Distribuição espacial da tuberculose e a correlação com as desigualdades sociais

Abstract

OBJECTIVE: Analyze the spatial distribution of tuberculosis and correlation with social inequalities in the period from 2001 to 2010, and the urban area of the city of Patos- PB. MATERIAL AND METHODS: An ecological and descriptive. The population comprised 344 new cases of tuberculosis notified in the Information System of Disease Notification in the period from 2001 to 2010. Through the Global Positioning System cases were georeferenced, it was used the Kernel Estimator for visualization of areas of density cases. It was calculated the average incidence of the period from 2008 to 2010, it was done an Indicator Adapted from Living Conditions, through the cluster and discriminant analysis, based on information from the Census IBGE/2010. We used the program R version R 2.12.1 and software Arc GIS 10.0 in preparing thematic maps. RESULTS: It was observed heterogeneous distribution of tuberculosis cases in the neighborhoods, the density of cases occurred in areas of social deprivation. 39% of districts with high incidence average, 14% intermediate and 47% low.The indicator adapted to living conditions divided the county into high, mid and low living conditions, and the highest incidence of the disease was observed in the stratum of intermediate conditions of life. CONCLUSIONS: Increased the intensity of TB cases to peripheral areas with the decentralization of tuberculosis for Primary Health Care, the occurrence of the disease predominates in neighborhoods that have heterogeneous occupancy where there are areas of socioeconomic deprivation. The study identified priority areas for tuberculosis control, which can help managers to plan actions to control the disease in order to reduce social inequities, since that TB disease is eminently social characteristic.