Analysis of the seasonality of tuberculosis in Brazilian capitals and the Federal District from 2001 to 2019

被引:1
作者
Paz, Leidijany Costa [1 ,2 ]
Portela Barcena Saavedra, Cayan Atreio [3 ]
Braga, Jose Ueleres [4 ,5 ]
Kimura, Herbert [3 ]
Nantua Evangelista, Maria do Socorro [2 ]
机构
[1] Secretaria Estado Saude Dist Fed, Ctr Especializado Doencas Infecciosas, EQS 508-509 Sul,W3 Sul, BR-70351580 Brasilia, DF, Brazil
[2] Univ Brasilia, Fac Ciencias Saude, Brasilia, DF, Brazil
[3] Univ Brasilia, Fac Econ Adm Contabilidade & Gestao Polit Publ, Brasilia, DF, Brazil
[4] Fundacao Oswaldo Cruz, Escola Nacl Saude Publ Sergio Arouca, Rio De Janeiro, Brazil
[5] Univ Estado Rio de Janeiro, Inst Med Social, Rio De Janeiro, Brazil
来源
CADERNOS DE SAUDE PUBLICA | 2022年 / 38卷 / 07期
关键词
Tuberculosis; Seasons; Climate; Time Series Studies; STATES;
D O I
10.1590/0102-311XPT291321
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
The literature has few studies on the seasonality of tuberculosis (TB) in the southern hemisphere, entailing the fill of this knowledge gap. This study aims to analyze whether TB incidence in Brazilian capitals and the Federal District is seasonal. This is an ecological study of a time series (2001-2019) of TB cases, conducted with 26 capitals and the Federal District. The Ministry of Health database, with 516,524 TB cases, was used. Capitals and the Federal District were divided into five groups based on social indicators, disease burden, and the Koppen climate classification. The seasonal variation of TB notifications and group amplitude were evaluated. We found TB seasonality in Brazil with a 1% significance in all capital groups (Stability assumption and Krusall-Wallis tests, p < 0.01). In the combined seasonality test, capital groups A, D, and E showed seasonality, whereas groups B and C, its probability. Our findings showed that health service supply and/or demand - rather than climate - may be the most relevant underlying factor in TB seasonality. It is challenging to raise the other seasonal factors underlying TB seasonality in tropical regions in the Southern Hemisphere.
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页数:13
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