Spatial analysis of the tuberculosis treatment dropout, Buenos Aires, Argentina.
OBJECTIVE Identify spatial distribution patterns of the proportion of nonadherence to tuberculosis treatment and its associated factors. METHODS We conducted an ecological study based on secondary and primary data from municipalities of the metropolitan area of Buenos Aires, Argentina. An exploratory analysis of the characteristics of the area and the distributions of the cases included in the sample (proportion of nonadherence) was also carried out along with a multifactor analysis by linear regression. The variables related to the characteristics of the population, residences and families were analyzed. RESULTS Areas with higher proportion of the population without social security benefits (p = 0.007) and of households with unsatisfied basic needs had a higher risk of nonadherence (p = 0.032). In addition, the proportion of nonadherence was higher in areas with the highest proportion of households with no public transportation within 300 meters (p = 0.070). CONCLUSIONS We found a risk area for the nonadherence to treatment characterized by a population living in poverty, with precarious jobs and difficult access to public transportation.
Área de Relaciones Internacionales, Facultad Latinoamericana de Ciencias Sociales, Buenos Aires, Argentina.
María Belén
MB
Herrero
Área Salud, Economía y Sociedad, Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
Silvina
S
Arrossi
Área Salud, Economía y Sociedad, Centro de Estudios de Estado y Sociedad, Buenos Aires, Argentina.
Silvina
S
Ramos
Departamento de Epidemiologia e Métodos Quantitativos, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, RJ, Brasil.
Jose Ueleres
JU
Braga
D000293:Adolescent; D000328:Adult; D001118:Argentina / Q000453:epidemiology; D006297:Health Services Accessibility; D006801:Humans; D008875:Middle Aged; D010352:Patient Dropouts / Q000706:statistics & numerical data*; D062206:Spatial Analysis; D014186:Transportation / Q000706:statistics & numerical data; D014376:Tuberculosis / Q000188:drug therapy*; D014505:Urban Population; D055815:Young Adult