| Author | Pescarini, Julia Moreira | |
| Author | Williamson, Elizabeth | |
| Author | Ichihara, Maria Y. | |
| Author | Fiaccone, Rosemeire L. | |
| Author | Forastiere, Laura | |
| Author | Ramond, Anna | |
| Author | Nery, Joilda Silva | |
| Author | Penna, Maria Lucia F. | |
| Author | Strina, Agostino | |
| Author | Reis, Sandra | |
| Author | Smeeth, Liam | |
| Author | Rodrigues, Laura C. | |
| Author | Brickley, Elizabeth B. | |
| Author | Penna, Gerson Oliveira | |
| Author | Barreto, Mauricio Lima | |
| Access date | 2020-08-20T13:38:17Z | |
| Available date | 2020-08-20T13:38:17Z | |
| Document date | 2020 | |
| Citation | PESCARINI, Julia Moreira et al. Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort. American Journal of Epidemiology, p. 1-25, 2020. | |
| ISSN | 0002-9262 | |
| URI | https://www.arca.fiocruz.br/handle/icict/42846 | |
| Sponsorship | CONFAP/ESRC/MRC/BBSRC/CNPq/FAPDF–Doencas Negligenciadas (FAP-DF 193.000.008/2016), the UK Medical Research Council (MR/N017250/1), the Wellcome Trust (202912/B/16/Z), and CAPES. | |
| Language | eng | en_US |
| Publisher | Bloomberg School of Public Health | |
| Later version | https://www.arca.fiocruz.br/handle/icict/45505 | |
| Rights | open access | |
| Subject in Portuguese | Programa Bolsa Família | pt_BR |
| Subject in Portuguese | Renda | pt_BR |
| Subject in Portuguese | Pobreza | pt_BR |
| Subject in Portuguese | Desigualdade | pt_BR |
| Subject in Portuguese | Doenças infecciosas | pt_BR |
| Subject in Portuguese | Hanseníase | pt_BR |
| Title | Conditional Cash Transfer Program and Leprosy Incidence: Analysis of 12.9 Million Families From the 100 Million Brazilian Cohort (Preprint) | en_US |
| Type | Preprint | |
| DOI | 10.1093/aje/kwaa127 | |
| Abstract | Leprosy is a neglected tropical disease predominately affecting poor and marginalized populations. To test the hypothesis that poverty-alleviating policies may be associated with reduced leprosy incidence, we evaluated the association between the Brazilian Bolsa Familia conditional cash transfer Program (BFP) and new leprosy case detection using linked records from 12,949,730 families in the 100 Million Brazilian Cohort (2007-2014). After propensity score matching BFP beneficiary to non-beneficiary families, we used Mantel-Haenszel tests and Poisson regressions to estimate incidence rate ratios (IRRs) for new leprosy case detection and secondary endpoints related to operational classification and leprosy-associated disabilities at diagnosis. Overall, cumulative leprosy incidence was 17.4/100,000 pyr (95%CI: 17.1, 17.7), and markedly higher in "priority" (high-burden) versus "non-priority" (low-burden) municipalities (22.8/100,000 pyr, 95%CI: 22.2, 23.3 versus 14.3/100,000, 95%CI: 14.0, 14.7). After matching, BFP participation was not associated with leprosy incidence overall (IRRPoisson 0.97, 95%CI: 0.90, 1.04) but was associated with lower leprosy incidence when restricted to families living in high-burden municipalities (IRRPoisson 0.86, 95%CI: 0.77, 0.96). In high-burden municipalities, the association was particularly pronounced for paucibacillary cases (IRRPoisson 0.82, 95%CI: 0.68, 0.98) and cases with leprosy-associated disabilities (IRRPoisson 0.79, 95%CI: 0.65, 0.97). These findings provide policy-relevant evidence that social policies may contribute to on-going leprosy control efforts in high-burden communities. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil. | |
| Affilliation | London School of Hygiene & Tropical Medicine. Department of Medical Statistics. London, United Kingdom. | |
| Affilliation | Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil. | |
| Affilliation | Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil / Universidade Federal da Bahia. Institute of Mathematics and Statistics. Salvador, BA, Brasil. | |
| Affilliation | Yale University. Yale Institute for Network Science. New Haven, USA. | |
| Affilliation | London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom. | |
| Affilliation | Universidade Federal da Bahia. Instituto de Saúde Coletiva. Salvador, BA, Brasil. | |
| Affilliation | Universidade Federal Fluminense. Instituto de Saúde da Comunidade. Niterói, RJ, Brasil. | |
| Affilliation | Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil. | |
| Affilliation | Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil. | |
| Affilliation | London School of Hygiene & Tropical Medicine. Department of Non-Communicable Disease Epidemiology. London, United Kingdom. | |
| Affilliation | London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom. | |
| Affilliation | London School of Hygiene & Tropical Medicine. Department of Infectious Disease Epidemiology. London, United Kingdom. | |
| Affilliation | Fundação Oswaldo Cruz. Escola Fiocruz de Governo. Brasília, DF, Brasil / Universidade de Brasília. Núcleo de Medicina Tropical. Brasília, DF, Brasil. | |
| Affilliation | Fundação Oswaldo Cruz. Centro de Integração de Dados e Conhecimentos para Saúde. Salvador, BA, Brasil. | |
| Subject | Bolsa Familia Program | en_US |
| Subject | Cash transfers | en_US |
| Subject | Poverty | en_US |
| Subject | Inequality | en_US |
| Subject | Infectious diseases | en_US |
| Subject | Hansen’s disease | en_US |
| xmlui.metadata.dc.subject.ods | 01 Erradicação da pobreza | |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
| xmlui.metadata.dc.subject.ods | 10 Redução das desigualdades | |
