Spatial risk of tuberculosis mortality and social vulnerability in Northeast Brazil

Rev Soc Bras Med Trop. 2017 Sep-Oct;50(5):693-697. doi: 10.1590/0037-8682-0160-2017.

Abstract

Introduction: Tuberculosis (TB) is the most common infectious disease in the world. We aimed to analyze the spatial risk of tuberculosis mortality and to verify associations in high-risk areas with social vulnerability.

Methods: This was an ecological study. The scan statistic was used to detect areas at risk, and the Bivariate Moran Index was used to verify relationships between variables.

Results: High-risk areas of tuberculosis mortality were statistically significantly associated with domain 2 of the Social Vulnerability Index (I=0.010; p=0.001).

Conclusions: This study provides evidence regarding areas with high risk and that vulnerability is a determinant of TB mortality.

MeSH terms

  • Adolescent
  • Adult
  • Age Distribution
  • Brazil / epidemiology
  • Child
  • Child, Preschool
  • Demography
  • Female
  • Geographic Information Systems
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Risk Assessment / methods
  • Risk Factors
  • Sex Distribution
  • Socioeconomic Factors
  • Spatial Analysis
  • Tuberculosis / etiology*
  • Tuberculosis / mortality*
  • Vulnerable Populations / statistics & numerical data*
  • Young Adult