Article
Tuberculosis and malaria walk side by side in the Brazilian Amazon: an ecological approach
Registro en:
TEIXEIRA, Rahyja et al. Tuberculosis and malaria walk side by side in the Brazilian Amazon: an ecological approach. Tropical Medicine and International Health, v. 24, n. 8, p. 1003-1010, Aug. 2019.
1360-2276
10.1111/tmi.13282
1365-3156
Autor
Teixeira, Rahyja
Rodrigues, Maria Gabriela Almeida
Ferreira, Marcia Danielle
Borges, Maria Cecília
Safe, Izabella
Melo, Gisely Cardoso
Spener, Renata
Garrido, Marlucia Silva
Monteiro, Wuelton Marcelo
Siqueira, André Machado
Lacerda, Marcus Vinícius Guimarães
Cordeiro-Santos, Marcelo
Sampaio, Vanderson de Souza
Resumen
Objective: To assess the spatial distribution of TB and malaria incidence, as well as their spatial association with each other, regardless of environmental and socio-economic factors commonly reported as determinants of both disease rates among the municipalities of Amazonas State, Brazil between 2012 and 2015. Methods: Through an ecological approach considering municipalities of Amazonas, Brazil, as unitof analysis, a negative binomial regression model was used to assess association between malaria and TB rates, in which the dependent variable was the average municipal tuberculosis incidence rate. Results: Positive associations of overall malaria (b=0.100 [CI=0.032, 0.168],P=0.004),P. vivax malaria (b=0.115 [CI=0.036, 0.195], P=0.005), and P. falciparum malaria (b=0.389[CI= 0.0124, 0.791],P=0.057) with TB rates were found, regardless of the sociodemographic factors included in the study. Conclusion: In the Brazilian Amazon, TB and malaria are spatially associated. Therefore, it is verylikely that co-infections also occur in this region, regardless of the HIV status. 2020-08-09