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dc.contributor.authorViana, Paulo Victor de Sousa-
dc.contributor.authorGonçalves, Maria Jacirema Ferreira-
dc.contributor.authorBasta, Paulo Cesar-
dc.identifier.citationVIANA, Paulo Victor de Sousa; GONÇALVES, Maria Jacirema Ferreira; BASTA, Paulo Cesar. Ethnic and racial inequalities in notified cases of Tuberculosis in Brazil. PLoS ONE, v. 11, n. 5, p. 1-16, 13 May 2016.en_US
dc.publisherPublic Library of Scienceen_US
dc.rightsopen accessen_US
dc.subject.otherDoenças Infecciosasen_US
dc.subject.otherRegião Norteen_US
dc.subject.otherRegião Sudesteen_US
dc.titleEthnic and racial inequalities in notified cases of Tuberculosis in Brazilen_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Centro de Referência Professor Hélio Fraga. Rio de Janeiro, RJ, Brasil / Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Instituto Leônidas e Maria Deane. Manaus, AM, Brasil / Universidade Federal do Amazonas. Escola de Enfermagem de Manaus. Manaus, AM, Brasil.en_US
dc.creator.affilliationFundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Rio de Janeiro, RJ, Brasil.en_US
dc.description.abstractenObjective: This study analysed clinical and sociodemographic aspects and follow-up for notified cases of tuberculosis (TB) and explored inequalities in incidence rates and outcome by colour or race and the geographic macro-regions of Brazil. Methods: This paper reports the results of a population-based descriptive epidemiological study of all notified cases of TB in Brazil during the period from 01/01/2008 to 31/12/2011. We analysed sociodemographic and clinical variables according to colour or race (white, black, Asian, mixed, and indigenous) and geographic macro-regions of the country (North, Northeast, Central-West, South, and Southeast). Results: During the study period, the average incidence of TB in Brazil was 36.7 cases per 100,000 inhabitants, with the highest rates occurring in the North and Southeast regions. The analysis of TB notifications by colour or race revealed that the indigenous population presented the highest incidence rates in all macro-regions except the South, where higher rates were reported in black patients. ‘Cured’ was the most frequently reported treatment outcome for all skin colour categories. The highest cure rate occurred among the indigenous population (76.8%), while the lowest cure rate occurred among the black population (70.7%). Rates of treatment default were highest among blacks (10.5%) and lowest among the indigenous population (6.9%). However, the fatality rate was similar across race categories, varying between 2.8% and 3.8% for whites and the indigenous population, respectively. The lowest cure rates were observed when follow-up was inadequate (58.3%), and the highest was observed when the follow-up was classified as excellent (96.8%). Conclusions: This study revealed that—apart from the heterogeneous distribution of TB among the Brazilian macro-regions—ethnic-racial inequalities exist in terms of clinical-epidemiological characteristics and incidence rates as well as follow-up for cases undergoing treatment. The highest rates of TB occurred among the indigenous people.en_US
dc.subject.decsÍndios Sul-Americanosen_US
dc.subject.decsSaúde de Populações Indígenasen_US
dc.subject.decsDoenças Transmissíveisen_US
dc.subject.decsTuberculose / diagnósticoen_US
dc.subject.enIndigenous populationsen_US
dc.subject.enVirus testingen_US
dc.subject.enEthnic epidemiologyen_US
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