Custos catastróficos e sequelas sociais decorrentes do diagnóstico e tratamento da tuberculose no Brasil

Leticia Molino Guidoni; Eliana Zandonade; Geisa Fregona; Letícya dos Santos Almeida Negri; Sandra Maria do Valle Leone de Oliveira; Thiago Nascimento do Prado; Carolina Maia Martins Sales; Raisa da Silveira Coimbra; Heletícia Scabelo Galavote; Ethel Leonor Noia Maciel

doi:10.1590/s1679-49742021000300012

Preprint has been submitted for publication in journal

Preprint / Version 1

Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil

##article.authors##

Leticia Molino Guidoni Universidade Federal do Espírito Santo https://orcid.org/0000-0003-3737-5407
Eliana Zandonade Universidade Federal do Espírito Santo https://orcid.org/0000-0001-5160-3280
Geisa Fregona Universidade Federal do Espírito Santo https://orcid.org/0000-0001-5835-8222
Letícya dos Santos Almeida Negri Universidade Federal do Espírito Santo https://orcid.org/0000-0002-0056-4506
Sandra Maria do Valle Leone de Oliveira Universidade Federal de Mato Grosso do Sul https://orcid.org/0000-0002-8960-6716
Thiago Nascimento do Prado Universidade Federal do Espírito Santo https://orcid.org/0000-0001-8132-6288
Carolina Maia Martins Sales Universidade Federal do Espírito Santo
Raisa da Silveira Coimbra Universidade Federal do Espírito Santo
Heletícia Scabelo Galavote Universidade Federal do Espírito Santo
Ethel Leonor Noia Maciel Universidade Federal do Espírito Santo https://orcid.org/0000-0003-4826-3355

DOI:

https://doi.org/10.1590/s1679-49742021000300012

Keywords:

Tuberculosis, Therapeutics, Costs and Cost Analysis, Cohort Studies, Socioeconomic Factors, Brazil

Abstract

Objective: To assess the impact of catastrophic costs on the unfavorable outcome of tuberculosis treatment. Methods: This is prospective cohort made in five capitals of Brazilian states (Manaus, Recife, Vitória, Campo Grande and Porto Alegre) between June 2016 and July 2018. Logistic regression was used to calculate odds ratios (OR) and 95% confidence intervals (95%CI). Results: The 350 participants, 310 were included, and 30 had unfavorable outcome. Catastrophic cost (OR=2.53 – 95%CI 1.13;5.67) and divorce episode (OR=5.29 – 95%CI 1.39;20.05) increased the chance of unfavorable outcome. Conclusion: financial difficulties faced during the treatment of tuberculosis can impair the treatment outcome. The determinants for the treatment outcome were catastrophic cost and divorce.

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Posted

03/25/2021

How to Cite

Guidoni, L. M., Zandonade, E., Fregona, G., Negri, L. dos S. A., Oliveira, S. M. do V. L. de, Prado, T. N. do, Sales, C. M. M., Coimbra, R. da S., Galavote, H. S., & Maciel, E. L. N. (2021). Catastrophic costs and social sequels resulting from the diagnosis and treatment of tuberculosis in Brazil. In SciELO Preprints. https://doi.org/10.1590/s1679-49742021000300012

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Health Sciences

Copyright (c) 2021 Leticia Molino Guidoni, Eliana Zandonade, Geisa Fregona, Letícya dos Santos Almeida Negri, Sandra Maria do Valle Leone de Oliveira, Thiago Nascimento do Prado, Carolina Maia Martins Sales, Raisa da Silveira Coimbra, Heletícia Scabelo Galavote, Ethel Leonor Noia Maciel