title: [Spatial and temporal distribution of tuberculosis in indigenous and non-indigenous of Rondônia State, Western Amazon, Brazil].
abstract: This study analyzed the spatial and temporal distribution of crude and adjusted rates of incidence of tuberculosis (TB) between 1997 and 2006, identifying areas of greatest risk to the indigenous and non-indigenous population of Rondônia State, Brazil. An ecological study was conducted analyzing municipalities and Indian reserves, using the local empirical Bayesian method. The crude average rate of incidence of TB among the non-indigenous population was 35.6/100,000 inhabitants, while for the indigenous population it was 415.0/100,000. Rates greater than 600/100,000 were reported in the Karipuna, Sete de Setembro, Igarapé, Ribeirão and Karitiana reserves. We observed a greater number of cases in under 15 year-olds with little schooling in contrast to the situation in the non-indigenous population. After making adjustments, the rates in some Indian reserves exceeded 240/100,000 inhabitants, while in coinciding municipalities incidence was between the range of 61-120/100,000. The Bayesian method led to decreased overall heterogeneity in rates. Evidence suggests that the indigenous population is more vulnerable to contracting TB and highlighted areas that require further attention to ensure the adequate control of TB in Rondônia.
authors.affiliation: Programa Nacional de Controle da Tuberculose, Ministério da Saúde, Brasília, Brasil.
authors.forename: Tatiana Eustáquia Magalhães de Pinho
authors.initials: TE
authors.lastname: Melo
authors.forename: Ana Paula da Costa
authors.initials: AP
authors.lastname: Resendes
authors.forename: Reinaldo
authors.initials: R
authors.lastname: Souza-Santos
authors.forename: Paulo Cesar
authors.initials: PC
authors.lastname: Basta
mesh_terms: D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D001499:Bayes Theorem; D001938:Brazil / Q000453:epidemiology; D002648:Child; D002675:Child, Preschool; D018563:Disease Notification / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D015994:Incidence; D007199:Indians, South American / Q000706:statistics & numerical data*; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008875:Middle Aged; D017678:Sex Distribution; D012959:Socioeconomic Factors; D013029:Space-Time Clustering; D013997:Time Factors; D014376:Tuberculosis / Q000453:epidemiology*; D055815:Young Adult