Factors associated with deaths by tuberculosis in the state of Mato Grosso, 2011-2020: retrospective cohort study.

IF 2 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-11-11 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024V33E20231402.EN

Vanessa da Silva Lopes, Rodrigo de Macedo Couto, Alexandre Peron da Luz, Pãmela Rodrigues de Souza Silva, Jaqueline Costa Lima

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Abstract

Objective: To investigate factors associated with tuberculosis deaths in Mato Grosso state, Brazil, from 2011 to 2020.

Methods: Retrospective cohort study with data obtained from the Notifiable Health Conditions Information System and the Mortality Information System. Deaths were qualified using probabilistic linkage and analyzed using Poisson regression.

Results: 12,331 cases and 525 deaths were identified over 10 years. The factors associated with death were: age ≥60 years (RR: 7.70; 95%CI 1.91;31.04), incomplete elementary and high school education (RR: 3.66; 95%CI 1.34;9.96), illiteracy (RR: 4.50; 95%CI 1.60;12.66), homeless population (RR: 2.41; 95%CI 1.34;4.35), alcohol use (RR: 1.45; 95%CI 1.04;2.02), male sex (RR: 1.48; 95%CI 1.04;2.09) and tobacco use (RR: 1.32; 95%CI 0.98;1.77). Laboratory confirmation was a protective factor.

Conclusion: Risk of death was higher in men over 60 years old, with low education levels, in vulnerable situations, and who used alcohol/tobacco.

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2011-2020 年马托格罗索州结核病死亡的相关因素：回顾性队列研究。

目的：调查 2011-2020 年巴西马托格罗索州结核病死亡的相关因素：调查 2011 年至 2020 年巴西马托格罗索州结核病死亡的相关因素：回顾性队列研究，数据来源于应申报健康状况信息系统和死亡率信息系统。结果：12331 例病例和 525 例死亡病例均为肺结核：结果：10 年间共发现 12 331 例病例和 525 例死亡病例。与死亡相关的因素有：年龄≥60 岁（RR：7.70；95%CI 1.91；31.04）、未完成初高中教育（RR：3.66；95%CI 1.34；9.96）、文盲（RR：4.50；95%CI 1.60；12.66）、无家可归者（RR：2.41；95%CI 1.34；4.35）、饮酒（RR：1.45；95%CI 1.04；2.02）、男性（RR：1.48；95%CI 1.04；2.09）和吸烟（RR：1.32；95%CI 0.98；1.77）。实验室确认是一个保护因素：结论：60 岁以上、受教育程度低、处境脆弱、酗酒/吸烟的男性死亡风险更高。

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