| Author | Souza, R. A. de | |
| Author | Nery, Joilda Silva | |
| Author | Rasella, Davide | |
| Author | Pereira, R. A. Guimarães | |
| Author | Barreto, Maurício Lima | |
| Author | Rodrigues, Laura | |
| Author | Pereira, Susan Martins | |
| Access date | 2019-02-18T12:57:45Z | |
| Available date | 2019-02-18T12:57:45Z | |
| Document date | 2018 | |
| Citation | SOUZA, R. A. et al. Family health and conditional cash transfer in Brazil and its effect on tuberculosis mortality. International Journal of Tuberculosis and Lung Disease, v. 22, n. 11, p. 1300–1306, 2018. | pt_BR |
| ISSN | 1027-3719 | pt_BR |
| URI | https://www.arca.fiocruz.br/handle/icict/31698 | |
| Sponsorship | Brazilian Ministry of Health, Brasilia DF, Brazil, and the National Programme of Tuberculosis Control. RAS was provided with a scholarship by the Coordination of Improvement of Higher Level Personnel (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brasilia). | pt_BR |
| Language | eng | pt_BR |
| Publisher | International Union Against Tuberculosis and Lung Disease | pt_BR |
| Rights | restricted access | pt_BR |
| Subject in Portuguese | Condições sociais | pt_BR |
| Subject in Portuguese | Condições saudáveis | pt_BR |
| Subject in Portuguese | Efeitos de proteção social | pt_BR |
| Subject in Portuguese | Políticas de saúde pública | pt_BR |
| Title | Family health and conditional cash transfer in Brazil and its effect on tuberculosis mortality | pt_BR |
| Type | Article | |
| DOI | 10.5588/ijtld.17.0907 | |
| Abstract | Social protection can reduce poverty and act on the determinants of tuberculosis (TB). OBJ ECT IVE : To evaluate the impact of the Family
Health Strategy (FHS) and the Bolsa Fam´ılia Programme
on TB-related mortality in Brazil.
METHODS : This was an ecological study in which the
units of analysis were Brazilian municipalities between
2001 and 2012. The principal independent variables
were the levels of coverage of the primary health care
system and the conditional cash transfer programme.
The dependent variable was TB mortality rate (obtained
from national databases). Descriptive analysis and
negative binomial regression based on panel data using
fixed-effects models were performed. Crude and adjusted
estimates were calculated for continuous and
categorical variables.
R E SULT S : A high FHS coverage was significantly
associated with a reduction in the TB mortality rate
(RR 0.80, 95%CI 0.72–0.89). An increase in the
coverage of the Brazilian cash transfer programme was
significantly associated with a reduction in the TB
mortality rate (RR 0.87, 95%CI 0.81–0.96).
CONCLUS ION: FHS and the Bolsa Fam´ılia conditional
cash transfer programme had a positive impact on the
TB mortality rate in Brazil. Public policies should
include economic support combined with health promotion. | pt_BR |
| Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil. | |
| Affilliation | Federal University of the Vale do São Francisco. Salvador, BA, Brazil. | |
| Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil. | |
| Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil. | |
| Affilliation | Fundação Oswaldo Cruz. Instituto Gonçalo Moniz. Salvador, BA, Brasil. | |
| Affilliation | London School of Hygiene & Tropical Medicine. Faculty of Epidemiology and Population Health. London, UK. | |
| Affilliation | Federal University of Bahia. Institute of Collective Health. Salvador, BA, Brazil. | |
| xmlui.metadata.dc.description.abstractfr | La protection sociale peut réduire la pauvreté et agir sur les déterminants de la tuberculose (TB). OBJECTIF: Evaluer l’impact d’une Stratégie de Santé familiale (FHS) et du programme Bolsa Família sur la mortalité liée à la TB au Brésil. MÉTHODES: Etude écologique dans laquelle les unités d’analyse ont été les municipalités du Brésil entre 2001 et 2012. Les principales variables indépendantes ont été les niveaux de couverture du système de soins de santé primaires et le programme de transfert d’espèces conditionnel. La variable dépendante a été le taux de mortalité de la TB, obtenu des bases de données nationales. Une analyse descriptive a été réalisée et une régression négative binomiale pour les données du panel avec des modèles à effets fixes. Les estimations brutes et ajustées ont été calculées pour les variables continues et catégorielles. RÉSULTATS: Une couverture élevée de la FHS a été significativement associée àa une réduction du taux de mortalité de la TB (risque relatif [RR] 0,80 ; IC95% 0,72–0,89). Un accroissement de la couverture du programme brésilien de transfert d’espèces a été significativement associé à une réduction du taux de mortalité de la TB (RR 0,87 ; IC95% 0,81–0,96). CONCLUSION: Il y a eu un impact positif de la FHS et du programme de transfert d’espèces conditionnel du Bolsa Família sur le taux de mortalité au Brésil, avec des effets indépendants. Les politiques publiques devraient inclure un soutien économique associé à la promotion de la santé. | pt_BR |
| Subject | Social conditions | pt_BR |
| Subject | Health conditions | pt_BR |
| Subject | Social protection effects | pt_BR |
| Subject | Public health policies | pt_BR |
| xmlui.metadata.dc.subject.ods | 01 Erradicação da pobreza | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
