Trends in tuberculosis and inequality-adjusted Human Development Index in Brazil, 2018-2022.

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES Journal of Public Health Policy Pub Date : 2024-12-22 DOI:10.1057/s41271-024-00543-9
Dennis Minoru Fujita, Roberto Fioravante Alvarenga, Heitor Franco de Andrade
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Abstract

Tuberculosis (TB) remains a significant global health concern, causing 1.5 million deaths annually. We conducted an ecological analysis to examine TB prevalence in Brazil from 2018 to 2022, focusing on its relationship with the Human Development Index (HDI) and its inequality-adjusted version HDI (IHDI). We determined significant correlation between HDI and TB prevalence for the period of 2018-2021 (P = 0.044 in 2018, P = 0.041 in 2019, P = 0.044 in 2020, and P = 0.043 in 2021). However, an unexpected rise in TB cases in 2022, despite an increase in HDI, disrupted this trend (P = 0.12), indicating additional influencing factors. The IHDI showed correlation with TB prevalence, underscoring the importance of addressing socio-economic inequalities. These findings suggest the need for targeted interventions, particularly for vulnerable populations.

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2018-2022年巴西结核病趋势和不平等调整人类发展指数
结核病仍然是一个重大的全球卫生问题,每年造成150万人死亡。我们进行了一项生态分析,以检查2018年至2022年巴西的结核病患病率,重点关注其与人类发展指数(HDI)及其不平等调整版HDI (IHDI)的关系。我们确定2018-2021年期间HDI与结核病患病率之间存在显著相关性(2018年P = 0.044, 2019年P = 0.041, 2020年P = 0.044, 2021年P = 0.043)。然而,尽管人类发展指数有所提高,但2022年结核病病例的意外增加打破了这一趋势(P = 0.12),表明存在其他影响因素。IHDI显示了与结核病流行的相关性,强调了解决社会经济不平等问题的重要性。这些发现表明,需要采取有针对性的干预措施,特别是针对弱势群体。
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来源期刊
Journal of Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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