Estratégia Saúde da Família e determinantes para o tratamento diretamente observado da tuberculose no Brasil: estudo transversal com dados do sistema de vigilância, 2014-2016

João Paulo Cola; Thiago Nascimento do Prado; Carolina Maia Martins Sales; Ethel Leonor Noia Maciel

doi:10.1590/SciELOPreprints.1194

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João Paulo Cola Universidade Federal do Espirito Santo https://orcid.org/0000-0003-4972-4686
Thiago Nascimento do Prado Universidade Federal do Espirito Santo https://orcid.org/0000-0001-8132-6288
Carolina Maia Martins Sales Universidade Federal do Espirito Santo
Ethel Leonor Noia Maciel Universidade Federal do Espirito Santo https://orcid.org/0000-0003-4826-3355

DOI:

https://doi.org/10.1590/SciELOPreprints.1194

Keywords:

Tuberculosis, Social Determinants of Health, Directly Observed Therapy, Family Health strategy, Cross-Sectional Studies

Abstract

Objective. To analyze the association between tuberculosis determinants and the performance of directly observed treatment (DOT) in different coverage of the Family Health Strategy (FHS) in Brazil. Methods. Cross-sectional study with tuberculosis cases notified between 2014 and 2016 in the Information System on Diseases and coverage of the Family Health Strategy in the municipality of residence. Logistic regression was used. Results. 177,626 individuals were included. Having alcoholism (odds ratio (OR) 1.09 – confidence interval 95% (95%CI) 1.03;1.16), being deprived of freedom (OR=1.21 – 95%CI 1.12;1.32) and positive sputum smear microscopy (OR=1.15 – 95%CI 1.10;1.21) increased the chances of performing the DOT. When stratified by FHS coverage, these associations were emptied at the highest level of coverage. Conclusion. The DOT was associated with determinants of tuberculosis. However, it was not confirmed among residents in municipalities with greater FHS coverage.