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Areas with evidence of equity and their progress on mortality from tuberculosis in an endemic municipality of southeast Brazil

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Infectious Diseases of Poverty 2017年第1期6卷 1185-1195页

作者： Mellina YAMAMURA Marcelino SANTOS NETO Francisco CHIARAVALLOTI NETO Luiz Henrique ARROYO Antonio Carlos Vieira RAMOS Ana Angelica Rego de QUEIROZ Aylana de Souza BELCHIOR danielle Talita dos SANTOS Juliane de Almeida CRISPIM Ione Carvalho PINTO severina alice da costa uchoa Regina Celia FIORATI Ricardo Alexandre ARCENCIO School of Nursing of the University of Sao Paulo Ribeirao Preto Campus(EERP/USP)Ribeirao retoSPBrazil Federal University of Maranhao(UFMA) Sao LuísMABrazil School of Public Health of the University of Sao Paulo(FSP/USP) Sao PauloSPBrazil Federal University of Rio Grande do Norte(UFRN) NatalRNBrazil School of Medicine of the University of Sao Paulo Ribeirao Preto Campus(FMRP/USP)Ribeirao PretoSPBrazil

Background:In Brazil,people still fall ill and die from tuberculosis(TB),and this can be explained by the significant impasse in the equity of distribution of therapeutic resources to the population as a *** aim was to identify geographical areas which have shown progress in terms of equity(of income,schooling and urban occupancy)and test its effect on mortality from TB in a municipality of southeast ***:It is an ecological study considering TB as the basic cause for deaths registered between 2006 and 2013 on the Mortality Information System and other variables obtained through the Demographic Census of the Brazilian Institute of Geography and Statistics(2010).The geographical area for analysis comprised the areas of coverage of the health *** indicators have been constructed through the Principal Component Analysis(PCA).The cases were geocoded and the annual mortality rate from TB was calculated with smoothing using the local empirical Bayesian *** linear regression was then *** was confirmation of the existence of spatial dependence of residue through the application of the Global Moran I test,and application of the Models with Global Spatial Effects,to identify the best standard of spatial ***:The mortality rates ranged from 0.00 to 2.8 deaths per 100,000 people,per *** the PCA,three indicators were constructed,and designated as indicators of income,social inequality,and social *** multiple linear regression,the indicator of social equity was statistically significant(P<0.0001)but had a negative association,an adjusted R^(2)of 28.36%and with spatial dependence(Moran I=0.21,P=0.003455).The best model to deal with existing spatial dependence was the Spatial Lag ***:The better social conditions have shown progress in reducing mortality from TB,thereby reinforcing the achievement of Sustainable Development *** addition,cartography was also applied,which can be replicated

关键词： Tuberculosis Spatial analysis Mortality Cause of death

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Conditional Cash Transfer Program Effects on Anthropometric Index from Children in Latin America: A Systematic Review

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Health 2016年第7期8卷 664-671页

作者： Larissa Grace Nogueira Serafim de Melo severina alice da costa uchoa Ricardo Ney Oliveira Cobucci José Vilton costa Antonio José do Nascimento Gouveia costa Isabella Tarciana Pinheiro de Gois Mirella Cristina Silveira Gomes Faculdade de Ciências da Saúde do Trairi Universidade Federal do Rio Grande do Norte Santa Cruz Brasil Departamento de Saúde Coletiva Universidade Federal do Rio Grande do Norte Natal Brasil Maternidade Escola Januário Cicco Universidade Federal do Rio Grande do Norte Natal Brasil Programa de Pós-Graduacao em Demografia Universidade Federal do Rio Grande do Norte Natal Brasil Curso de Graduacao em Medicina Universidade Federal do Rio Grande do Norte Natal Brasil

Introduction: To compare the Brazilian conditional cash transfer program, the “Bolsa Família” with the similar programs found in Latin America regarding its effects in the children’s growth and development. Methods: The systematic review contemplated the Scopus, Embase, Pubmed, Scielo and Lilacs data bases. The inclusion criteria were epidemiological quantitative, observational, descriptive and analytical studies that had as target public children contemplated by the income transfer program with health conditionalities in Latin America. Narrative reviews related to the research theme were excluded as well as systematic reviews with or without meta-analysis related to the research theme. Results: The titles and abridgements review from 1007 articles resulted in the selection of 17 complete studies. After the quality analysis of these, as well as the application of the inclusion criteria, 10 articles were included in this review. Among the types of epidemiologic studies selected to compose this systematic review, 3 are cohort analytical studies. Conclusion: Studies carried out in Brazil, Mexico, Ecuador and Nicaragua were selected and indicated the positive effects that the conditional income transfer brought to the anthropometric index from beneficiary children in the researched countries.

关键词： Cash Transfer Program Child Development Income Distribution Primary Health Care

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