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Public Health ; 233: 149-156, 2024 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-38897067

RESUMO

OBJECTIVES: The aim of this study was to analyse the spatial patterns and factors associated with the incidence of tuberculosis-diabetes (TB-DM) in Brazil, from 2001 to 2019. STUDY DESIGN: Ecological study. METHODS: Brazilian municipalities were used as the units of analysis. The local empirical Bayesian rate and the spatial autocorrelation test were calculated. Moran and Getis-Ord Gi∗ were used to identify spatial clusters, and spatially weighted regression was conducted. RESULTS: In total, 75,021 new cases of TB associated with DM were reported in Brazil during the study period. Most Brazilian municipalities had an average TB-DM incidence of 1.0-2.0/100,000 inhabitants. The regression showed that the Gini index (ß = 0.85) and family health strategy coverage (ß = -0.26) were the two indicators that had the most influence on TB-DM incidence in Brazil. CONCLUSIONS: This study identified spatial clusters of TB-DM in Brazil. The results also indicated that social inequalities played a key role in the incidence of TB.


Assuntos
Diabetes Mellitus , Análise Espacial , Tuberculose , Humanos , Brasil/epidemiologia , Incidência , Tuberculose/epidemiologia , Diabetes Mellitus/epidemiologia , Fatores Socioeconômicos , Teorema de Bayes , Fatores de Risco , Masculino , Feminino
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