Jordana de Almeida Nogueira

Spatial distribution of tuberculosis and relationship with living conditions in an urban area of Campina Grande - 2004 to 2007

This research aimed to study the spatial distribution of tuberculosis and its relationship with living conditions in the urban area of the city of Campina Grande in the period from 2004 until 2007. It is an ecologic study which used the citys neighborhood distribution; demographic, social and economic data from year 2000 census; and the new cases of tuberculosis reported to the Disease and Reporting Information System. Georeferencing was done for the cases of tuberculosis, and disease incidence was calculated by neighborhood. Rates were softened and the Global Moran Index was calculated. Social-economic data were grouped in quartiles according to the Life Condition Index, calculating the incidence of TB in each stratum of living conditions. The results showed that the spatial distribution of tuberculosis in the city is not uniform. Grouping neighborhoods according to the Life Conditions Index revealed social differences that can justify the occurrence of higher incidence rates in the most socially and economically vulnerable regions. The best living condition stratum presented a high incidence possibly due to the underreporting of the cases of tuberculosis caused mainly by the centralization of disease control services. We hope that this study may help outline control strategies for the city of Campina Grande, from the perspective of health promotion, for a disease so socially determined, as is the case of TB.

Acesso de lésbicas, gays, bissexuais e travestis/transexuais às Unidades Básicas de Saúde da Família

Objective: to understand the access of lesbians, gays, bisexuals and transvestites/transsexuals to the Basic Family Health Units. Methods: qualitative research held with 54 patients. A semi-structured interview and the free association test were used. The data were processed by the software IRaMuTeQ® and submitted to the technique of Content Analysis in the thematic modality. Results: six categories emerged: Silencing regarding sexual orientation and gender identity – access is facilitated as they do not reveal themselves; Invisibility and indifference to legal political references - antagonism between the paradigm thought and executed; Homophobic manifestations and effects on access - restricted use of the service; Embarrassment and distancing - removal and search for private services; Des (humanized) and unethical practices - lack of awareness, secrecy; and Stigma and access - permanence of stigmata between Acquired Immunodeficiency Syndrome and homosexuality. Conclusion: the access to health services is limited with intolerance, constraints, exclusionary and aerial positions.