Spatial distribution of deaths, hospitalizations by tuberculosis and the relationship with social indicators in Ribeirão Preto (SP)

Abstract

The hospitalization and death by tuberculosis (TB) are significant indicators of the quality and resolution of health care systems. They also express some aspects of life social conditions and the vulnerability of particular groups. Thereby, this study aimed to analyze the spatial distribution of hospital admissions and mortality by TB according to the census tracts in the municipality of Ribeirão Preto - SP, and the connection with social indicators in the period 2006-2012. This is an ecological study whose mortality data is going to be obtained from the Mortality Information System (SIM), and the hospitalization one from the Hospital Information System of the Unified Health System (SIH/SUS). It is going to be used as an analysis unit the census tracts defined by the Demographic Census, in 2010, by the Brazilian Institute of Geography and Statistics (IBGE). In order to analyze the spatial distribution of deaths and hospital admissions by TB, in relation to the social indicators, it is going to be utilized the multiple linear regression with the investigation on waste spatial dependence through the application of the Global Moran's Index test. Thus, the softwares ArcGIS 10.1, OpenGeoDa and R are going to be used. The health systems, once they are instrumented by these studies, will be able to reduce the differences on exposure and vulnerability to TB, specifically, in the municipality of Ribeirão Preto. Not only by improving access to health care, but also by the introduction of devices that promote intersectoral actions. (AU)