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Tuberculose e iniquidade social em saúde: uma análise ecológica utilizando técnicas estatísticas multivariadas, São Paulo, Brasil

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Date
2014
Author
Yamamura, Mellina
Santos Neto, Marcelino
Freitas, Isabela Moreira de
Rodrigues, Ludmila Barbosa Bandeira
Popolin, Marcela Paschoal
Uchoa, Severina Alice da Costa
Fronteira, Inês
Arcêncio, Ricardo Alexandre
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Abstract
OBJETIVO: Identificar os padrões dos municípios do estado de São Paulo quanto à relação da tuberculose com os indicadores de oferta e serviços de saúde, contexto e iniquidade social. MÉTODOS: Estudo ecológico que considerou os 645 municípios do estado de São Paulo e oito variáveis inseridas nas dimensões indicadores de oferta de serviços de saúde, contexto e iniquidade social. Nas análises, utilizaram-se as técnicas de agrupamento nível hierárquico, não hierárquico, de componentes principais e de geoprocessamento. RESULTADOS: A investigação mostrou cinco grupos de municípios: grupo 1 (117 municípios), com coberturas equivalentes de tratamento diretamente observado (TDO) e Estratégia Saúde da Família (ESF), coeficientes de incidência e de óbito elevados e baixo índice de desenvolvimento humano (IDH), grupo 2 (142 municípios), com baixa cobertura de TDO e ESF; grupo 3 (36 municípios), com cobertura mediana de ESF e TDO e elevados coeficientes de incidência de tuberculose, demanda do teste anti-HIV e abandono do tratamento; grupo 4 (186 municípios), com IDH abaixo dos grupos 2, 3 e 5, porém alta cobertura de ESF e os menores valores de testes anti-HIV, incidência de tuberculose e cobertura de TDO; grupo 5 (164 municípios), com condição social mais favorável do que os demais grupos, com coberturas de ESF em valores medianos e de TDO mais elevadas. As duas primeiras componentes selecionadas para o estudo - indicador de oferta de serviços de saúde em função da cobertura de TDO e indicador de iniquidade social - representaram juntas 76,96% da variância. Nos municípios com alta cobertura de TDO houve evidências de melhor organização dos serviços para o controle da tuberculose. CONCLUSÕES: Observou-se cobertura da ESF nos municípios com maior iniquidade. Porém, sem TDO, o resultado da ESF para controle da tuberculose parece não ser tão eficaz.(AU)
 
OBJECTIVE: To identify the patterns of São Paulo state municipalities, in Brazil, regarding the relationship between tuberculosis and indicators of health care services, health care service availability, context, and social inequality. METHODS: This ecological study covered all 645 municipalities of São Paulo and eight variables belonging to three dimensions: health care service availability, context, and social inequality. Data were analyzed using hierarchical and non-hierarchical clustering, principal components analysis, and geoprocessing. RESULTS: The analysis revealed five groups of municipalities: group 1 (117 municipalities), with similar directly observed treatment (DOT) and family health strategy (FHS) coverage, high tuberculosis incidence and death coefficients, and a low human development index (HDI); group 2 (142 municipalities), with low DOT and FHS coverage; group 3 (36 municipalities), with medium DOT and FHS coverage and high tuberculosis incidence, high demand for anti-HIV testing, and treatment dropout; group 4 (186 municipalities) with lower HDI as compared to groups 2, 3, and 5, but high FHS coverage and the lowest numbers of anti-HIV testing, tuberculosis incidence, and DOT coverage; and group 5 (164 municipalities), with better social conditions as compared to the other groups, medium FHS coverage, and higher DOT coverage. Together, the first two components selected for the study-health service availability in terms of DOT coverage indicator and social inequality indicator-explained 76.96% of the variance. In municipalities with high DOT coverage there was evidence of better organized tuberculosis control services. CONCLUSIONS: Municipalities with the highest social inequality had FHS coverage. However, without DOT, FHS seem less efficient to control tuberculosis.(AU)
 
Series
Rev Panam Salud Publica;35(4),abr. 2014
Subject
Análise Multivariada; Tuberculose; Iniquidade social; Brasil; Multivariate analysis; Tuberculosis; Social inequity; Brazil
URI
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000400006
https://iris.paho.org/handle/10665.2/8188
Citation
Yamamura, Mellina,Santos Neto, Marcelino,Freitas, Isabela Moreira de,Rodrigues, Ludmila Barbosa Bandeira,Popolin, Marcela Paschoal,Uchoa, Severina Alice da Costa,Fronteira, Inês,Arcêncio, Ricardo Alexandre (2014) Tuberculose e iniquidade social em saúde: uma análise ecológica utilizando técnicas estatísticas multivariadas, São Paulo, Brasil. Rev Panam Salud Publica;35(4) 270-277,abr. 2014. Retrieved from http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S1020-49892014000400006
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  • Pan American Journal of Public Health

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