Prevalence of tuberculosis respiratory symptoms and associated factors in the indigenous populations of Paraguay (2012)

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dc.contributor.authorAguirre, Sarita
dc.contributor.authorCuellar, Celia Martínez
dc.contributor.authorHerrero, María Belén
dc.contributor.authorCortesi, Gustavo Chamorro
dc.contributor.authorRomero, Nilda Gimenez de
dc.contributor.authorAlvarez, Mirian
dc.contributor.authorBraga, José Ueleres
dc.date.accessioned2024-11-14T13:30:26Z
dc.date.available2024-11-14T13:30:26Z
dc.date.issued2017
dc.description.abstractBACKGROUND The prevalence of respiratory symptoms and confirmed tuberculosis (TB) among indigenous groups in Paraguay is unknown. METHODS This study assessed the prevalence of respiratory symptoms, confirmed pulmonary TB, and associated socio-economic factors among indigenous Paraguayan populations. Indigenous persons residing in selected communities were included in the study. A total of 24,352 participants were interviewed at home between October and December 2012. Respiratory symptomatic individuals were defined as those with respiratory symptoms of TB. A hierarchical Poisson regression analysis was performed with four levels: individual characteristics, living conditions and environmental characteristics, source of food, and type of nutrition. FINDINGS In this study, 1,383 participants had respiratory symptoms (5.7%), but only 10 had culture-confirmed TB (41/100,000 inhabitants). The small number of cases did not allow evaluation of the risk factors for TB. Age older than 37 years was associated with a two-fold increased risk of symptoms. Female sex; family history of TB; type of housing; home heating; a lack of hunting, fishing, or purchasing food; and a lack of vegetable consumption were also associated with the presence of symptoms. A lack of cereal consumption had a protective effect. Members of the Ayoreo or Manjui ethnic groups had a three-fold increased risk of symptoms. MAIN CONCLUSION Individual characteristics, dietary habits, and belonging to specific ethnic groups were associated with respiratory symptoms.
dc.identifier.citationAguirre S, Cuellar CM, Herrero MB, Cortesi GC, Romero NG, Alvarez M, Braga JU. Prevalence of tuberculosis respiratory symptoms and associated factors in the indigenous populations of Paraguay (2012). Mem Inst Oswaldo Cruz. 2017 Jul;112(7):474-484. doi: 10.1590/0074-02760160443.
dc.identifier.otherDOI: 10.1590/0074-02760160443
dc.identifier.urihttps://dspace.inc.saude.gov.br/handle/123456789/608
dc.language.isoen
dc.publisherMemórias do Instituto Oswaldo Cruz
dc.subjectpulmonary tuberculosisen
dc.subjectpopulation groupsen
dc.subjectcross-sectional studiesen
dc.subjectrisk factorsen
dc.titlePrevalence of tuberculosis respiratory symptoms and associated factors in the indigenous populations of Paraguay (2012)
dc.typeArticle
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