PubTransformer

A site to transform Pubmed publications into these bibliographic reference formats: ADS, BibTeX, EndNote, ISI used by the Web of Knowledge, RIS, MEDLINE, Microsoft's Word 2007 XML.

Household crowding as a potential mediator of socioeconomic determinants of tuberculosis incidence in Brazil.

Abstract Although many studies have identified social conditions associated with tuberculosis, contextual and individual factors have rarely been analysed simultaneously. Consequently, we aimed to identify contextual and individual factors associated with tuberculosis incidence in general population in Brazil in 2010. We also assessed whether household crowding mediates the association between socioeconomic determinants and tuberculosis incidence. Individual data of tuberculosis cases were obtained from 5,565 municipalities in Brazil in 2010 (last year of national census), and merged with contextual variables. The associations were evaluated in a multilevel analysis using negative binomial regression. After adjusting for individual factors (age, sex and race) and geographic region, the following contextual factors were associated with tuberculosis incidence rate: AIDS incidence rate [incidence rate ratio (IRR), 1.21; 95% confidence interval (CI), 1.18-1.24], unemployment rate (IRR, 1.16; 95% CI, 1.13-1.19), Gini coefficient (IRR, 1.05; 95% CI, 1.02-1.08), proportion of inmates (IRR, 1.11; 95% CI, 1.09-1.14), mean per capita household income (IRR, 0.94; 95% CI, 0.91-0.97) and primary care coverage (IRR, 0.94; 95% CI, 0.92-0.96). Inclusion of household crowding in the multivariate model led to a loss of the associations of both Gini coefficient and mean per capita household income. In conclusion, our findings suggest that income inequality and poverty, as determinants of tuberculosis incidence, can be mediated by household crowding. Moreover, prison population can represent a potential social reservoir of tuberculosis in Brazil and should be addressed as a priority for disease control. Finally, the negative association between primary health coverage and tuberculosis incidence highlights the importance of this level of care as a strategy to control this disease.
PMID
Related Publications

Demographic risk factors for injury among Hispanic and non-Hispanic white children: an ecologic analysis.

Social determinants and self-reported tuberculosis: National Research by Household Sample, metropolitan areas, Brazil.

Leprosy in Brazil and its association with characteristics of municipalities: ecological study, 2009-2011.

Impact of income inequality and other social determinants on suicide rate in Brazil.

Tuberculosis associated with household crowding in a developed country.

Authors

Mayor MeshTerms
Keywords
Journal Title plos one
Publication Year Start




PMID- 28419146
OWN - NLM
STAT- In-Process
DA  - 20170418
LR  - 20170418
IS  - 1932-6203 (Electronic)
IS  - 1932-6203 (Linking)
VI  - 12
IP  - 4
DP  - 2017
TI  - Household crowding as a potential mediator of socioeconomic determinants of
      tuberculosis incidence in Brazil.
PG  - e0176116
LID - 10.1371/journal.pone.0176116 [doi]
AB  - Although many studies have identified social conditions associated with
      tuberculosis, contextual and individual factors have rarely been analysed
      simultaneously. Consequently, we aimed to identify contextual and individual
      factors associated with tuberculosis incidence in general population in Brazil in
      2010. We also assessed whether household crowding mediates the association
      between socioeconomic determinants and tuberculosis incidence. Individual data of
      tuberculosis cases were obtained from 5,565 municipalities in Brazil in 2010
      (last year of national census), and merged with contextual variables. The
      associations were evaluated in a multilevel analysis using negative binomial
      regression. After adjusting for individual factors (age, sex and race) and
      geographic region, the following contextual factors were associated with
      tuberculosis incidence rate: AIDS incidence rate [incidence rate ratio (IRR),
      1.21; 95% confidence interval (CI), 1.18-1.24], unemployment rate (IRR, 1.16; 95%
      CI, 1.13-1.19), Gini coefficient (IRR, 1.05; 95% CI, 1.02-1.08), proportion of
      inmates (IRR, 1.11; 95% CI, 1.09-1.14), mean per capita household income (IRR,
      0.94; 95% CI, 0.91-0.97) and primary care coverage (IRR, 0.94; 95% CI,
      0.92-0.96). Inclusion of household crowding in the multivariate model led to a
      loss of the associations of both Gini coefficient and mean per capita household
      income. In conclusion, our findings suggest that income inequality and poverty,
      as determinants of tuberculosis incidence, can be mediated by household crowding.
      Moreover, prison population can represent a potential social reservoir of
      tuberculosis in Brazil and should be addressed as a priority for disease control.
      Finally, the negative association between primary health coverage and
      tuberculosis incidence highlights the importance of this level of care as a
      strategy to control this disease.
FAU - Pelissari, Daniele Maria
AU  - Pelissari DM
AD  - National Tuberculosis Program of Brazil, Ministry of Health, Brasilia, Distrito
      Federal, Brazil.
AD  - Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao
      Paulo, Sao Paulo, Brazil.
FAU - Diaz-Quijano, Fredi Alexander
AU  - Diaz-Quijano FA
AD  - Department of Epidemiology, School of Public Health, University of Sao Paulo, Sao
      Paulo, Sao Paulo, Brazil.
LA  - eng
PT  - Journal Article
DEP - 20170418
PL  - United States
TA  - PLoS One
JT  - PloS one
JID - 101285081
EDAT- 2017/04/19 06:00
MHDA- 2017/04/19 06:00
CRDT- 2017/04/19 06:00
PHST- 2016/10/02 [received]
PHST- 2017/04/05 [accepted]
AID - 10.1371/journal.pone.0176116 [doi]
AID - PONE-D-16-39350 [pii]
PST - epublish
SO  - PLoS One. 2017 Apr 18;12(4):e0176116. doi: 10.1371/journal.pone.0176116.
      eCollection 2017.

<?xml version="1.0" encoding="UTF-8"?>
<b:Sources SelectedStyle="" xmlns:b="http://schemas.openxmlformats.org/officeDocument/2006/bibliography"  xmlns="http://schemas.openxmlformats.org/officeDocument/2006/bibliography" >
</b:Sources>