Tuberculosis space-temporal distribution from 2011 to 2016 in the municipality of Maputo, Mozambique

Población y Salud en Mesoamérica

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Title Tuberculosis space-temporal distribution from 2011 to 2016 in the municipality of Maputo, Mozambique
Distribución espacio-temporal de la tuberculosis de 2011 al 2016 en el municipio de Maputo, Mozambique
Creator Titosse, Antonio C.
Pimenta Rodrigues, Marcus Vinícius
Marques Ramos, Ana Paula
Prado Osco, Lucas
Giuffrida, Rogério
da Silva Fonseca, Elivelton
Azevedo Arana, Alba Regina
Subject Epidemiology
spatial-temporal analysis
public health
análisis espacio-temporal
salud pública
Description Objective: Carry out a spatial-temporal characterization of the incidence of tuberculosis (TB) in Maputo, Mozambique. Method: a descriptive ecological study of tuberculosis cases reported in an information system. The annual mean incidence rate and the number of TB notification cases in the municipality of Maputo from 2011 to 2016 were analyzed. Descriptive statistics were used with calculations of measures of central tendency (mean) and an application of the Poisson linear regression model. Trimester notifications were stratified by district, clinical form, and age group. The quarterly average temperature of the evaluated area was added as a covariate in the model seasonal. Results: 34,623 TB cases were notified from 2011 to 2016, with a trimester average of 1,443 cases. The average annual incidence was higher in the Kampfumo district, with 909.8 per 100 thousand inhabitants (95% CI 854.1 - 968.2); almost twice as much as the incidence of the municipality of Maputo, 527.8 (95% CI 514, 3-541.6), and the country of Mozambique, 551 (95% CI 356 - 787). The clinical diagnosis of the tested cases was higher concerning the bacteriological diagnosis; 44%, and 35%, respectively. Conclusion: Maputo had similar incidence rates to the country of Mozambique, however, there was a heterogeneity rate by district and a reduction in the number of TB cases in both the general population (not co-infected with HIV) and those over 15 years old, being higher in the first trimester.
Objetivo: realizar una caracterización espacio-temporal de la incidencia de tuberculosis (TB) en Maputo, Mozambique. Método: estudio ecológico descriptivo de casos de tuberculosis reportados en un sistema de información. Se analizó la tasa de incidencia media anual y el número de casos de notificación de TB en el municipio de Maputo entre 2011 y 2016. Se utilizó estadística descriptiva para calcular las medidas de tendencia central (media) y la aplicación del modelo de regresión lineal de Poisson Las notificaciones trimestrales se estratificaron por distrito, forma clínica y grupo de edad. Resultados: se notificaron 34,623 casos de TB entre 2011 y 2016, con un promedio trimestral de 1,443 casos. La incidencia anual promedio fue mayor en el distrito de Kampfumo, 909.8 por cada 100 mil habitantes (IC 95% 854.1 - 968.2), casi el doble que la incidencia del municipio de Maputo, 527.8 (IC 95% 514 , 3-541.6), y el país de Mozambique, 551 (95% CI 356 - 787). El diagnóstico clínico de los casos fue mayor en relación al diagnóstico bacteriológico, 44% y 35%, respectivamente. Conclusión: Maputo tuvo tasas de incidencia similares a las del país, sin embargo, hubo una heterogeneidad en las tasas por distrito y una reducción en el número de casos de TB en la población general (no coinfectados con VIH) y en los mayores de 15 años, siendo mayores en el primer trimestre.
Publisher Universidad de Costa Rica
Date 2020-12-11
Type info:eu-repo/semantics/article
Format application/pdf
Source Población y Salud en Mesoamérica; Volume 18, Issue 2: january-june 2021
Población y Salud en Mesoamérica; Volumen 18, Número 2: enero-junio 2021
Language spa
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Rights Derechos de autor 2021 Antonio C. Titosse, Marcus Vinícius Pimenta Rodrigues, Ana Paula Marques Ramos, Lucas Prado Osco, Rogério Giuffrida, Elivelton da Silva Fonseca, Alba Regina Azevedo Arana

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