Determinants of tuberculosis in countries of Latin America and the Caribbean
MetadataShow full item record
Objectives. To explore the relationships among social, economic, environmental, and health services determinants of tuberculosis (TB) morbidity and mortality, and to identify the mechanisms that mediate such associations in countries of Latin America and the Caribbean (LAC). Methods. This was an ecological study of 26 LAC countries that had accurate data available on 38 selected variables for the year 2010. The countries represented 99% of the TB burden in LAC. Multivariate linear regression was used to identify associations among determinants of health and TB morbidity and mortality. Results. TB-HIV coinfection and multidrug resistant TB (MDR-TB) in previously treated cases were found to be positively associated to TB morbidity and negatively associated to improved basic sanitation and water coverage—pointing to an increase of TB morbidity in the first two variables and a decrease of TB morbidity in the last two. Regarding TB mortality, indigenous people and MDR-TB in previously treated cases were positively associated. In contrast, literacy among women, basic sanitation, water coverage, and nutritional status were negatively associated to mortality, denoting that improvements in these areas could reduce TB mortality. Conclusions. The study findings support intersectoral actions that address social, economic, environmental, and health services determinants within the Stop TB strategy. The mechanisms by which social determinants of health affect current trend outcomes extend beyond medical interventions to control TB, but more research is needed to understand how and to develop actionable recommendations.
Determinantes de la tuberculosis en los países de América Latina y el Caribe
Bergonzoli G, Castellanos LG, Rodríguez R, Garcia LM. Determinants of tuberculosis in countries of Latin America and the Caribbean. Rev Panam Salud Publica. 2016;39(2):101–5.
Showing items related by title, author, creator and subject.
Munayco, César V.; Mújica, Oscar J.; León, Francisco X.; del Granado, Mirtha; Espinal, Marcos A. (2015)Objective. To identify key social determinants of tuberculosis (TB) incidence among countries in Latin America and the Caribbean (LAC), a geographic area regarded as one of the most socioeconomically unequal in the world. ...
Sanhueza, Antonio; Calle Roldán, Jakeline; Ríos-Quituizaca, Paulina; Acuña, Maria Cecilia; Espinosa, Isabel (2017)Objective. This study set out to describe the association between the maternal mortality ratio (MMR) estimates and a set of socioeconomic indicators and compute the MMR inequalities among the provinces of Ecuador. Methods. ...
Organización Panamericana de la Salud (2009)Chronic noncommunicable diseases currently are reaching epidemic proportions in the Americas and are contributing substantially to overall mortality and disease burden in the Region. They result from complex and dynamic ...