TY - JOUR
KW - Brazil
KW - Health Services Accessibility
KW - Humans
KW - Incidence
KW - leprosy
KW - Population Surveillance
KW - Primary Health Care
KW - Regression Analysis
AU - Penna MLF
AU - Oliveira MLWD
AU - Carmo EH
AU - Penna GO
AU - Temporão JG
AB - <p>Brazilian Hansen's disease detection rate rose during the 80s and 90s of the 20th century. The Brazilian health system reform happened during the same period. Detection rate is a function of the real incidence of cases and the diagnostic agility of the health system. Coverage of BCG immunization in infants was used as a proxy variable for primary healthcare coverage. A log-normal regression model of detection rate as a function of BCG coverage, time and time square was adjusted to data. The detection rate presents an upward trend throughout the period and with a downturn beginning in 2003. The model showed a statistically significant positive regression coefficient for BCG coverage, suggesting that detection rate behavior reflects the improvement of access to health care. The detection rate began a trend towards decline in 2003, indicating a new phase of Hansen's disease control.</p>
BT - Revista da Sociedade Brasileira de Medicina Tropical
C1 - http://www.ncbi.nlm.nih.gov/pubmed/19618068?dopt=Abstract
DA - 2008
DO - 10.1590/s0037-86822008000700003
J2 - Rev. Soc. Bras. Med. Trop.
LA - eng
N2 - <p>Brazilian Hansen's disease detection rate rose during the 80s and 90s of the 20th century. The Brazilian health system reform happened during the same period. Detection rate is a function of the real incidence of cases and the diagnostic agility of the health system. Coverage of BCG immunization in infants was used as a proxy variable for primary healthcare coverage. A log-normal regression model of detection rate as a function of BCG coverage, time and time square was adjusted to data. The detection rate presents an upward trend throughout the period and with a downturn beginning in 2003. The model showed a statistically significant positive regression coefficient for BCG coverage, suggesting that detection rate behavior reflects the improvement of access to health care. The detection rate began a trend towards decline in 2003, indicating a new phase of Hansen's disease control.</p>
PY - 2008
SP - 6
EP - 10
T2 - Revista da Sociedade Brasileira de Medicina Tropical
TI - The influence of increased access to basic healthcare on the trends in Hansen's disease detection rate in Brazil from 1980 to 2006.
VL - 41 Suppl 2
SN - 1678-9849
ER -