SOCIOECONOMIC CONTEXT IN BRAZIL AND TUBERCULOSIS RISK FACTORS: WHAT HAS CHANGED? (Atena Editora) (original) (raw)

Introduction: Tuberculosis persists in vulnerable populations, which demonstrates the relationship between the disease and social inequality. Therefore, social and infrastructure investments can change the panorama of tuberculosis in Salvador. The objective was to identify an association between socioeconomic factors, life habits, comorbidities and tuberculosis. Methodology: A control case study was carried out in Salvador, Bahia, Brazil, from 2009 to May 2010, with 717 cases and 717 controls, aged 15 to 94, matched by sex and age. The result was pulmonary tuberculosis and the exposures were socioeconomic characteristics, life habits, contact history and comorbidities. The association measure obtained through conditional logistic regression was based on odds ratio and confidence intervals (95% CI) to determine the effect of the risk factors studied. Results: a statistically significant association was observed with schooling (OR=1.32; 95%CI: 1.06-1.63), agglomeration ≤1person/housing (OR=1.39; 95%CI:1.08-1 .80); y biennes of consumption ≤ 6 biennes (OR=1.59; 95% CI: 1.28-1.97); prior contact (OR=1.40; 95%CI:1.12-1.75); diabetes mellitus (OR=2.40; 95% CI: 1.35-4.39). A statistically significant negative association was observed between race/color brown and black (OR=0.59; 95% CI: 0.41-0.86) and (OR=0.66; 95% CI: 0.44-0 .97) respectively. Conclusion: Despite the social improvements in the country, tuberculosis still persists as a disease related to low life conditions.