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Family health and conditional cash transfer in Brazil and its effect on tuberculosis mortality.
de Souza, R A; Nery, J S; Rasella, D; Guimarães Pereira, R A; Barreto, M L; Rodrigues, L; Pereira, S M.
Afiliação
  • de Souza RA; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia.
  • Nery JS; Federal University of the Vale do São Francisco, Salvador, Bahia.
  • Rasella D; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia.
  • Guimarães Pereira RA; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia.
  • Barreto ML; Institute Gonçalo Muniz, Oswaldo Cruz Foundation, Salvador, Bahia, Brazil.
  • Rodrigues L; Faculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
  • Pereira SM; Institute of Collective Health, Federal University of Bahia, Salvador, Bahia.
Int J Tuberc Lung Dis ; 22(11): 1300-1306, 2018 11 01.
Article em En | MEDLINE | ID: mdl-30355409
BACKGROUND: Social protection can reduce poverty and act on the determinants of tuberculosis (TB). OBJECTIVE: To evaluate the impact of the Family Health Strategy (FHS) and the Bolsa Família Programme on TB-related mortality in Brazil. METHODS: This was an ecological study in which the units of analysis were Brazilian municipalities between 2001 and 2012. The principal independent variables were the levels of coverage of the primary health care system and the conditional cash transfer programme. The dependent variable was TB mortality rate (obtained from national databases). Descriptive analysis and negative binomial regression based on panel data using fixed-effects models were performed. Crude and adjusted estimates were calculated for continuous and categorical variables. RESULTS: A high FHS coverage was significantly associated with a reduction in the TB mortality rate (RR 0.80, 95%CI 0.72-0.89). An increase in the coverage of the Brazilian cash transfer programme was significantly associated with a reduction in the TB mortality rate (RR 0.87, 95%CI 0.81-0.96). CONCLUSION: FHS and the Bolsa Família conditional cash transfer programme had a positive impact on the TB mortality rate in Brazil. Public policies should include economic support combined with health promotion.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Assistência Pública / Tuberculose / Saúde da Família Tipo de estudo: Diagnostic_studies / Incidence_studies / Prognostic_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: 2018 Tipo de documento: Article 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 / Saúde da Família Tipo de estudo: Diagnostic_studies / Incidence_studies / Prognostic_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: 2018 Tipo de documento: Article País de publicação: França