Author:
Scholze Alessandro Rolim,Dália Alves Josilene,Berra Thaís Zamboni,Santos Felipe Lima dos,Ramos Antônio Carlos Vieira,Lima de Freitas Giselle,José Quina Galdino Maria,Meneguetti Pieri Flávia,Augusto Moraes Arcoverde Marcos,Cristina Pillon Sandra,Monroe Aline Aparecida,Fronteira Inês,Gomes Dulce,Alexandre Arcêncio Ricardo
Abstract
Abstract
Background
Tuberculosis (TB) is an infectious disease caused by Mycobacterium tuberculosis and is a public health problem worldwide. It is estimated that 90% of the patients diagnosed with TB live in vulnerable environments with limited health resources, such as individuals living in correctional facilities. This study aimed to identify the consumption of alcohol, tobacco, and other drugs among prisoners diagnosed with TB and the spatial determinants and time trends of the phenomenon in southern Brazil.
Methods
A cross-sectional study using data from the Brazilian Notifiable Diseases Information System was carried out. TB cases confirmed from 2014 to 2018 in prisons located in Paraná, Brazil, were selected. The Prais-Winsten procedure was performed to identify time trends by calculating monthly rates and the percentage of monthly variation. The Seasonal-Trend by Loess decomposition method was used to verify the time series and trends. The spatial association was verified with the Getis-Ord Gi* technique, and the risk areas were identified using spatial scan statistics.
Results
A total of 1,099 TB cases were found in the studied population. The consumption of tobacco (n = 460; 41.9%), illegal drugs (n = 451; 41.0%), and alcohol (n = 179; 16.3%) stood out. An ascending trend was found for the consumption of alcohol (+ 19.4%/mo. (95%CI: 12.20–23.03)), tobacco (+ 20.2%/mo. (95%CI: 12.20–28.82)), and illegal drugs (+ 62.2%/mo. (95%CI: 44.54–81.97)). Spatial analysis revealed clusters for the use of alcohol, tobacco, and illegal drugs.
Conclusions
This study advances knowledge presenting the burden of drug use and its typology among individuals diagnosed with TB in the prison system. There is a growing trend among patients to use drugs, especially illegal drugs. The clusters show differences between the places where the prisons are located.
Publisher
Springer Science and Business Media LLC
Subject
Public Health, Environmental and Occupational Health
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