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Socio-demographic and clinical factors of leprosy cases associated with the performance of the evaluation of their contacts in Ceará, Brazil, 2008-2019 / Factores sociodemográficos y clínicos de los casos de lepra asociados con el desempeño de la evaluación de sus contactos en Ceará, Brasil, 2008-2019 / Fatores sociodemográficos e clínicos de casos de hanseníase associados ao desempenho da avaliação de seus contatos no Ceará, 2008-2019
Preprint
in Portuguese
| SciELO Preprints
| ID: pps-2426
Responsible library:
BR1.1
ABSTRACT
Objective:
To analyze the association between sociodemographic and clinical characteristics of new cases (NC) of leprosy as determinants in the performance of contact assessment.Methods:
A cross-sectional study with temporal approach of the 100% examined contacts assessment indicator of each NC registered in the State of Ceará, Brazil, via the Notification Information System, 2008-2019. Logistic regression was undertaken to estimate the odds ratio (OR) with 95% confidence intervals (95%CI). The time trend was based on Joinpoint regression.Results:
23,675 NC of leprosy were analysed, 65.4% with examined contacts. There was a greater chance of not evaluating of 100% of registered contacts when the NC was multibacillar (OR=1.19 95%CI 1.11;1.28), and with contact examination as entry mode (OR=1.71 95%CI 1.35;2.18). An increasing time trend of the indicator was verified (annual percentage change 2.1 (95%CI 1.2;3.0).Conclusion:
Different dimensions of individual and social vulnerability of new cases of leprosy in Ceará influence the persistent unsatisfactory performance of the evaluation of their contacts.RESUMO
Objetivo:
Analisar o efeito de características sociodemográficas e clínicas de casos novos (CN) de hanseníase como determinantes no desempenho da avaliação dos contatos.Métodos:
Estudo transversal, com abordagem temporal do indicador de avaliação de 100% dos contatos examinados de CNs registrados no Ceará, Brasil, via Sistema de Informação de Agravos de Notificação, em 2008-2019. Empregou-se regressão logística para estimar razão de chances (OR) com intervalos de confiança de 95% (IC95%). A tendência temporal baseou-se em regressão joinpoint.Resultados:
Analisou-se 23.675 CNs, 65,4% com contatos examinados. Verificou-se maior chance para não avaliação de 100% dos contatos registrados com CN multibacilar (OR=1,19 IC95% 1,11;1,28) e com exame de contatos como modo de entrada (OR=1,71 IC95% 1,35;2,18). A tendência temporal do indicador foi de aumento (variação percentual anual 2,1 IC95% 1,2;3,0).Conclusão:
Dimensões distintas de vulnerabilidade individual e social de CNs de hanseníase influenciam o persistente desempenho insatisfatório da avaliação de contatos.
Full text:
Available
Collection:
Preprints
Health context:
Sustainable Health Agenda for the Americas
/
Neglected Diseases
Health problem:
Goal 6: Information systems for health
/
Leprosy
/
Neglected Diseases
Database:
SciELO Preprints
Type of study:
Observational study
/
Prevalence study
/
Risk factors
Country/Region as subject:
South America
/
Brazil
Language:
Portuguese
Year:
2021
Document type:
Preprint
