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Effect of Brazil's conditional cash transfer programme on tuberculosis incidence.
Nery, J S; Rodrigues, L C; Rasella, D; Aquino, R; Barreira, D; Torrens, A W; Boccia, D; Penna, G O; Penna, M L F; Barreto, M L; Pereira, S M.
Afiliação
  • Nery JS; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
  • Rodrigues LC; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Rasella D; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
  • Aquino R; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
  • Barreira D; National Program of Tuberculosis Control, Brazilian Health Ministry, Brasília, Distrito Federal.
  • Torrens AW; National Program of Tuberculosis Control, Brazilian Health Ministry, Brasília, Distrito Federal.
  • Boccia D; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Penna GO; Tropical Medicine Center, University of Brasília, Brasília, Distrito Federal.
  • Penna MLF; Health Sciences Center, Institute of Community Health, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
  • Barreto ML; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
  • Pereira SM; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia, Brazil.
Int J Tuberc Lung Dis ; 21(7): 790-796, 2017 07 01.
Article em En | MEDLINE | ID: mdl-28633704
OBJECTIVE: To evaluate the impact of the Brazilian cash transfer programme (Bolsa Família Programme, BFP) on tuberculosis (TB) incidence in Brazil from 2004 to 2012. DESIGN: We studied tuberculosis surveillance data using a combination of an ecological multiple-group and time-trend design covering 2458 Brazilian municipalities. The main independent variable was BFP coverage and the outcome was the TB incidence rate. All study variables were obtained from national databases. We used fixed-effects negative binomial models for panel data adjusted for selected covariates and a variable representing time. RESULTS: After controlling for covariates, TB incidence rates were significantly reduced in municipalities with high BFP coverage compared with those with low and intermediate coverage (in a model with a time variable incidence rate ratio = 0.96, 95%CI 0.93-0.99). CONCLUSION: This was the first evidence of a statistically significant association between the increase in cash transfer programme coverage and a reduction in TB incidence rate. Our findings provide support for social protection interventions for tackling TB worldwide.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assistência Pública / Tuberculose / Modelos Estatísticos Tipo de estudo: Incidence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Tuberc Lung Dis Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: França
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assistência Pública / Tuberculose / Modelos Estatísticos Tipo de estudo: Incidence_studies / Prognostic_studies / Risk_factors_studies / Screening_studies Aspecto: Determinantes_sociais_saude Limite: Humans País/Região como assunto: America do sul / Brasil Idioma: En Revista: Int J Tuberc Lung Dis Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Brasil País de publicação: França