Tuberculosis trends and inequalities in Cuban provinces to promote differentiated interventions

Authors

Keywords:

tuberculosis, control, elimination, health inequalities, Cuba

Abstract

Introduction: The analysis of trends and inequalities in the occurrence of tuberculosis in Cuba is important for differentiated interventions.

Objective: Assess the trends and inequalities of tuberculosis in the provinces of Havana, Mayabeque and Ciego de Ávila.

Methods: Ecological study of time series of tuberculosis. notification rates in the period 2009-2017. The Tuberculosis surveillance database of the Ministry of Public Health was used. Trends in reporting rates in triennial periods were analyzed using simple linear regression. The following were calculated: total and annual variations in rates, proportions of tuberculosis by triennium in people with HIV and deprived of liberty, geometric means and inequalities of rates. The provinces and municipalities were categorized according to goals towards the elimination of the disease.

Results: The trend in Mayabeque and Havana was upward, the total variation was 70.0% and 9.0%, respectively. Ciego de Ávila showed relative values twice as much as Cuba. In Havana, people with HIV predominated (38%); in Mayabeque the two vulnerable groups increased, while in Ciego de Ávila they were those deprived of liberty. Havana and Mayabeque categorized in advanced ultra control; Ciego de Ávila in consolidated satisfactory control; of the total of the 36 municipalities studied, 8 (22.2%) were in very advanced ultracontrol and none in pre-elimination.

Conclusions: The results obtained on the trend of tuberculosis rates and their inequalities in the three provinces suggest the realization of differentiated interventions to advance towards the elimination of this disease.

Downloads

Download data is not yet available.

Author Biography

Rita María Ferrán Torres, Instituto de Medicina Tropical “ Pedro Kourí”, Departamento de epidemiología. La Habana

Doctora en Medicina, Especialista de Primer Grado en MGI, Especialista de Primer Grado en Higiene y Epidemiología, Master en Enfermedades Infecciosas, Profesor Asistente,Investigador Agregado en el departamento de epidemiología, en el Instituto de Medicina Tropical Pedro Kourí .

Downloads

Published

2022-05-25

How to Cite

1.
Ferrán Torres RM, García Cortina JR, Baldoquin Rodríguez W, González Díaz A, Pérez Chacón D, González Ochoa E. Tuberculosis trends and inequalities in Cuban provinces to promote differentiated interventions. Rev Cubana Salud Pública [Internet]. 2022 May 25 [cited 2025 Apr. 4];48(2). Available from: https://revsaludpublica.sld.cu/index.php/spu/article/view/2433

Issue

Vol. 48 No. 2 (2022): abril-junio

Section

Research

License

Aviso de derechos de autor/a

Aquellos autores/as que tengan publicaciones con esta revista, aceptan los términos siguientes:

  1. Los autores/as conservarán sus derechos de autor y garantizarán a la revista el derecho de primera publicación de su obra, el cuál estará simultáneamente sujeto a la Licencia de reconocimiento de Creative Commons que permite a terceros compartir la obra siempre que se indique su autor y su primera publicación esta revista.
  2. Los autores/as podrán adoptar otros acuerdos de licencia no exclusiva de distribución de la versión de la obra publicada (p. ej.: depositarla en un archivo telemático institucional o publicarla en un volumen monográfico) siempre que se indique la publicación inicial en esta revista.
  3. Se permite y recomienda a los autores/as difundir su obra a través de Internet (p. ej.: en archivos telemáticos institucionales o en su página web) antes y durante el proceso de envío, lo cual puede producir intercambios interesantes y aumentar las citas de la obra publicada. (Véase El efecto del acceso abierto).