Leprosy and gender in Brazil: trends in an endemic area of the Northeast region, 2001-2014

Revista de saúde pública
Eliana Amorim de SouzaAlberto Novaes Ramos

Abstract

OBJECTIVE To analyze, stratifield by gender, trends of the new case leprosy detection rates in the general population and in children; of grade 2 disability, and of proportion of multibacillary cases, in the state of Bahia, Brazil from 2001 to 2014. METHODS A time series study based on leprosy data from the National Information System for Notifiable Diseases. The time trend analysis included Poisson regression models by infection points (Joinpoint) stratified by gender. RESULTS There was a total of 40,054 new leprosy cases with a downward trend of the overall detection rate (Average Annual Percent Change [AAPC = -0.4, 95%CI -2.8-1.9] and a non-significant increase in children under 15 years (AAPC = 0.2, 95%CI -3.9-4.5). The proportion of grade 2 disability among new cases increased significantly (AAPC = 4.0, 95%CI 1.3-6.8), as well as the proportion of multibacillary cases (AAPC = 2.2, 95%CI 0.1-4.3). Stratification by gender showed a downward trend of detection rates in females and no significant change in males; in females, there was a more pronounced upward trend of the proportion of multibacillary and grade 2 disability cases. CONCLUSIONS Leprosy is still highly endemic in the state of Bahia, with active transmission, late ...Continue Reading

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Citations

Jul 17, 2018·PLoS Neglected Tropical Diseases·Marcos Túlio RaposoMaria Ines Battistella Nemes
Sep 12, 2019·Cadernos de saúde pública·Eliana Amorim de SouzaAlberto Novaes Ramos
Sep 19, 2019·Revista brasileira de enfermagem·Thayza Miranda PereiraOlga Maria de Alencar
May 26, 2020·Infectious Diseases of Poverty·Aleksandra Rosendo Dos SantosEliane Ignotti
Oct 1, 2020·Ciência & saúde coletiva·Camila Rodrigues da SilvaIsabela Jubé Wastoswki
Oct 3, 2018·Tropical Medicine and Infectious Disease·Eliana Amorim de SouzaAlberto Novaes Ramos
Oct 10, 2019·Cadernos de saúde pública·Adriana da Silva Dos ReisAlberto Novaes Ramos
Oct 8, 2020·Revista Do Instituto De Medicina Tropical De São Paulo·Cristiano Soares da SilvaAna Luiza Bierrenbach
Oct 8, 2020·Cadernos de saúde pública·Olívia Dias de AraújoAlberto Novaes Ramos
Jan 1, 2020·Anais Brasileiros De Dermatologia·Carlos Dornels Freire de SouzaClódis Maria Tavares

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Software Mentioned

Joinpoint Regression
Tabwin

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