[Leprosy-related mortality in the State of Piau í, Brazil: time trends and spatial patterns, 2000-2015].

[Leprosy-related mortality in the State of Piauí, Brazil: time trends and spatial patterns, 2000-2015]. Cad Saude Publica. 2020;36(9):e00093919 Authors: Araújo OD, Ferreira AF, Araújo TME, Silva LCLD, Lopes WMPS, Neri ÉAR, Cardoso JA, Costa JM, Moura EH, Bezerra SMG, Macêdo MS, Ramos AN Abstract The study aimed to analyze spatial patterns and time trends in leprosy-related mortality in the State of Piauí, Brazil, from 2000 to 2015. This was a mixed ecological study with a spatial and temporal state-based approach, using data from the Brazilian Mortality Information System. The analysis includes epidemiological characteristics, mortality trends by Joinpoint regression, and spatial analysis, using the state's 224 municipalities (counties) as the geographic unit. Of the 245,413 deaths identified, leprosy was identified in 234 death certificates, 135 (41.7%) as the underlying cause of death and 189 (58.3%) as an associated cause of death. The highest leprosy-related mortality rates were associated with male gender (relative risk - RR = 2.38; 95%CI: 1.87; 3.03), elderly age (RR = 10.52; 95%CI: 7.16; 15.46), brown skin color (RR = 2.22; 95%CI: 1.47; 3.35), and residents of the state's interior (RR = 5.72; 95%CI: 4.54; 7.21). The crude leprosy-related mortality rate showed a significant increase among the elderly (70 years), brown race/color, cities with fewer than 20,000 inhabitants, and the Central region of the state, but not signi...
Source: Cadernos de Saude Publica - Category: International Medicine & Public Health Authors: Tags: Cad Saude Publica Source Type: research