TY - JOUR KW - Adolescent KW - Brazil KW - Female KW - Humans KW - leprosy KW - Male KW - Referral and Consultation KW - Urban Health AU - Hacker MAVB AU - Sales A AU - Albuquerque ECA AU - Rangel E AU - Costa Nery JA AU - Duppre NC AU - Sarno E AB -

UNLABELLED: The scope of this study was to compare epidemiological data on leprosy patients living in two cities with different socioeconomic and endemic profiles that were monitored in a single center of reference. A descriptive study was made of data from patients in the Souza Araújo Outpatient facility treated in the period 1986-2008, who were resident in the cities of Rio de Janeiro = 1353) and Duque de Caxias (n = 336).

RESULTS: Among patients from Duque de Caxias, in comparison with patients from Rio de Janeiro, there was a higher proportion of cases: below the age of 15 years, multibacillary, higher initial bacilloscopic index (BI) and cases detected through surveillance of contacts. Patients in Duque de Caxias had lower average incomes and education levels. There were no statistically significant differences regarding gender, disability level, reaction in the diagnosis, final BI, bandonment and regularity of treatment. The differences found between the patients monitored in a single center of reference, could be partly related to contextual differences between the municipalities. On the other hand, it was observed that the provision of treatment and monitoring can minimize the effect of different contextual factors on health outcomes.

BT - Ciencia & saude coletiva C1 - http://www.ncbi.nlm.nih.gov/pubmed/22996903?dopt=Abstract CN - HACKER 2012 DA - 2012 Sep DO - 10.1590/s1413-81232012000900033 IS - 9 J2 - Cien Saude Colet LA - por N2 -

UNLABELLED: The scope of this study was to compare epidemiological data on leprosy patients living in two cities with different socioeconomic and endemic profiles that were monitored in a single center of reference. A descriptive study was made of data from patients in the Souza Araújo Outpatient facility treated in the period 1986-2008, who were resident in the cities of Rio de Janeiro = 1353) and Duque de Caxias (n = 336).

RESULTS: Among patients from Duque de Caxias, in comparison with patients from Rio de Janeiro, there was a higher proportion of cases: below the age of 15 years, multibacillary, higher initial bacilloscopic index (BI) and cases detected through surveillance of contacts. Patients in Duque de Caxias had lower average incomes and education levels. There were no statistically significant differences regarding gender, disability level, reaction in the diagnosis, final BI, bandonment and regularity of treatment. The differences found between the patients monitored in a single center of reference, could be partly related to contextual differences between the municipalities. On the other hand, it was observed that the provision of treatment and monitoring can minimize the effect of different contextual factors on health outcomes.

PY - 2012 SP - 2533 EP - 41 T2 - Ciencia & saude coletiva TI - [Patients from a reference center for leprosy: Rio de Janeiro and Duque de Caxias, 1986-2008]. TT - Pacientes em centro de referência para Hanseníase: Rio de Janeiro e Duque de Caxias, 1986-2008 UR - http://www.scielo.br/pdf/csc/v17n9/a33v17n9.pdf VL - 17 SN - 1678-4561 ER -