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SUGAR CANE MANUFACTURING IS ASSOCIATED WITH TUBERCULOSIS IN AN INDIGENOUS POPULATION IN BRAZIL
10.1093/trstmh/trs089
Autor(es)
Afiliação
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
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
Resumo em Inglês
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.
Editor
Oxford University Press
Referência
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
0035-920310.1093/trstmh/trs089
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