Show simple item record

dc.contributor.authorBergonzoli, Gustavo
dc.contributor.authorCastellanos, Luis G.
dc.contributor.authorRodríguez, Rodolfo
dc.contributor.authorGarcia, Lina María
dc.date.accessioned2016
dc.date.available2016
dc.date.issued2016
dc.identifier.citationBergonzoli 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.en_US
dc.identifier.urihttps://iris.paho.org/handle/10665.2/28221
dc.description.abstractObjectives. 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.en_US
dc.language.isoenes_ES
dc.relation.ispartofseriesRev Panam Salud Publica;39(2),feb. 2016es_ES
dc.subjectTuberculosises_ES
dc.subjectSocial Determinants of Healthes_ES
dc.subjectHealth Inequalitiesen_US
dc.subjectLinear Modelses_ES
dc.subjectLatin Americaes_ES
dc.subjectCaribbean Regiones_ES
dc.subjectDeterminantes Sociales de la Saludes_ES
dc.subjectDesigualdades en la Saludes_ES
dc.subjectModelos Linealeses_ES
dc.subjectAmérica Latinaes_ES
dc.subjectRegión del Caribees_ES
dc.titleDeterminants of tuberculosis in countries of Latin America and the Caribbeanen_US
dc.title.alternativeDeterminantes de la tuberculosis en los países de América Latina y el Caribees_ES
dc.typeJournal articlesen_US
dc.rights.holderPan American Health Organizationen_US
paho.articletypeOriginal researches_ES
paho.source.centercodeUS1.1es_ES


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record