Social inequalities and their association with the leprosy burden in a Brazilian city of low endemicity: An ecological study

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dc.coverageDOI: 10.1016/j.actatropica.2021.105884
dc.creatorRamos, Antônio Carlos Vieira
dc.creatorAlonso, Jonas Bodini
dc.creatorBerra, Thaís Zamboni
dc.creatorAlves, Luana Seles
dc.creatorMartoreli Júnior, José Francisco
dc.creatorSantos, Felipe Lima dos
dc.creatorAlves, Yan Mathias
dc.creatorAndrade, Hamilton Leandro Pinto de
dc.creatorCosta, Fernanda Bruzadelli Paulino da
dc.creatorCrispim, Juliane de Almeida
dc.creatorYamamura, Mellina
dc.creatorAlves, Josilene Dália
dc.creatorSantos Neto, Marcelino
dc.creatorFuentealba-Torres, Miguel
dc.creatorPinto, Ione Carvalho
dc.creatorArcêncio, Ricardo Alexandre
dc.date2021
dc.date.accessioned2026-01-05T21:03:30Z
dc.date.available2026-01-05T21:03:30Z
dc.description<p>Objective: To analyse the association between social inequalities and the leprosy burden in a low endemicity scenario in the state of São Paulo, Brazil. Methods: This ecological study was carried out in the city of Ribeirão Preto, state of São Paulo, Brazil, considering leprosy cases notified from 2006 to 2016. Regarding social inequalities, dimensions related to high household density, literacy, home occupation conditions, health conditions, household income, ethnicity and age were considered. The generalised additive model for location, scale and shape (GAMLSS) was used to verify the association between the social inequalities and leprosy burden. Results: The increase in men and women with no education and people with an income of 1 to 2 minimum wages was associated with a relative increase in the number of leprosy cases (7.37%, 7.10% and 2.44%, respectively). Regarding the ethnicity variables, the increase in the proportion of men (black) and women (mixed race) with no schooling was associated with a relative increase in the number of cases of the disease (10.77% and 4.02%, respectively). Finally, for people of mixed race or ethnicity, the increase in the proportion of households with 1/2 to 1 minimum wage was related to a relative decrease in the total number of cases (-4.90%). Conclusion: The results show that the determinants associated with the increase in leprosy cases are similar to those in Brazilian hyperendemic regions, and that even in cities with low endemicity, social inequality is one of the main determinants of the disease.</p>eng
dc.identifierhttps://investigadores.uandes.cl/en/publications/4baed00f-aef3-419b-96a0-4ae34def7f72
dc.identifier.urihttps://repositorio.uandes.cl/handle/uandes/61026
dc.languageeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.sourcevol.218 (2021) date: 2021-06-01 p.105884
dc.subjectAdult
dc.subjectBrazil/epidemiology
dc.subjectCities/epidemiology
dc.subjectEducational Status
dc.subjectEndemic Diseases/statistics & numerical data
dc.subjectEnvironment
dc.subjectEthnic Groups/statistics & numerical data
dc.subjectFemale
dc.subjectHumans
dc.subjectLeprosy/epidemiology
dc.subjectMale
dc.subjectMiddle Aged
dc.subjectSocioeconomic Factors
dc.subjectYoung Adult
dc.titleSocial inequalities and their association with the leprosy burden in a Brazilian city of low endemicity: An ecological studyeng
dc.typeArticleeng
dc.typeArtículospa
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