@article{article, author = {Lopes F and Ramos ACV and Pascoal LM and Santos FS and Rolim ILTP and Serra M and Santos L and Santos Neto M}, title = {Leprosy in the context of the Family Health Strategy in an endemic scenario in Maranh{\~a}o: prevalence and associated factors.}, abstract = {
This study aimed to describe the prevalence of leprosy and verify the factors associated with multibacillary clinical types in a Family Health Strategy priority setting to control and monitor the disease in northeastern Brazil. This cross-sectional study used data from the Notifiable Diseases Information System related to leprosy cases notified in Imperatriz, Maranh{\~a}o, between 2008 and 2017. The prevalence was determined yearly and for the period. Poisson regression models with a significance level of 5\% were employed to associate the variables and the multibacillary clinical types. Most of the 2,476 leprosy cases analyzed referred to multibacillary clinical types. The prevalence ranged from 7.8 and 15.6/10,000 inhabitants, with high and very high endemicity levels. The variables male, age groups between 30 and 59 years and >=60 years, schooling <8 years, level 2 physical disability, types 1 and 2 reactive episodes, and urban residence area showed significant associations (p<=0.05) with multibacillary clinical types. Such findings can serve as a basis for elaborating and implementing leprosy control and surveillance measures, gearing actions to the most vulnerable groups, and becoming more effective.
}, year = {2021}, journal = {Ciencia \& saude coletiva}, volume = {26}, pages = {1805-1816}, month = {05/2021}, issn = {1678-4561}, url = {https://www.scielo.br/j/csc/a/Lpq9CSrNX6swGxWFMtxtNDk/?lang=pt\&format=pdf}, doi = {10.1590/1413-81232021265.04032021}, language = {por, eng}, }