Title: Desigualdade social, crescimento urbano e hanseníase em Manaus: abordagem espacial Social inequality, urban growth and leprosy in Manaus: a spatial approach
Abstract: ABSTRACT OBJECTIVE: To analyze the epidemiology of leprosy according to spatial distribution and living conditions of the population. METHODS: Ecological study based on the spatial distribution of leprosy in the municipality of Manaus, Northern Brazil, from 1998 to 2004. The 4,104 cases identifi ed in the Sistema de Informacoes de Agravos de Notifi cacao (Sinan –National Noti fi cation System) were georeferenced according to the addresses in the 1,536 urban census tracts through four different sources: postal service (73.7% of addresses found), Property Registration Program (7.3%), Family Health Program (2.1%), and Instituto Brasileiro de Geogra fi a e Estatistica (Brazilian Institute of Geography and Statistics) data sheet (1.5%). Calculation of detection coeffi cient was performed based on the 2001 population. Local empirical Bayesian method was used for the spatial distribution analysis, in order to estimate leprosy risk, making rate variation shorter when they were calculated for small areas. Logistic regression was employed to analyze the association between geographical distribution and risk factors. The incidence of cases in children under 15 (severity indicator) and Social Need Index built from variables of the 2000 census were adopted as explicative variables.
Publication Year: 2009
Publication Date: 2009-01-01
Language: en
Type: article
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