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Leprosy and gender in Brazil: trends in an endemic area of the Northeast region, 2001-2014.

Translated Title
Hanseníase e gênero no Brasil: tendências em área endêmica da região Nordeste, 2001–2014
Abstract

OBJECTIVE To analyze, stratifield by gender, trends of the new case leprosy detection rates in the general population and in children; of grade 2 disability, and of proportion of multibacillary cases, in the state of Bahia, Brazil from 2001 to 2014. METHODS A time series study based on leprosy data from the National Information System for Notifiable Diseases. The time trend analysis included Poisson regression models by infection points (Joinpoint) stratified by gender. RESULTS There was a total of 40,054 new leprosy cases with a downward trend of the overall detection rate (Average Annual Percent Change [AAPC = -0.4, 95%CI -2.8-1.9] and a non-significant increase in children under 15 years (AAPC = 0.2, 95%CI -3.9-4.5). The proportion of grade 2 disability among new cases increased significantly (AAPC = 4.0, 95%CI 1.3-6.8), as well as the proportion of multibacillary cases (AAPC = 2.2, 95%CI 0.1-4.3). Stratification by gender showed a downward trend of detection rates in females and no significant change in males; in females, there was a more pronounced upward trend of the proportion of multibacillary and grade 2 disability cases. CONCLUSIONS Leprosy is still highly endemic in the state of Bahia, with active transmission, late diagnosis, and a probable hidden endemic. There are different gender patterns, indicating the importance of early diagnosis and prompt treatment, specifically in males without neglecting the situation among females.

More information

Type
Journal Article
Author
Souza EA
Ferreira AF
Boigny RN
Alencar CH
Heukelbach J
Martins-Melo FR
Barbosa JC
Ramos AN
Year of Publication
2018
Journal
Revista de saude publica
Volume
52
Number of Pages
20
Language
eng, por
ISSN Number
1518-8787
DOI
10.11606/s1518-8787.2018052000335
Alternate Journal
Rev Saude Publica
Publication Language
eng, por