Determinantes sociales de la salud En pacientes con tuberculosis - Manizales – Colombia 2012 -2014.

Abstract

Objective:  To describe the behavior of the social determinants of health in patients with tuberculosis.  Materials and methods:  A descriptive study, based on the conceptual reference of the World Health Organization on the social determinants of health. Health and social residents of 273 patients were analyzed in Manizales circumstances during the year prior to diagnosis. The information came from the epidemiological profile, program records, national survey of social identification of beneficiaries and death certificate; the Statistical Package for the Social Sciences was used.  Results:  60% were men; average age 46,2 years +/- 19,1 years; 91,2% with urban residence; 8,4% with extreme social vulnerability; 92% had secondary education or less; 55,2% of low social status. An average of 4,38 people / housing was found; 4% were street dwellers. 93% affiliated to the health system; 80,2% with pulmonary tuberculosis; 12,8% with HIV-AIDS Association; 95,6% new income patients; they exited the program 33,7% cured; 39,9% completed; Failure or neglect 8,4% and 13,9% died. The incidence in the districts ranged between 0,9 and 4,4 per 10 000 people/year.  Conclusions:  The presence and persistence of tuberculosis is related to the material conditions of life of social classes. Several authors have found social gradients related to tuberculosis. People with TB of Manizales have in common various social determinants and are socially categorized influencing mortality, incidence and lethality; It is necessary that coordination coming from various sectors  strengthen research on the social determinants of health.