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Trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in a Northeastern Brazilian municipality

2021; Associação Brasileira de Enfermagem; Volume: 74; Issue: 3 Linguagem: Inglês

10.1590/0034-7167-2020-1238

1984-0446

Giana Gislanne da Silva de Sousa, Lí­via Maia Pascoal, Ana Cristina Pereira de Jesus Costa, Floriacy Stabnow Santos, Leonardo Hunaldo dos Santos, Ricardo Alexandre Arcêncio, Marcelino Santos Neto,

Diagnosis and treatment of tuberculosis

ABSTRACT Objectives: to identify the trend and factors associated with Tuberculosis-Diabetes Mellitus comorbidity in Imperatriz, Maranhão. Methods: epidemiological temporal-series study, conducted in a Northeastern Brazilian municipality. The population consisted of Tuberculosis cases with Diabetes Mellitus-associated aggravation notified in the Notifiable Diseases Information System (SINAN) between 2009 and 2018. We determined the prevalence and trend of comorbidity using Prais-Winsten regressions and to identify associated factors employed Poisson regression. Results: prevalence ranged from 3.23% in 2014 to 19.51% in 2018, with a mean of 11.5% for the period, showing an increasing trend. Age groups 30 to 59 years and ≥ 60 years, education < 8 years, and clinical form of pulmonary Tuberculosis were risk factors for comorbidity. Conclusions: The increasing trend of comorbidity and its associated factors alert us to the need to improve customer service at all levels of health care.