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High tuberculosis disease burden among indigenous people of the paraguayan Chaco and associated community characteristics, 2002?2004: An ecological study

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dc.contributor.author Rojas de Arias, Antonieta
dc.contributor.author Rolon, Miriam
dc.contributor.author Van Steelandt, Amanda
dc.contributor.author Hurtado, Ana Magdalena
dc.contributor.author Jara, Juan Carlos
dc.contributor.editor Marrugat, Jaume
dc.date.accessioned 2016-12-30T17:45:00Z
dc.date.available 2016-12-30T17:45:00Z
dc.date.issued 2015
dc.identifier.uri http://localhost:8080/xmlui-directorioacademico/handle/123456789/8
dc.description.abstract Indigenous populations are generally reported to suffer greater active tuberculosis (TB) disease burden. The objective of this study was to examine ecological associations between cases of active adult and pediatric TB reported from 2002 to 2004 and community characteristics in indigenous communities of the Paraguayan Chaco. Adult and pediatric models were examined by negative binomial and Poisson GLM regression, respectively. Active TB prevalence in indigenous people was eight times higher than the nonindigenous population. Communities with a health post were more than twice as likely to report active adult TB (RR = 2.07, 95% confidence interval (CI) [1.14?3.83], and ?? < 0.05). Each additional average year of education in the community was associated with nearly 50% less likelihood of active pediatric TB (RR = 0.53, 95% CI [0.38?0.73], and ?? < 0.001). Although nonsignificant, the presence of nonindigenous community members had a strong protective association in both the adult (RR = 0.56, 95% CI [0.30?1.03], and ?? = 0.06) and pediatricmodels (RR = 0.64, 95% CI [0.34?1.14], and ?? = 0.14).These results reinforce the importance of increasing epidemiologic surveillance and investigating the social determinants of TB disease among vulnerable indigenous populations.
dc.format application/pdf
dc.source Epidemiology Research International
dc.title High tuberculosis disease burden among indigenous people of the paraguayan Chaco and associated community characteristics, 2002?2004: An ecological study
dc.type Artículo
dcterms.bibliographicCitation Epidemiology Research International 2015([S.N]), 8. 2015
dcterms.license Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
dcterms.rights Copyright © 2015 Amanda VanSteelandt et al.
dc.source.volume 2015
dc.source.volume [S.N]
dc.source.pages 8
dc.contributor.identifier 1261551
dc.contributor.identifier 2270413
dc.identifier.doi 10.1155/2015/841289


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