Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico
Background Chiapas is one of the Mexican states having the highest rates of Pulmonary Tuberculosis (PTB), due to the numerous factors impeding its management and control (poverty, poor housing and nutrition, shortage of health resources, among others). Objectives To analyse the PTB mortality of a cohort of patients in Los Altos Region of Chiapas, who had been diagnosed with PTB from January 1, 1998 to December 31, 2002; and, to identify demographic, socioeconomic and health services utilization factors, associated with death from PTB. Methods Analysis of a cohort of patients aged over 14 years diagnosed with PTB in the above mentioned period (n = 431) in Los Altos region of Chiapas. The records of the Tuberculosis Programme were reviewed, and patients were located through a search attempting to locate them in their homes. Those found alive were interviewed and asked to provide sputum samples. In the case of deceased patients, a verbal autopsy was obtained from a member of their family.
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| Materias: | Tuberculosis pulmonar, Servicios de salud, Indicadores demográficos, Mortalidad, Artfrosur, |
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México |
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MX |
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Tuberculosis pulmonar Servicios de salud Indicadores demográficos Mortalidad Artfrosur Tuberculosis pulmonar Servicios de salud Indicadores demográficos Mortalidad Artfrosur |
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Tuberculosis pulmonar Servicios de salud Indicadores demográficos Mortalidad Artfrosur Tuberculosis pulmonar Servicios de salud Indicadores demográficos Mortalidad Artfrosur Nájera Ortíz, Juan Carlos 13779 Sánchez Pérez, Héctor Javier 1960- Doctor autor/a 5453 Ochoa Díaz López, Héctor Doctor autor/a 8663 Arana Cedeño, Marcos autor/a 16009 Salazar Lezama, M. A. autor/a Martín Mateo, Miguel Luis autor/a 15127 Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico |
| description |
Background Chiapas is one of the Mexican states having the highest rates of Pulmonary Tuberculosis (PTB), due to the numerous factors impeding its management and control (poverty, poor housing and nutrition, shortage of health resources, among others). Objectives To analyse the PTB mortality of a cohort of patients in Los Altos Region of Chiapas, who had been diagnosed with PTB from January 1, 1998 to December 31, 2002; and, to identify demographic, socioeconomic and health services utilization factors, associated with death from PTB. Methods Analysis of a cohort of patients aged over 14 years diagnosed with PTB in the above mentioned period (n = 431) in Los Altos region of Chiapas. The records of the Tuberculosis Programme were reviewed, and patients were located through a search attempting to locate them in their homes. Those found alive were interviewed and asked to provide sputum samples. In the case of deceased patients, a verbal autopsy was obtained from a member of their family. |
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Texto |
| topic_facet |
Tuberculosis pulmonar Servicios de salud Indicadores demográficos Mortalidad Artfrosur |
| author |
Nájera Ortíz, Juan Carlos 13779 Sánchez Pérez, Héctor Javier 1960- Doctor autor/a 5453 Ochoa Díaz López, Héctor Doctor autor/a 8663 Arana Cedeño, Marcos autor/a 16009 Salazar Lezama, M. A. autor/a Martín Mateo, Miguel Luis autor/a 15127 |
| author_facet |
Nájera Ortíz, Juan Carlos 13779 Sánchez Pérez, Héctor Javier 1960- Doctor autor/a 5453 Ochoa Díaz López, Héctor Doctor autor/a 8663 Arana Cedeño, Marcos autor/a 16009 Salazar Lezama, M. A. autor/a Martín Mateo, Miguel Luis autor/a 15127 |
| author_sort |
Nájera Ortíz, Juan Carlos 13779 |
| title |
Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico |
| title_short |
Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico |
| title_full |
Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico |
| title_fullStr |
Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico |
| title_full_unstemmed |
Demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico |
| title_sort |
demographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los altos region of chiapas, mexico |
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| _version_ |
1794791280474062848 |
| spelling |
KOHA-OAI-ECOSUR:467782024-03-12T12:54:44ZDemographic, health services and socio-economic factors associated with pulmonary tuberculosis mortality in los Altos region of Chiapas, Mexico Nájera Ortíz, Juan Carlos 13779 Sánchez Pérez, Héctor Javier 1960- Doctor autor/a 5453 Ochoa Díaz López, Héctor Doctor autor/a 8663 Arana Cedeño, Marcos autor/a 16009 Salazar Lezama, M. A. autor/a Martín Mateo, Miguel Luis autor/a 15127 textengBackground Chiapas is one of the Mexican states having the highest rates of Pulmonary Tuberculosis (PTB), due to the numerous factors impeding its management and control (poverty, poor housing and nutrition, shortage of health resources, among others). Objectives To analyse the PTB mortality of a cohort of patients in Los Altos Region of Chiapas, who had been diagnosed with PTB from January 1, 1998 to December 31, 2002; and, to identify demographic, socioeconomic and health services utilization factors, associated with death from PTB. Methods Analysis of a cohort of patients aged over 14 years diagnosed with PTB in the above mentioned period (n = 431) in Los Altos region of Chiapas. The records of the Tuberculosis Programme were reviewed, and patients were located through a search attempting to locate them in their homes. Those found alive were interviewed and asked to provide sputum samples. In the case of deceased patients, a verbal autopsy was obtained from a member of their family.Results The records of the PTB Programme in the area were incomplete and erroneous in many cases. The results of the home follow-up visits were: 208 (48%) patients located alive, five of whom were still PTB positive (three with multi-drug resistance); 145 (34%) could not be located and 78 (18%) had already died. Apparently, in at least 40 cases, the deaths were associated with PTB. Of these forty, 33 (83%) died without having received any medical care. The factors associated with dying from PTB were: 45 and over years of age (OR = 1.3; 95% CI = 0.98-1.3), 0-3 schooling years (OR = 3.3; 95% CI = 1.1-9.6), engaged in agriculture (OR = 2.2; 95% CI = 1.1-4.4), not living in main villages of their municipality (OR = 1.2; 95% CI = 1.0-1.3), living in a rural community (OR = 2.7; 95% CI = 1.1-6.8), not having been treated in DOTS (OR = 1.2; 95% CI = 1.0-1.3) and having defaulted from treatment (OR = 11.5; 95% CI = 5.3-24.8). Conclusions The high rate of mortality due to PTB observed constitutes a serious public health problem deserving attention. There is an urgent need to evaluate and restructure the Tuberculosis Programme in the studied area.Background Chiapas is one of the Mexican states having the highest rates of Pulmonary Tuberculosis (PTB), due to the numerous factors impeding its management and control (poverty, poor housing and nutrition, shortage of health resources, among others). Objectives To analyse the PTB mortality of a cohort of patients in Los Altos Region of Chiapas, who had been diagnosed with PTB from January 1, 1998 to December 31, 2002; and, to identify demographic, socioeconomic and health services utilization factors, associated with death from PTB. Methods Analysis of a cohort of patients aged over 14 years diagnosed with PTB in the above mentioned period (n = 431) in Los Altos region of Chiapas. The records of the Tuberculosis Programme were reviewed, and patients were located through a search attempting to locate them in their homes. Those found alive were interviewed and asked to provide sputum samples. In the case of deceased patients, a verbal autopsy was obtained from a member of their family.Results The records of the PTB Programme in the area were incomplete and erroneous in many cases. The results of the home follow-up visits were: 208 (48%) patients located alive, five of whom were still PTB positive (three with multi-drug resistance); 145 (34%) could not be located and 78 (18%) had already died. Apparently, in at least 40 cases, the deaths were associated with PTB. Of these forty, 33 (83%) died without having received any medical care. The factors associated with dying from PTB were: 45 and over years of age (OR = 1.3; 95% CI = 0.98-1.3), 0-3 schooling years (OR = 3.3; 95% CI = 1.1-9.6), engaged in agriculture (OR = 2.2; 95% CI = 1.1-4.4), not living in main villages of their municipality (OR = 1.2; 95% CI = 1.0-1.3), living in a rural community (OR = 2.7; 95% CI = 1.1-6.8), not having been treated in DOTS (OR = 1.2; 95% CI = 1.0-1.3) and having defaulted from treatment (OR = 11.5; 95% CI = 5.3-24.8). Conclusions The high rate of mortality due to PTB observed constitutes a serious public health problem deserving attention. There is an urgent need to evaluate and restructure the Tuberculosis Programme in the studied area.Adobe Acrobat profesional 6.0 o superiorTuberculosis pulmonarServicios de saludIndicadores demográficosMortalidadArtfrosurDisponible en líneaInternational Journal of EpidemiologyDisponible para usuarios de ECOSUR con su clave de acceso |