Revista da Sociedade Brasileira de Medicina Tropical · 2019
Social determinants of mortality due to visceral leishmaniasis in Brazil (2001-2015): an ecological study.
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Nunes Bruno Eduardo Bastos Rolim, Leal Thiago Cavalcanti, Paiva João Paulo Silva de, Silva Leonardo Feitosa da, Carmo Rodrigo Feliciano do, Machado Michael Ferreira, Araújo Maria Deysiane Porto de, Santos Victor Santana, Souza Carlos Dornels Freire de
Аннотация
INTRODUCTION: We aimed to analyze the relationship between visceral leishmaniasis mortality and social determinants of health (SDH).
METHODS: This was an ecological study of all leishmaniasis-related deaths in Brazil, from 2001 to 2015. We analyzed 49 indicators of human development and social vulnerability. The association was tested using the classical and spatial regression model.
RESULTS: Mortality was associated with indicators that expressed low human development and high social vulnerability: lack of garbage collection, low schooling, unemployment rate, low per capita income, and income inequality (Gini index).
CONCLUSIONS: There was an association between high mortality by leishmaniasis and low SDH.
METHODS: This was an ecological study of all leishmaniasis-related deaths in Brazil, from 2001 to 2015. We analyzed 49 indicators of human development and social vulnerability. The association was tested using the classical and spatial regression model.
RESULTS: Mortality was associated with indicators that expressed low human development and high social vulnerability: lack of garbage collection, low schooling, unemployment rate, low per capita income, and income inequality (Gini index).
CONCLUSIONS: There was an association between high mortality by leishmaniasis and low SDH.