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Migration among individuals with leprosy: a population-based study in Central Brazil.
Abstract
This study investigates social and clinical factors associated with migration among individuals affected by leprosy. A cross-sectional study was conducted among those newly diagnosed with leprosy (2006-2008), in 79 endemic municipalities in the state of Tocantins, Brazil (N = 1,074). In total, 76.2% were born in a municipality different from their current residence. In the five years before diagnosis 16.7% migrated, and 3.6% migrated after leprosy diagnosis. Findings reflect aspects associated with historical rural-urban population movement in Brazil. Indicators of poverty were prominent among before-diagnosis migrants but not after-diagnosis migrants. Migration after diagnosis was associated with prior migration. The association of multibacillary leprosy with migration indicates healthcare access may be an obstacle to early diagnosis among before-diagnosis migrants, which may also be related to the high mobility of this group.
Translated Abstract
Resumo
Este estudo investiga fatores sociais e clínicos
associados à migração entre pessoas afetadas
pela hanseníase. Estudo transversal entre recémdiagnosticados
com hanseníase (2006-2008), em
79 municípios endêmicos do Estado de Tocantins,
Brasil (N = 1.074). No total, 76,2% nasceram
em município diferente de sua residência atual.
Nos cinco anos antes do diagnóstico, 16,7% migraram,
e 3,6% migraram após o diagnóstico da
hanseníase. Resultados refletem aspectos associados
com o movimento histórico da população
rural-urbana no Brasil. Indicadores de pobreza
foram proeminentes antes do diagnóstico de
migrantes. A migração após o diagnóstico foi
associada com migração anterior. A associação
da forma multibacilar com migração indica que
o acesso à saúde pode ser um obstáculo para o
diagnóstico precoce de migrantes, o que pode
também estar relacionado com a elevada mobilidade
desse grupo.
More information
Type
Journal Article