Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study
Background. Leprosy is an infectious disease that can lead to physical disabilities and stigmatization. It remains an important public health problem, especially in Brazil. Objective. To analyse sociodemographic and clinical factors associated with multibacillary leprosy in a hyperendemic region of...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Journal of Tropical Medicine |
| Online Access: | http://dx.doi.org/10.1155/2019/5738924 |
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| author | Maria Aparecida Alves de Oliveira Serra Crislane da Silva Santos Pedro Martins Lima Neto Karyne Gleyce Zemf Oliveira Francisca Jacinta Feitoza de Oliveira Ariadne Siqueira de Araujo Gordon Daniella Pontes Matos Raina Jansen Cutrim Propp Lima Janaina Miranda Bezerra Ismália Cassandra Costa Maia Dias Floriacy Stabnow Santos Ana Cristina Pereira de Jesus Costa Marcelino Santos Neto Antônio Rafael da Silva Márcio Flávio Moura de Araújo |
| author_facet | Maria Aparecida Alves de Oliveira Serra Crislane da Silva Santos Pedro Martins Lima Neto Karyne Gleyce Zemf Oliveira Francisca Jacinta Feitoza de Oliveira Ariadne Siqueira de Araujo Gordon Daniella Pontes Matos Raina Jansen Cutrim Propp Lima Janaina Miranda Bezerra Ismália Cassandra Costa Maia Dias Floriacy Stabnow Santos Ana Cristina Pereira de Jesus Costa Marcelino Santos Neto Antônio Rafael da Silva Márcio Flávio Moura de Araújo |
| author_sort | Maria Aparecida Alves de Oliveira Serra |
| collection | DOAJ |
| description | Background. Leprosy is an infectious disease that can lead to physical disabilities and stigmatization. It remains an important public health problem, especially in Brazil. Objective. To analyse sociodemographic and clinical factors associated with multibacillary leprosy in a hyperendemic region of the disease in northeastern Brazil. Method. This is a retrospective observational study with secondary data acquired from 2012 to 2015, from a group of leprosy cases reported in a reference outpatient clinic for the treatment and followup of leprosy in the city of Imperatriz, Maranhao, in northeastern Brazil. Results. From 905 new cases of leprosy studied, 656 (72.5%) were classified as multibacillary leprosy and 249 (27.5%) as paucibacillary leprosy. We observed that men were more likely to present 5 to 15 skin lesions (OR: 1.32; 95% CI: 1.18-1.49; p <0.0001) and >15 skin lesions (OR: 1.26; 95% CI: 1.09 -1.45; p = 0.005) and a lower chance of having <5 skin lesions (OR: 0.67; 95% CI: 0.59-0.76; p <0.0001). Women were more likely to have no affected nerves compared to men (OR: 1.46; 95% CI: 1.20-1.77; p <0.0001). The age range of 16 to 60 years showed a greater chance of having <5 skin lesions (OR: 1.01; 95% CI: 1.007-1.20; p = 0.03) and a lower chance of having 5 to 15 skin lesions (OR: 1.12, 95% CI: 1.03-1.23; p= 0.008) and a lower chance of being a grade I disability ( CI= 0.73-0.94; p=0.83) and II (OR: 0.82; 95% CI: 0.77-0.98; p=000.1). Conclusion. Cases of multibacillary leprosy were associated with male gender, low educational level, and clinical variables such as number of skin lesions and grade I or II disability. |
| format | Article |
| id | doaj-art-7858db09bea44e2dbfe26931d33fb7c4 |
| institution | OA Journals |
| issn | 1687-9686 1687-9694 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Tropical Medicine |
| spelling | doaj-art-7858db09bea44e2dbfe26931d33fb7c42025-08-20T02:07:30ZengWileyJournal of Tropical Medicine1687-96861687-96942019-01-01201910.1155/2019/57389245738924Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational StudyMaria Aparecida Alves de Oliveira Serra0Crislane da Silva Santos1Pedro Martins Lima Neto2Karyne Gleyce Zemf Oliveira3Francisca Jacinta Feitoza de Oliveira4Ariadne Siqueira de Araujo Gordon5Daniella Pontes Matos6Raina Jansen Cutrim Propp Lima7Janaina Miranda Bezerra8Ismália Cassandra Costa Maia Dias9Floriacy Stabnow Santos10Ana Cristina Pereira de Jesus Costa11Marcelino Santos Neto12Antônio Rafael da Silva13Márcio Flávio Moura de Araújo14Universidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilInstituto Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade Federal do Maranhão, Imperatriz, Maranhão, BrazilUniversidade da Integração Internacional da Lusofonia Afro-Brasileira, Redenção, Ceará, BrazilBackground. Leprosy is an infectious disease that can lead to physical disabilities and stigmatization. It remains an important public health problem, especially in Brazil. Objective. To analyse sociodemographic and clinical factors associated with multibacillary leprosy in a hyperendemic region of the disease in northeastern Brazil. Method. This is a retrospective observational study with secondary data acquired from 2012 to 2015, from a group of leprosy cases reported in a reference outpatient clinic for the treatment and followup of leprosy in the city of Imperatriz, Maranhao, in northeastern Brazil. Results. From 905 new cases of leprosy studied, 656 (72.5%) were classified as multibacillary leprosy and 249 (27.5%) as paucibacillary leprosy. We observed that men were more likely to present 5 to 15 skin lesions (OR: 1.32; 95% CI: 1.18-1.49; p <0.0001) and >15 skin lesions (OR: 1.26; 95% CI: 1.09 -1.45; p = 0.005) and a lower chance of having <5 skin lesions (OR: 0.67; 95% CI: 0.59-0.76; p <0.0001). Women were more likely to have no affected nerves compared to men (OR: 1.46; 95% CI: 1.20-1.77; p <0.0001). The age range of 16 to 60 years showed a greater chance of having <5 skin lesions (OR: 1.01; 95% CI: 1.007-1.20; p = 0.03) and a lower chance of having 5 to 15 skin lesions (OR: 1.12, 95% CI: 1.03-1.23; p= 0.008) and a lower chance of being a grade I disability ( CI= 0.73-0.94; p=0.83) and II (OR: 0.82; 95% CI: 0.77-0.98; p=000.1). Conclusion. Cases of multibacillary leprosy were associated with male gender, low educational level, and clinical variables such as number of skin lesions and grade I or II disability.http://dx.doi.org/10.1155/2019/5738924 |
| spellingShingle | Maria Aparecida Alves de Oliveira Serra Crislane da Silva Santos Pedro Martins Lima Neto Karyne Gleyce Zemf Oliveira Francisca Jacinta Feitoza de Oliveira Ariadne Siqueira de Araujo Gordon Daniella Pontes Matos Raina Jansen Cutrim Propp Lima Janaina Miranda Bezerra Ismália Cassandra Costa Maia Dias Floriacy Stabnow Santos Ana Cristina Pereira de Jesus Costa Marcelino Santos Neto Antônio Rafael da Silva Márcio Flávio Moura de Araújo Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study Journal of Tropical Medicine |
| title | Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study |
| title_full | Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study |
| title_fullStr | Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study |
| title_full_unstemmed | Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study |
| title_short | Factors Associated with Multibacillary Leprosy in a Priority Region for Disease Control in Northeastern Brazil: A Retrospective Observational Study |
| title_sort | factors associated with multibacillary leprosy in a priority region for disease control in northeastern brazil a retrospective observational study |
| url | http://dx.doi.org/10.1155/2019/5738924 |
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