title: [Social determinants and self-reported tuberculosis: National Research by Household Sample, metropolitan areas, Brazil].
abstract: OBJECTIVE
  To verify the association between individual demographic and socioeconomic variables and the incidence of self-reported tuberculosis in Brazil.
  
  
  METHODS
  This cross-sectional study used data from the health supplement of the 2008 National Research by Household Sample (PNAD) for Brazil's metropolitan areas. An analysis was done of the association between demographic, social, and health service use variables and the odds of having been diagnosed with tuberculosis, according to data from PNAD. Socioeconomic status was assessed based on per capita household income, educational attainment, race, and number of persons per bedroom. Having a place of reference for health care and having health insurance were used as proxy for access to health care, and having been to a doctor in the previous 12 months was used as a variable of health service use. Due to the complex sample design of PNAD, logistic regression was used, taking into account the design effect.
  
  
  RESULTS
  The odds of being diagnosed with tuberculosis increased with age and were greater among men. Within the nine metropolitan areas, the effect of income was observed starting at half the minimum wage, with odds decreasing as income increased. Not having seen a doctor in the previous year and having finished high school reduced the odds of reporting tuberculosis by 60%.
  
  
  CONCLUSIONS
  Improving the living conditions of vulnerable population segments and facilitating their access to diagnosis should be primary strategies for controlling tuberculosis.
authors.affiliation: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, rejane@iesc.ufrj.br.
authors.forename: Rejane Sobrino
authors.initials: RS
authors.lastname: Pinheiro
authors.affiliation: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, rejane@iesc.ufrj.br.
authors.forename: Gisele Pinto
authors.initials: GP
authors.lastname: de Oliveira
authors.affiliation: Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Evangelina Xavier Gouveia
authors.initials: EX
authors.lastname: Oliveira
authors.affiliation: Departamento de Epidemiologia e Métodos Quantitativos em Saúde, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Enirtes Caetano Prates
authors.initials: EC
authors.lastname: Melo
authors.affiliation: Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brasil, rejane@iesc.ufrj.br.
authors.forename: Cláudia Medina
authors.initials: CM
authors.lastname: Coeli
authors.affiliation: Programa de Computação Científica, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
authors.forename: Marilia Sá
authors.initials: MS
authors.lastname: Carvalho
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001938:Brazil; D003430:Cross-Sectional Studies; D004522:Educational Status; D005191:Family Characteristics; D005260:Female; D006268:Health Facilities / Q000706:statistics & numerical data; D054624:Health Status Disparities; D006306:Health Surveys; D054625:Healthcare Disparities; D006801:Humans; D015994:Incidence; D007182:Income / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D008962:Models, Theoretical; D012494:Sampling Studies; D057566:Self Report; D012923:Social Class; D012924:Social Conditions / Q000191:economics / Q000706:statistics & numerical data; D064890:Social Determinants of Health / Q000706:statistics & numerical data; D014376:Tuberculosis / Q000175:diagnosis / Q000191:economics / Q000453:epidemiology*; D014505:Urban Population / Q000706:statistics & numerical data*; D035862:Vulnerable Populations; D055815:Young Adult