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Epidemiologia e Serviços de Saúde
Print version ISSN 1679-4974On-line version ISSN 2237-9622
Abstract
MONTEIRO, Lorena Dias; MARTINS-MELO, Francisco Rogerlândio and PIRES, Bruno Sousa. Temporal trends and spatial distribution of leprosy-related mortality in the state of Tocantins, Brazil, 2000-2015. Epidemiol. Serv. Saúde [online]. 2020, vol.29, n.3, e2018336. Epub May 12, 2020. ISSN 1679-4974. http://dx.doi.org/10.5123/s1679-49742020000300003.
Objective
to describe temporal trends and spatial distribution patterns of leprosy-related deaths in the state of Tocantins, Brazil, 2000-2015.
Methods
this study was based on Mortality Information System (SIM) data; mortality coefficient temporal trend analysis was performed using joinpoint regression and descriptive spatial analysis, taking the state’s 139 municipalities as geographic units of analysis.
Results
201 leprosy-related deaths were identified in Tocantins; average mortality coefficient was 0.7 deaths/100,000 inhabitants; mortality tended to increase significantly (5.4% Annual Percentage Change - 95% CI 2.0; 8.9); the average annual crude mortality coefficient ranged from 0.00 to 6.83 deaths/100,000 inhabitants, while the smoothed indicator ranged from 0.00 to 2.42 deaths/100,000 inhabitants.
Conclusion
leprosy mortality showed a rising trend and heterogeneous spatial distribution in Tocantins, with the need to strengthen leprosy surveillance and control measures.
Keywords : Epidemiology; Leprosy; Spatial Analyses; Time Series Studies; Mortality.
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