Please use this identifier to cite or link to this item: https://www.arca.fiocruz.br/handle/icict/12409
Title: Sugar cane manufacturing is associated with tuberculosis in an indigenous population in Brazil
Authors: Sacchi, Flávia Patussi Correia
Croda, Mariana Garcia
Estevan, Anderson Oliveira
Ko, Albert Icksang
Croda, Julio Henrique Rosa
Affilliation: Federal University of Grande Dourados. University Hospital. Grande Dourados, MGS, Brasil / Federal University of Grande Dourados. Faculty of Health Sciences. Grande Dourados, MGS, Brasil
Federal University of Grande Dourados. University Hospital. Grande Dourados, MGS, Brasil
Federal University of Grande Dourados. Faculty of Health Sciences. Grande Dourados, MGS, Brasil
Fundação Oswaldo Cruz. Centro de Pesquisas Gonçalo Moniz. Salvador, BA, Brasil / Yale School of Public Health. Epidemiology of Microbial Disease Division. New Haven, USA
Federal University of Grande Dourados. Faculty of Health Sciences. Grande Dourados, MGS, Brasil
Abstract: Background: Tuberculosis (TB) remains one of the leading causes of morbidity and mortality among indigenous peoples in Brazil, and identifying the risk factors for TB in this population secondary to specific epidemiological conditions is essential for recommending interventions aimed at disease control. Methods: This case-control study was conducted with an indigenous population between June 2009 and August 2011 in Dourados, Brazil. Tuberculosis cases reported to the national disease surveillance programme were paired with two control cases matched by age and geographic location. Results: There were 63 cases included in this study, and the annual incidence of TB in the indigenous communities examined was 222 (95% CI, 148–321) per 100 000 inhabitants. The multivariate analysis demonstrated that the variables associated with TB infection included male gender (OR 2.6; 95% CI 1.3–5.3), not owning a home (OR 3.4; 95% CI 1.2–10.1), illiteracy (OR 2.4; 95% CI 1.1–5.0), TB contact (OR 2.4; 95% CI 1.2–4.8) and work performed in a sugar cane factory (OR 6.8; 95% CI 1.2–36.9). Conclusion: There is a potential relationship between exposure to sugar cane manufacturing processes and tuberculosis infection among indigenous populations.
Keywords: Risk factors
Indigenous
TB
Sugar cane
Epidemiology
Case-control study
Issue Date: 2013
Publisher: Oxford University Press
Citation: SACCHI, F. P. C. et al. Sugar cane manufacturing is associated with tuberculosis in an indigenous population in Brazil. Transactions of the Royal Society of Tropical Medicine and Hygiene, v. 107, p. 152–157, 2013.
ISSN: 0035-9203
10.1093/trstmh/trs089
Copyright: open access
Appears in Collections:BA - IGM - Artigos de Periódicos

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