title: The Socioeconomic Factors and the Indigenous Component of Tuberculosis in Amazonas.
abstract: Despite the availability of tuberculosis prevention and control services throughout Amazonas, high rates of morbidity and mortality from tuberculosis remain in the region. Knowledge of the social determinants of tuberculosis in Amazonas is important for the establishment of public policies and the planning of effective preventive and control measures for the disease. To analyze the relationship of the spatial distribution of the incidence of tuberculosis in municipalities and regions of Amazonas to the socioeconomic factors and indigenous tuberculosis component, from 2007 to 2013. An ecological study was conducted based on secondary data from the epidemiological surveillance of tuberculosis. A linear regression model was used to analyze the relationship of the annual incidence of tuberculosis to the socioeconomic factors, performance indicators of health services, and indigenous tuberculosis component. The distribution of the incidence of tuberculosis in the municipalities of Amazonas was positively associated with the Gini index and the population attributable fraction of tuberculosis in the indigenous peoples, but negatively associated with the proportion of the poor and the unemployment rate. The spatial distribution of tuberculosis in the different regions of Amazonas was heterogeneous and closely related with the socioeconomic factors and indigenous component of tuberculosis.
authors.affiliation: Health Surveillance Foundation of Amazonas State, Manaus, Brazil.|Sergio Arouca National School of Public Health, FIOCRUZ, Rio de Janeiro, Brazil.
authors.forename: Daniel Barros de
authors.initials: DB
authors.lastname: Castro
authors.affiliation: Health Surveillance Foundation of Amazonas State, Manaus, Brazil.
authors.forename: Rosemary Costa
authors.initials: RC
authors.lastname: Pinto
authors.affiliation: Health Surveillance Foundation of Amazonas State, Manaus, Brazil.
authors.forename: Bernardino Cláudio de
authors.initials: BC
authors.lastname: Albuquerque
authors.affiliation: Health Surveillance Foundation of Amazonas State, Manaus, Brazil.
authors.forename: Megumi
authors.initials: M
authors.lastname: Sadahiro
authors.affiliation: Sergio Arouca National School of Public Health, FIOCRUZ, Rio de Janeiro, Brazil.|Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil.|PVS PECTI-SAÚDE/Research Foundation of the State of Amazonas, Manaus, Brazil.
authors.forename: José Ueleres
authors.initials: JU
authors.lastname: Braga
mesh_terms: D001938:Brazil / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D007199:Indians, South American; D044382:Population Groups; D012959:Socioeconomic Factors; D014376:Tuberculosis / Q000208:ethnology*; D014478:Unemployment