@article{96226, keywords = {Infectious Diseases, Public Health, Environmental and Occupational Health}, author = {Júnior J and Ramos ACV and Alves JD and Crispim J and Alves LS and Berra T and Barbosa TP and Costa FBPD and Alves Y and Santos MSD and Gomes D and Yamamura M and Pinto IC and Fuentealba-Torres MA and Nunes C and Pieri FM and Arcoverde MAM and Santos FLD and Arcêncio R}, editor = {Novaes Ramos A}, title = {Inequality of gender, age and disabilities due to leprosy and trends in a hyperendemic metropolis: Evidence from an eleven-year time series study in Central-West Brazil}, abstract = {

The present study aimed to investigate the epidemiological situation of leprosy (Hansen’s Disease), in a hyperendemic metropolis in the Central-West region of Brazil. We studied trends over eleven years, both in the detection of the disease and in disabilities, analyzing disparities and/or differences regarding gender and age. This is an ecological time series study conducted in Cuiabá, capital of the state of Mato Grosso. The population consisted of patients diagnosed with leprosy between the years 2008 and 2018. The time series of leprosy cases was used, stratifying it according to gender (male and female), disability grade (G0D, G1D, G2D, and not evaluated) and age. The calendar adjustment technique was applied. For modeling the trends, the Seasonal-Trend decomposition procedure based on Loess (STL) was used. We identified 9.739 diagnosed cases, in which 58.37% were male and 87.55% aged between 15 and 59 years. Regarding detection according to gender, there was a decrease among women and an increase in men. The study shows an increasing trend in disabilities in both genders, which may be related to the delay in diagnosis. There was also an increasing number of cases that were not assessed for disability at the time of diagnosis, which denotes the quality of the services.

}, year = {2021}, journal = {PLOS Neglected Tropical Diseases}, volume = {15}, pages = {e0009941}, publisher = {Public Library of Science (PLoS)}, issn = {1935-2735}, url = {https://journals.plos.org/plosntds/article/file?id=10.1371/journal.pntd.0009941&type=printable}, doi = {10.1371/journal.pntd.0009941}, language = {eng}, }