Geospatialization of tuberculosis and income transfer programs among Indigenous peoples in an endemic territory

ABSTRACT Objective: To analyze the spatial pattern of tuberculosis in Indigenous peoples from the State of Pará and its correlation with income transfer. Methods: Ecological study, with 340 cases reported in Indigenous peoples in the State of Pará, Brazil, in the period 2016-2020. The study performed a descriptive analysis and calculation of incidence rates with smoothing by the local empirical Bayesian method. The Global Moran index assessed the autocorrelation of the rates with income transfer data, p<0,05. Results: The Marajó and metropolitan mesoregions of Belém had the highest tuberculosis rates, and a reduced number of people benefited from income transfer (high-low correlation). The study identified high rates, and a significant number of people benefited from financial aid (high correlation high), I=0.399, p=0.027 in the Southwest. Conclusions: The spatial autocorrelation between tuberculosis and access to income transfer programs constitutes a relevant subsidy for the formulation of social protection policies and may impact the disease control actions in Indigenous territories, valuing the epidemiological heterogeneity identified in the mesoregions.

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Bibliographic Details
Main Authors: Lima,Ingrid Bentes, Nogueira,Laura Maria Vidal, Trindade,Lidiane de Nazaré Mota, Rodrigues,Ivaneide Leal Ataide, André,Suzana Rosa, Sousa,Ana Inês
Format: Digital revista
Language:English
Published: Associação Brasileira de Enfermagem 2023
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672023000400150
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