Abstract
In Argentina, approximately 9,000 new cases of tuberculosis (TB) are recorded every year, representing an incidence rate of 22 cases per 100,000 inhabitants. There are no reported studies in Argentina examining the factors that influence the unequal distribution of the disease. The aim of the study was to identify the relationship between the distribution of social and economic factors and TB in Argentina between 2008 and 2012. An ecologic study involving 525 departmental jurisdictions was conducted. Simple linear regression analysis was performed, followed by multiple linear regression for each group of determinants. A final model of determinants of TB's incidence was constructed from a model of multiple linear regression. The following determinants explain 43% of the variability of TB's incidence rate among different jurisdictions: overcrowding, proportion of households with a sewage network, proportion of examined patients with respiratory symptoms and proportion of patients who discontinued treatment. This study makes an important contribution to a better understanding of the factors influencing the TB occurrence in Argentina, which is the result of a multidimensional and complex process. Thesefactors make part of this disease's social determination. TB incidence is associated with different determinants, from multiple levels. Inequalities in its distribution in Argentina are driven by the unequal distribution of key social determinants.
Highlights
There is considerable evidence in the literature that the health status of individuals and populations is often influenced by social factors and by access and use of health services, as well as by factors outside the health sector, including social, economic, political, and environmental[1]
SLR analysis revealed a statistically significant association (p < 0.05) between TB incidence rate and Unsatisfied Basic Needs Index (UBNI), corresponding to the level 1 variables (Table 1). This means that those departments with a higher proportion of UBNI had a higher TB incidence rate
This study found that TB incidence is associated with the proportion of the population subject to overcrowding, the proportion of households with a waste disposal through sewage network, the proportion of respiratory symptomatic patients examined, and the proportion of patients who discontinued treatment
Summary
There is considerable evidence in the literature that the health status of individuals and populations is often influenced by social factors and by access and use of health services, as well as by factors outside the health sector, including social, economic, political, and environmental[1]. In Argentina, approximately 9,000 new cases of tuberculosis (TB) are recorded every year, representing an incidence rate of 22 cases per 100,000 inhabitants. There are no reported studies in Argentina examining the factors that influence the unequal distribution of the disease. Discussion: This study makes an important contribution to a better understanding of the factors influencing the TB occurrence in Argentina, which is the result of a multidimensional and complex process. These factors make part of this disease’s social determination.
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Schedule a callMore From: Revista brasileira de epidemiologia = Brazilian journal of epidemiology
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