not) and size (small, medium, and large cities), and according to the regions of the country to which they belong. The Spearman correlation coefficient was used to assess the association between variables.
resultsIn 2010, 68,729 new PTB cases were reported in Brazil, with an incidence rate of 36 cases per 100,000 inhabitants. Incidence rates and PTB mortality demonstrated a weak negative correlation with HDI and a positive correlation with GI. The correlation between HDI and GI with cure, relapse, and lost to follow-up of treatment greatly varied in the different groups of cities and regions of the country evaluated.
conclusionsThere is a weak correlation between HDI and GI and PTB incidence and mortality rate. However, there is great variation between the HDI and GI and cure, relapse, and lost to follow-up in the different groups of cities and regions of the country. This suggests that for TB determination, these outcome variables might be more related to the quality of healthcare provided by services than to social determinants in the general population.
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