03310nas a2200553   4500000000100000008004100001260004900042653001500091653001000106653000900116653002200125653001100147653001000158653002100168653001100189653002800200653002100228653001500249653001100264653002400275653001800299653003400317653001100351653001200362653002300374653000900397653001600406653001500422653002400437653001400461653002000475653001800495653001600513100001200529700001200541700001600553700002200569700001400591700001700605700001300622700001700635245009100652856005100743300001000794490000700804050001500811520191600826022001402742       2012                            d  c2012 MarbLEPRA Health in ActionaColchester10aAdolescent10aAdult10aAged10aAged, 80 and over10aBrazil10aChild10aChild, Preschool10aCities10aCross-Sectional Studies10aDisabled Persons10aEmployment10aFemale10aFinancing, Personal10aHealth Policy10aHealth Services Accessibility10aHumans10aleprosy10aLife Change Events10aMale10aMiddle Aged10aMotivation10aPopulation Dynamics10aPrejudice10aQuality of Life10aSocial stigma10aYoung Adult1 aMurto C1 aAriza L1 aOliveira AR1 aAndré Chichava O1 aAlencar C1 aDa Silva LFM1 aTanner M1 aHeukelbach J00aMotives and determinants for residence change after leprosy diagnosis, central Brazil.  uhttps://leprosyreview.org/article/83/1/01-6023  a16-230 v83  aMURTO 20123 a<p><b>OBJECTIVE: </b>To determine the extent of population movement after diagnosis with leprosy and to describe the underlying motives and determinants for relocation.</p><p><b>DESIGN: </b>A cross-sectional study was conducted among those newly diagnosed with leprosy in 79 endemic municipalities in the state of Tocantins, central Brazil. Individuals were identified through the National Information System for Notifiable Diseases (SINAN) database and interviewed with structured questionnaires.</p><p><b>RESULTS: </b>In total, 224 (20.9%) out of 1070 individuals relocated after their diagnosis with leprosy. Respondents moved to another neighbourhood in the same municipality (n = 178, 79.5%), followed by another municipality in Tocantins state (n = 26, 11.6%) and in another state (n = 11, 4.9%). The primary motives and/or determinants for relocation were: home ownership (n = 55, 28.4%), familial reasons (n = 43, 19.2%), to seek better living conditions (n = 27, 13.9%), employment (n = 26, 11.6%), and better neighbourhood (n = 22, 9.8%). Other motives were related to better access to leprosy diagnosis/treatment (n = 11, 4.9%), owner-terminated rental (n = 5, 2.2%), personal finances/could not afford housing (n = 4, 1.8%). Perceived stigma due to leprosy was mentioned by one participant (0.5%).</p><p><b>CONCLUSION: </b>In Tocantins state, population movement is lower among individuals recently diagnosed with leprosy, as compared to the overall population. The primary motives for relocation after leprosy diagnosis were related to lifestyle changes. Stigma and treatment-related reasons did not appear to be common motives for population movement. These results may reflect policy changes instituted from the Brazilian Program of Leprosy Control to decentralise leprosy services and intensify health education campaigns within a broader concept of Information, Education and Communication.</p>  a0305-7518