Details

Autor(en) / Beteiligte

• Paz, Wandklebson Silva da
• Gomes, Dharliton Soares
• Ramos, Rosália Elen S.
• Cirilo, Tatyane Martins
• Santos, Israel Gomes A.
• Ribeiro, Caíque Jordan N.
• Araújo, Karina Conceição Gomes M. de
• Jesus, Amélia Maria Ribeiro de
• Santos, Allan Dantas dos
• Bezerra-Santos, Márcio

Titel

Spatiotemporal clusters of schistosomiasis mortality and association with social determinants of health in the Northeast region of Brazil (1980–2017)

Ist Teil von

• Acta tropica, 2020-12, Vol.212, p.105668-105668, Article 105668

Ort / Verlag

Netherlands: Elsevier B.V

Erscheinungsjahr

2020

Quelle

MEDLINE

Beschreibungen/Notizen

• •Most schistosomiasis deaths reported in Brazil are from the Northeast Region, where the disease is strongly linked to poverty.•People over 40, men and those with low level or no education were the most affected between 1980–2017.•The temporal trend of deaths was decreasing in most states, however showed an increasing trend in the states of Sergipe and Bahia.•Deaths were distributed along the coast of the region and had a positive association with some socioeconomic indicators of poverty, such as the GINI coefficient and the Social Vulnerability Index. The Northeast region of Brazil includes the states with the highest prevalence for schistosomiasis mansoni (SM). This study aimed to evaluate the spatiotemporal patterns of SM mortality and to analyze this association with social determinants in health. We conducted an ecological time series study (1980–2017), using spatial analysis tools. Time trend analysis was performed by joinpoint regression. Maps representing mortality rates for SM were constructed and Moran Index was calculated to analyze spatial autocorrelation. A total of 13,720 deaths from SM were reported in this period. The states of Pernambuco (PE) (50.62%) and Alagoas (AL) (22.09%) had the highest mortality percentages. The mortality rate decreased from 1.28 to 0.63 along the time. Although most states showed a stable trend, Sergipe (SE) and Bahia (BA) showed increasing trends in the latest years. Additionally, the spatial analysis showed the concentration of municipalities that presented high risk in the coastal region of the states of PE, AL, SE, and BA. Lastly, mortality rates were correlated with social and educational indicators and hospitalizations for diarrhea. Altogether, these results demonstrate that some states showed stable or increasing trends of SM mortality in the last period of the studied time interval.