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Factors associated with the worsening of the disability grade during leprosy treatment in Brazil
Letícia Gomes Costa
  Letícia Gomes Costa
Affiliation
Institute of Collective, Health, Federal University of Mato Grosso (UFMT)
Correspondence to: Leícia Gomes Costa, Health Collective Institute, State University of Mato Grosso Cáceres, Mato Grosso, Brazil (e-mail: costalg1@gmail.com)
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a,*
Denise Cortela
  Denise Cortela
Affiliation
Faculty of Health Sciences, State University of Mato Grosso (UNEMAT)
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b
Rosa Castália França Ribeiro Soares
  Rosa Castália França Ribeiro Soares
Affiliation
Brazilian Ministry of Health (CGHDE/SVS/MS)
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c
Eliane Ignotti
  Eliane Ignotti
Affiliation
Faculty of Health Sciences, State University of Mato Grosso (UNEMAT)
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b
Objectives:

To analyse factors associated with the worsening of physical disabilities during the treatment of leprosy in Brazil in cases that were newly diagnosed in 2009.

 Methods:

This epidemiological study performed as a retrospective cohort investigated the factors associated with the worsening of the physical disability grade during the treatment of paucibacillary and multibacillary leprosy cases. Logistic regression with a confidence interval of 95% was used to analyse the variables associated with the worsening of disability grade.

 Results:

The cases with the greatest odds for worsening physical disability grade were patients from the south (odds ratio [OR] = 2.60) and southeast regions (OR = 1.74); with multibacillary disease (OR = 3.48); who were illiterate (OR = 2.26); and with reactive episodes (OR = 2.42).

 Conclusions:

The factors associated with higher odds of worsening physical disability during treatment demonstrate failure to apply appropriate remedial measures to prevent disabilities, and greater attention should be given to patients with the most severe disease.
Keywords
Leprosy Physical disability Brazil Quality of health care Epidemiology
Cite this article
Letícia Gomes Costa, Denise Cortela, Rosa Castália França Ribeiro Soares, Eliane Ignotti;
Factors associated with the worsening of the disability grade during leprosy treatment in Brazil; Leprosy Review; 2015; 86; 3; 265-272; DOI: 10.47276/lr.86.3.265
home.article_information

DOI: 10.47276/lr.86.3.265

articleview.journal_title: Leprosy Review
articleview.publisher: Lepra
articleview.publisher_location: Colchester, UK
articleview.article_date_pre accepted on 14 August 2015 and articleview.pub_on 01 September 2015
© Lepra 2015
LEPROSY
Leprosy Review
0305-7518
British Leprosy Relief Association
Colchester, UK
26-5272
0305-7518/15/064053+08
10.47276/lr.86.3.265
Original Papers
Factors associated with the worsening of the disability grade during leprosy treatment in Brazil
CostaLetícia Gomes
a
CortelaDenise
b
SoaresRosa Castália França Ribeiro
c
IgnottiEliane
b
a
Institute of Collective, Health, Federal University of Mato Grosso (UFMT)
b
Faculty of Health Sciences, State University of Mato Grosso (UNEMAT)
c
Brazilian Ministry of Health (CGHDE/SVS/MS)
Correspondence to: Leícia Gomes Costa, Health Collective Institute, State University of Mato Grosso Cáceres, Mato Grosso, Brazil (e-mail: )
01092015
86
3
265
272
14082015
© Lepra
2015
Objectives:
To analyse factors associated with the worsening of physical disabilities during the treatment of leprosy in Brazil in cases that were newly diagnosed in 2009.
Methods:
This epidemiological study performed as a retrospective cohort investigated the factors associated with the worsening of the physical disability grade during the treatment of paucibacillary and multibacillary leprosy cases. Logistic regression with a confidence interval of 95% was used to analyse the variables associated with the worsening of disability grade.
Results:
The cases with the greatest odds for worsening physical disability grade were patients from the south (odds ratio [OR] = 2.60) and southeast regions (OR = 1.74); with multibacillary disease (OR = 3.48); who were illiterate (OR = 2.26); and with reactive episodes (OR = 2.42).
Conclusions:
The factors associated with higher odds of worsening physical disability during treatment demonstrate failure to apply appropriate remedial measures to prevent disabilities, and greater attention should be given to patients with the most severe disease.
LeprosyPhysical disabilityBrazilQuality of health careEpidemiology