TUBERCULOSIS IN HOMELESS BRAZILIAN WOMEN: GENDER ANALYSIS IN HEALTH
Palabras clave:
Tuberculosis, Homeless Persons, Women, Gender Analysis in HealthResumen
Objective: This study describes the profile of notified tuberculosis cases in homeless women and its relations with gender determination in the showed context. Methods: It was conducted through a descriptive quantitative research based on resources of a brazilian public database (SINAN) in the gap of 2014 to 2019. Results: It shows high percentage of retreatment (36, 5%) and treatment failure (43, 5%). In comparison with men in the same conditions, these women presents lower cure percentage (29, 7%), higher illicit drugs use (68, 7%), HIV/AIDS coinfection (35, 9%) and mental illness (8,4%). Conclusion: In this way, we identify that homeless women manifests singular characteristics in relation to the tuberculosis illness, making urgent the need of health service readjustment for this social segment and the promotion of better sociopolitical support.
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1. Silva TO, Vianna PJS, Almeida MVG, Santos SD, Nery JS. Street people in Brazil: a descriptive study of their sociodemographic profile and tuberculosis morbidity, 2014-2019. Epidemiol. Serv. Saude. 2021;30(1). https://doi.org/10.1590/S1679-49742021000100029
2. Ranzani OT, Carvalho CRR, Waldman EA, Rodrigues LC. The impact of being homeless on the unsuccessful outcome of treatment of pulmonar TB in São Paulo State, Brazil. BMC Med. 2016;14(41). https://doi.org/10.1186/s12916-016-0584-8
3. World Health Organization. 2020 Global tuberculosis Report. 2020 [cited 2021 Jul 01]. Available from: https://www.who.int/publications/i/item/9789240013131
4. Ministério da Saúde (Brasil). Secretaria de Vigilância em Saúde. Boletim Epidemiológico: Tuberculose 2021. [cited 2021 Jul 01] Available from: http://www.aids.gov.br/pt-br/pub/2021/boletim-tuberculose-2021.
5. San Pedro A, Gibson G, Santos JPC, Toledo LM, Sabroza PC, Oliveira RM. Tuberculosis as a marker of inequities in the contexto of sociospatial transformation. Rev Saude Publica. 2017;51(9). https://doi.org/10.1590/S1518-8787.2017051006533
6. Moreira ASR, Kritski AL, Carvalho ACC. Social determinants of health and catastrophic costs associated with the diagnosis and treatment of tuberculosis. J Bras Pneumol. 2020;46(5):e20200015. https://doi.org/10.36416/1806-3756/e20200015
7. Rosas AS, Brêtas, AC. Violence in the lives of homeless women in the city of São Paulo, Brazil. Interface (Botucatu. Online). 2015; 19 (53); 275-285. https://doi.org/10.1590/1807-57622014.0221
8. Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Rua aprendendo a contar: pesquisa nacional sobre a população em situação de rua [Internet]. Brasília; 2008 [cited 2021 Aug 18] Available from: https://www.mds.gov.br/webarquivos/publicacao/assistencia_social/Livros/Rua_aprendendo_a_contar.pdf
9. Biscotto PR, Jesus MCP, Silva MH, Oliveira DM, Merighi MAB. Understanding of the life experience of homeless women. Rev. Esc. Enferm. USP. 2016;50(5): 749-755. https://doi.org/10.1590/S0080-623420160000600006
10. Maruza M, Albuquerque MFPM, Coimbra I, Moura LV, Montarroyos UR, Filho DBM, Lacerda HR, Rodrigues LC, Ximenes RAA. Risk factors for default from tuberculosis treatment in HIV-infected individuals in the state of Pernambuco, Brazil: a prospective cohort study. BMC Infect Dis. 2011;11:351. https://doi.org/10.1186/1471-2334-11-351
11. Furlan MCR, Oliveira SP, Marcon SS. Factors associated with nonadherence of tuberculosis treatment in the state of Paraná. Acta Paul. Enferm. [Internet] 2012;25(Spe 1): 108-14. https://doi.org/10.1590/S0103-21002012000800017
12. Duarte R, Lönnroth K, Carvalho C, Lima F, Carvalho ACC, Muñoz-Torrico M, Centis R. Tuberculosis, social determinants and co-morbidities (including HIV). Pulmonol. 2018;24(2):115-119. https://doi.org/10.1016/j.rppnen.2017.11.003
13. Gama KN, Palmeira IP, Rodrigues IL, Ferreira AR, Ozela CS. The impact of the diagnosis of tuberculosis through its social representations. Rev. Bras Enferm. 2019; 72(5): 1189-96. https://doi.org/10.1590/0034-7167-2017-0881
14. Courtwright A, Turner AN. Tuberculosis and Stigmatization: Pathways and Interventions. Public Health Reports. 2010;125(Suppl 4). https://doi.org/10.1177/00333549101250S407
15. Sá AM, Santiago LA, Santos NV, Monteiro NP, Pinto PH, Lima AM, Iwasaka-Neder PL. Reasons for treatment abandonment among tuberculosis patients Rev. Soc. Bras. Clín. Méd. 2017 [cited 2021 Jul 02];15(3): 155-60. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-875434.
16. Pedroni G, Sarmento CS. Vulnerabilidade e resistência: um estudo sobre as mulheres em situação de rua em Porta Alegre. In: Anais do 26th Jornadas de Jóvenes Investigadores de AUGM; 2018 Oct 17-19; Mendoza, Argentina. Mendoza: Universidad Nacional de Cuyo; 2019 [cited 2021 Aug 18]. Available from: https://bdigital.uncuyo.edu.ar/objetos_digitales/12620/8-gnero-pedroni-gabriela-ufsc.pdf
17. Villa EA, Pereira MO, Reinaldo AM, Neves NA, Viana SM. Sociodemographic profile of women in street situation and vulnerability for the use of psychoactive substances. J Nurs UFPE [Internet]. 2017 [cited 2021 Jul 14];11(Suppl 5):2122-31. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/23367
18. Silva DR, Muñoz-Torrico M, Duarte R, Galvão T, Bonini EH, Arbex FF, Arbex MA, Augusto VM, Rabahi MF, Mello FC. Risk factors for tuberculosis: diabetes, smoking, alcohol use, and the use of other drugs. J Bras Pneumol. 2018;44(2): 145-152. https://doi.org/10.1590/s1806-37562017000000443
19. Cruz VD, Harter J, Oliveira MM, Gonzales RIC, Alves PF. Consumo de crack e a tuberculose: uma revisão integrativa. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2013 [cited 2021 Jul 14];9(1):48-55. Available from: http://pepsic.bvsalud.org/pdf/smad/v9n1/pt_08.pdf
20. Fernandes TS, Pedrosa NS, Garcia MKQ, Silva AMBF. Stigma and prejudice today: the experience of tuberculosis patients in occupational therapy workshops. Physis. 2020;30(1):e300103. https://doi.org/10.1590/S0103-73312020300103
21. Alves MER, Osterne MSF. Vidas privadas no espaço público: as várias faces da violência contra a mulher moradora de rua em Fortaleza e os desafios das políticas públicas na cena contemporânea. Revista Conhecer [Internet]. 2013 [cited 2021 Jul 15];3(9): 174-96. Available from: https://revistas.uece.br/index.php/revistaconhecer/article/view/1141
22. Santos VB. Mulheres em vivência de rua e a integralidade no cuidado em saúde [master’s thesis]. Santa Maria: Universidade Federal de Santa Maria; 2014. 112 p.
23. Valle F, Farah BF; Junior NC. Health-interfering streets experiences: homeless people’s perspective. Saúde debate. 2020;44(124): 182-192. https://doi.org/10.1590/0103-1104202012413
24. Ministério da Saúde (Brasil). Manual de recomendações para o controle da tuberculose no Brasil. 2011 [cited 2021 Aug 16]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/manual_recomendacoes_controle_tuberculose_brasil.pdf
25. Lopes JS, Santos RS. Professional in prenatal care for homeless pregnant women: integrative review. RSD. 2020;9(7):1-18. https://doi.org/10.33448/rsd-v9i7.4475
26. Fabbrin AR, Rocha CR, Foschiera L, Hendler JV, Vieira JL, Friedrich L. Tuberculose miliar em neonato: relato de caso. In: Anais do 6th Encontro Internacional de Neonatologia e 4th Simpósio Interdisciplinar de Atenção do Prematuro; 2019 Apr 11-19. Gramado, Rio Grande do Sul. Porto Alegre: Hospital das Clínicas de Porto Alegre; 2019 [cited 2020 Oct 04] Available from: https://www.lume.ufrgs.br/bitstream/handle/10183/201773/001099037.pdf?sequence=1
27. Sarmento CS. Homeless women, maternity and government Technologies: an anthropological study. In: Monteiro AS, organizator. Cultura: Conceito Sempre em Desenvolvimento. Ponta Grossa (PR): Atena Editora. 2019. p. 75-86. https://doi.org/ 10.22533/at.ed.3751904067
28. Ceccon RF, Maffacciolli R, Burille A, Meneghel SN, Oliveira DLLC, Gerhardt TE. Tuberculosis mortality in Brazilian capitals, 2008-2010. Epidemiol. Serv. Saúde. 2017;26(2). https://doi.org/10.5123/S1679-49742017000200012
29. Ministério da Saúde (Brasil); Sistema de Informação de Agravos de Notificação (Sinan). Tuberculose: instrucional de preenchimento da ficha de notificação/investigação. [Internet] Available from: http://portalsinan.saude.gov.br/images/documentos/Agravos/Tuberculose/InstrutivodePreenchimento.pdf
2. Ranzani OT, Carvalho CRR, Waldman EA, Rodrigues LC. The impact of being homeless on the unsuccessful outcome of treatment of pulmonar TB in São Paulo State, Brazil. BMC Med. 2016;14(41). https://doi.org/10.1186/s12916-016-0584-8
3. World Health Organization. 2020 Global tuberculosis Report. 2020 [cited 2021 Jul 01]. Available from: https://www.who.int/publications/i/item/9789240013131
4. Ministério da Saúde (Brasil). Secretaria de Vigilância em Saúde. Boletim Epidemiológico: Tuberculose 2021. [cited 2021 Jul 01] Available from: http://www.aids.gov.br/pt-br/pub/2021/boletim-tuberculose-2021.
5. San Pedro A, Gibson G, Santos JPC, Toledo LM, Sabroza PC, Oliveira RM. Tuberculosis as a marker of inequities in the contexto of sociospatial transformation. Rev Saude Publica. 2017;51(9). https://doi.org/10.1590/S1518-8787.2017051006533
6. Moreira ASR, Kritski AL, Carvalho ACC. Social determinants of health and catastrophic costs associated with the diagnosis and treatment of tuberculosis. J Bras Pneumol. 2020;46(5):e20200015. https://doi.org/10.36416/1806-3756/e20200015
7. Rosas AS, Brêtas, AC. Violence in the lives of homeless women in the city of São Paulo, Brazil. Interface (Botucatu. Online). 2015; 19 (53); 275-285. https://doi.org/10.1590/1807-57622014.0221
8. Ministério do Desenvolvimento Social e Combate à Fome (Brasil). Rua aprendendo a contar: pesquisa nacional sobre a população em situação de rua [Internet]. Brasília; 2008 [cited 2021 Aug 18] Available from: https://www.mds.gov.br/webarquivos/publicacao/assistencia_social/Livros/Rua_aprendendo_a_contar.pdf
9. Biscotto PR, Jesus MCP, Silva MH, Oliveira DM, Merighi MAB. Understanding of the life experience of homeless women. Rev. Esc. Enferm. USP. 2016;50(5): 749-755. https://doi.org/10.1590/S0080-623420160000600006
10. Maruza M, Albuquerque MFPM, Coimbra I, Moura LV, Montarroyos UR, Filho DBM, Lacerda HR, Rodrigues LC, Ximenes RAA. Risk factors for default from tuberculosis treatment in HIV-infected individuals in the state of Pernambuco, Brazil: a prospective cohort study. BMC Infect Dis. 2011;11:351. https://doi.org/10.1186/1471-2334-11-351
11. Furlan MCR, Oliveira SP, Marcon SS. Factors associated with nonadherence of tuberculosis treatment in the state of Paraná. Acta Paul. Enferm. [Internet] 2012;25(Spe 1): 108-14. https://doi.org/10.1590/S0103-21002012000800017
12. Duarte R, Lönnroth K, Carvalho C, Lima F, Carvalho ACC, Muñoz-Torrico M, Centis R. Tuberculosis, social determinants and co-morbidities (including HIV). Pulmonol. 2018;24(2):115-119. https://doi.org/10.1016/j.rppnen.2017.11.003
13. Gama KN, Palmeira IP, Rodrigues IL, Ferreira AR, Ozela CS. The impact of the diagnosis of tuberculosis through its social representations. Rev. Bras Enferm. 2019; 72(5): 1189-96. https://doi.org/10.1590/0034-7167-2017-0881
14. Courtwright A, Turner AN. Tuberculosis and Stigmatization: Pathways and Interventions. Public Health Reports. 2010;125(Suppl 4). https://doi.org/10.1177/00333549101250S407
15. Sá AM, Santiago LA, Santos NV, Monteiro NP, Pinto PH, Lima AM, Iwasaka-Neder PL. Reasons for treatment abandonment among tuberculosis patients Rev. Soc. Bras. Clín. Méd. 2017 [cited 2021 Jul 02];15(3): 155-60. Available from: https://pesquisa.bvsalud.org/portal/resource/pt/biblio-875434.
16. Pedroni G, Sarmento CS. Vulnerabilidade e resistência: um estudo sobre as mulheres em situação de rua em Porta Alegre. In: Anais do 26th Jornadas de Jóvenes Investigadores de AUGM; 2018 Oct 17-19; Mendoza, Argentina. Mendoza: Universidad Nacional de Cuyo; 2019 [cited 2021 Aug 18]. Available from: https://bdigital.uncuyo.edu.ar/objetos_digitales/12620/8-gnero-pedroni-gabriela-ufsc.pdf
17. Villa EA, Pereira MO, Reinaldo AM, Neves NA, Viana SM. Sociodemographic profile of women in street situation and vulnerability for the use of psychoactive substances. J Nurs UFPE [Internet]. 2017 [cited 2021 Jul 14];11(Suppl 5):2122-31. Available from: https://periodicos.ufpe.br/revistas/revistaenfermagem/article/view/23367
18. Silva DR, Muñoz-Torrico M, Duarte R, Galvão T, Bonini EH, Arbex FF, Arbex MA, Augusto VM, Rabahi MF, Mello FC. Risk factors for tuberculosis: diabetes, smoking, alcohol use, and the use of other drugs. J Bras Pneumol. 2018;44(2): 145-152. https://doi.org/10.1590/s1806-37562017000000443
19. Cruz VD, Harter J, Oliveira MM, Gonzales RIC, Alves PF. Consumo de crack e a tuberculose: uma revisão integrativa. SMAD, Rev Eletrônica Saúde Mental Álcool Drog. 2013 [cited 2021 Jul 14];9(1):48-55. Available from: http://pepsic.bvsalud.org/pdf/smad/v9n1/pt_08.pdf
20. Fernandes TS, Pedrosa NS, Garcia MKQ, Silva AMBF. Stigma and prejudice today: the experience of tuberculosis patients in occupational therapy workshops. Physis. 2020;30(1):e300103. https://doi.org/10.1590/S0103-73312020300103
21. Alves MER, Osterne MSF. Vidas privadas no espaço público: as várias faces da violência contra a mulher moradora de rua em Fortaleza e os desafios das políticas públicas na cena contemporânea. Revista Conhecer [Internet]. 2013 [cited 2021 Jul 15];3(9): 174-96. Available from: https://revistas.uece.br/index.php/revistaconhecer/article/view/1141
22. Santos VB. Mulheres em vivência de rua e a integralidade no cuidado em saúde [master’s thesis]. Santa Maria: Universidade Federal de Santa Maria; 2014. 112 p.
23. Valle F, Farah BF; Junior NC. Health-interfering streets experiences: homeless people’s perspective. Saúde debate. 2020;44(124): 182-192. https://doi.org/10.1590/0103-1104202012413
24. Ministério da Saúde (Brasil). Manual de recomendações para o controle da tuberculose no Brasil. 2011 [cited 2021 Aug 16]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/manual_recomendacoes_controle_tuberculose_brasil.pdf
25. Lopes JS, Santos RS. Professional in prenatal care for homeless pregnant women: integrative review. RSD. 2020;9(7):1-18. https://doi.org/10.33448/rsd-v9i7.4475
26. Fabbrin AR, Rocha CR, Foschiera L, Hendler JV, Vieira JL, Friedrich L. Tuberculose miliar em neonato: relato de caso. In: Anais do 6th Encontro Internacional de Neonatologia e 4th Simpósio Interdisciplinar de Atenção do Prematuro; 2019 Apr 11-19. Gramado, Rio Grande do Sul. Porto Alegre: Hospital das Clínicas de Porto Alegre; 2019 [cited 2020 Oct 04] Available from: https://www.lume.ufrgs.br/bitstream/handle/10183/201773/001099037.pdf?sequence=1
27. Sarmento CS. Homeless women, maternity and government Technologies: an anthropological study. In: Monteiro AS, organizator. Cultura: Conceito Sempre em Desenvolvimento. Ponta Grossa (PR): Atena Editora. 2019. p. 75-86. https://doi.org/ 10.22533/at.ed.3751904067
28. Ceccon RF, Maffacciolli R, Burille A, Meneghel SN, Oliveira DLLC, Gerhardt TE. Tuberculosis mortality in Brazilian capitals, 2008-2010. Epidemiol. Serv. Saúde. 2017;26(2). https://doi.org/10.5123/S1679-49742017000200012
29. Ministério da Saúde (Brasil); Sistema de Informação de Agravos de Notificação (Sinan). Tuberculose: instrucional de preenchimento da ficha de notificação/investigação. [Internet] Available from: http://portalsinan.saude.gov.br/images/documentos/Agravos/Tuberculose/InstrutivodePreenchimento.pdf
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2022-11-03
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Castelo, I. S., Nery, J. S., & Da Silva, S. S. (2022). TUBERCULOSIS IN HOMELESS BRAZILIAN WOMEN: GENDER ANALYSIS IN HEALTH. Práticas E Cuidado: Revista De Saúde Coletiva, 3, e14206. Recuperado a partir de https://revistas.uneb.br/index.php/saudecoletiva/article/view/14206
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