Maria Jacirema Ferreira Gonçalves

Fatores sociais e ambientais associados à hospitalização de pacientes com tuberculose

Objetivo: identificar los factores sociales y ambientales asociados con la hospitalizacion de de los pacientes con tuberculosis (TB) en Manaus, Amazonas, durante el ano 2010. Metodos: se trata de un analisis cuantitativo de corte transversal estudio epidemiologico, con la recoleccion de datos primarios y el analisis de virus de la inmunodeficiencia humana (VIH), en estado seropositivo. Resultados: Entre los factores sociales para la TB-VIH-SIDA, la asociacion entre el consumo de alcohol y la dependencia fue significativa para los trabajadores empleados, entre los no co-infectados, la relacion entre ingresos inferiores a un salario minimo (EE.UU.

Organização do cuidado às condições crônicas por equipes de Saúde da Família na Amazônia

200) y los jubilados, Programa Bolsa Familia [Asignacion Familiar] / otras prestaciones sociales fue significativa. En cuanto a los factores ambientales, la asociacion fue significativa para TB-VIH-SIDA entre las personas que no tenian casa, que tenian una vivienda de mamposteria y que habia recoleccion de basura diariamente, y entre los no-co-infectados, ser dueno de su propia casa, sin viviendas de mamposteria y la falta de recoleccion de basura diaria fue significativa.Conclusion: Los resultados indicaron que no solo los factores sociales, sino tambien los ambientales estan asociados a la hospitalizacion de los pacientes con tuberculosis, y estas asociaciones difieren de acuerdo con la correlacion TB-VIH-SIDA.Descriptores: Tuberculosis; Hospitalizacion; Factores Epidemiologicos; Coinfeccion.OBJECTIVEnto identify social and environmental factors associated with hospitalization of tuberculosis (TB) patients in Manaus, Amazonas, during 2010.nnnMETHODSnthis is a quantitative cross-sectional epidemiological study, with primary data collection and analysis of human immunodeficiency virus (HIV), based on seropositive status.nnnRESULTSnAmong social factors for TB-HIV co-infection, the association between alcohol use and dependence was significant for employed workers; among non-co-infections, the association between income less than one minimum wage (U.S.

Social and environmental factors associated with the hospitalization of tuberculosis patients

200) and retired people, Bolsa Família Program [Family Allowance]/other social benefits was significant. Regarding environmental factors, the association was significant for TB-HIV co-infection among those not having their own house, having masonry housing and daily garbage collection; and among non-co-infection, owning their own house, no masonry housing and lack of daily garbage collection was significant.nnnCONCLUSIONnThe findings indicated that not only social factors, but also environmental ones are associated with hospitalization of tuberculosis patients, and such associations differ according to TB-HIV co-infection. Findings revealed that the non-biological factors associated with hospitalization of tuberculosis patients should be considered when caring patients with this disease.

Changes in the epidemiology of visceral leishmaniasis in Brazil from 2001 to 2014

Este estudo tem por objetivo descrever a organizacao do cuidado especialmente direcionado a condicoes cronicas por equipes da Estrategia Saude Familia no estado do Amazonas e regiao Amazonica, Brasil. Trata-se de pesquisa avaliativa baseada em observacao em unidades basicas de saude e entrevistas com profissionais. Os resultados indicam alta rotatividade de profissionais, baixa disponibilidade de insumos indispensaveis ao atendimento; organizacao fragmentaria do cuidado; limitado uso de protocolos, planejamento e programacao baseados em criterios de risco e vulnerabilidade. A situacao reflete-se em falta de longitunidalidade e integralidade do cuidado, pautado em demanda espontânea e voltado as queixas clinicas.

Avaliação do programa de controle da tuberculose em cenário Amazônico: desafios em Coari

Objetivo: identificar los factores sociales y ambientales asociados con la hospitalizacion de de los pacientes con tuberculosis (TB) en Manaus, Amazonas, durante el ano 2010. Metodos: se trata de un analisis cuantitativo de corte transversal estudio epidemiologico, con la recoleccion de datos primarios y el analisis de virus de la inmunodeficiencia humana (VIH), en estado seropositivo. Resultados: Entre los factores sociales para la TB-VIH-SIDA, la asociacion entre el consumo de alcohol y la dependencia fue significativa para los trabajadores empleados, entre los no co-infectados, la relacion entre ingresos inferiores a un salario minimo (EE.UU.

Caracterização da estratégia saúde da família no estado do Amazonas, Brasil: análise da implantação e impacto

200) y los jubilados, Programa Bolsa Familia [Asignacion Familiar] / otras prestaciones sociales fue significativa. En cuanto a los factores ambientales, la asociacion fue significativa para TB-VIH-SIDA entre las personas que no tenian casa, que tenian una vivienda de mamposteria y que habia recoleccion de basura diariamente, y entre los no-co-infectados, ser dueno de su propia casa, sin viviendas de mamposteria y la falta de recoleccion de basura diaria fue significativa.Conclusion: Los resultados indicaron que no solo los factores sociales, sino tambien los ambientales estan asociados a la hospitalizacion de los pacientes con tuberculosis, y estas asociaciones difieren de acuerdo con la correlacion TB-VIH-SIDA.Descriptores: Tuberculosis; Hospitalizacion; Factores Epidemiologicos; Coinfeccion.OBJECTIVEnto identify social and environmental factors associated with hospitalization of tuberculosis (TB) patients in Manaus, Amazonas, during 2010.nnnMETHODSnthis is a quantitative cross-sectional epidemiological study, with primary data collection and analysis of human immunodeficiency virus (HIV), based on seropositive status.nnnRESULTSnAmong social factors for TB-HIV co-infection, the association between alcohol use and dependence was significant for employed workers; among non-co-infections, the association between income less than one minimum wage (U.S.

Factors Associated with Length of Hospital Stay among HIV Positive and HIV Negative Patients with Tuberculosis in Brazil

200) and retired people, Bolsa Família Program [Family Allowance]/other social benefits was significant. Regarding environmental factors, the association was significant for TB-HIV co-infection among those not having their own house, having masonry housing and daily garbage collection; and among non-co-infection, owning their own house, no masonry housing and lack of daily garbage collection was significant.nnnCONCLUSIONnThe findings indicated that not only social factors, but also environmental ones are associated with hospitalization of tuberculosis patients, and such associations differ according to TB-HIV co-infection. Findings revealed that the non-biological factors associated with hospitalization of tuberculosis patients should be considered when caring patients with this disease.

Ethnic and Racial Inequalities in Notified Cases of Tuberculosis in Brazil

INTRODUCTIONnVisceral leishmaniasis (VL) is a neglected disease, with territorial expansion and regional differences in Brazil that require explanation. This study aimed to describe changes in the epidemiology of VL in Brazil from 2001 to 2014.nnnMETHODSnThe incidence rates, sociodemographic and clinical data, and case evolution were subgrouped from 2001 to 2006 and from 2007 to 2014 and presented descriptively. Spatial distribution of disease incidence rates and changes in the spatial and temporal pattern were examined.nnnRESULTSnIn total, 47,859 VL cases were reported in Brazil between 2001 and 2014, with predominance in the Northeast macroregion (55%), though the incidence rate in this region declined between the two study periods. The State of Tocantins had the highest crude rate (26.2/100,000 inhabitants), which was responsible for VL increasing in the North macroregion. VL predominated in the urban zone (70%), in children under 4 years (34%); however, an increase in the incidence of VL in adults older than 40 years was identified, with 12.3% and 31% in the first and second period, respectively. The mapping of crude rates and autochthonous canine cases showed territorial expansion. The temporal distribution of VL was consistent in Brazil in general, with no pattern observed, but regional differences were found.nnnCONCLUSIONSnThe incidence of VL is increasing in Brazil. In addition to the State of Tocantins, which had the highest rate, new outbreaks of VL have occurred in the South macroregion of Brazil with small decreases identified in the incidence rate in the Northeast.

Vigilância da saúde orientada às condições de vida da população: uma revisão integrativa da literatura

This is an evaluative research, a type of study case of the context and degree of implementation of the Tuberculosis Control Program (PCT) in the city of Coari, State of Amazonas, 2001-2008. Research techniques combined quantitative and qualitative approaches, using a logical model and a judgment matrix. The quantitative component used data from the Information System for Notifiable Diseases and Population Data from the Department of the Brazilian National Health System. The variables assessed were age, sex, clinical form, origin area, type of entry, diagnostic and outcome. For population there were calculated geometric interpolation, by age, gender and residence (urban or rural). The qualitative component combined techniques and sources: documentary research and observation and interview. The logical model led to the understanding of the structure, process and outcome of the PCT, and with the judgment matrix we identified the degree of implementation. The mean tuberculosis incidence was 27 cases per 100.000 inhabitants in urban area, and 9.4 per 100,000 in rural area, with a male / female ratio of 1.6. The external context assessment, surveillance and operation of the PCT showed intermediate degree of implementation. In the organizational context, the physical structure of the Health Units, human resources and effectiveness, the result was incipient. In general, the level of implementation was intermediate. Oscillations in notifications and annual rates of incidence indicate serious difficulties in the actions of the tuberculosis control. These difficulties are also associated with non-compliance with the goals of the PCT, disconnection between the PCT and the primary health care and absence of health care polices for the interior population.

Relationship between alcohol drinking and arterial hypertension in indigenous people of the Mura ethnics, Brazil

This article focuses on the implementation of the Family Health Program (FHP) in municipalities (counties) in the State of Amazonas, Brazil, analyzing potential population coverage, evidence of change in the health care model, and impact (2004 and 2008). Implementation was classified as fair versus unsatisfactory. The findings showed an increase in the number of municipalities with the FHP implemented, as well as in the programs coverage (which nevertheless was less than 50% of the population). Concerning change in the health care model, no municipalities were observed with a high rate of change. As for impact, there was a decrease in low impact and an increase in high impact. The final classification did not show a statistically significant change from one year to the next, and unsatisfactory implementation prevailed in the municipalities of the State of Amazonas. Evaluation of the FHP is not simple, since there are various factors involved in the issue. Further studies could reveal the factors that explain the programs suboptimal implementation in the State of Amazonas.