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Revista Cubana de Salud Pública

On-line version ISSN 1561-3127

Abstract

RODRIGUEZ VELAZQUEZ, Dayana et al. Factors associated with the spatial distribution of tuberculosis in Havana, 2015. Rev Cub Sal Públ [online]. 2022, vol.48, n.2  Epub June 01, 2022. ISSN 1561-3127.

Introduction:

The year 2015 constitutes the international time frame of reference to evaluate the actions of the "End tuberculosis" strategy. The elimination of the disease as a health problem requires the identification of populations and territories at greatest risk, and the determinants of their geographical distribution.

Objective:

Determine the influence of socio-economic, demographic and geospatial factors on the spatial distribution of tuberculosis in Havana in 2015.

Methods:

An ecological study was conducted. The spatial distribution of total TB cases, TB/HIV and TB/inmate cases at the municipality level was described; as well as socio-economic, demographic and geospatial variables with data available from all municipalities in the province. Thematic maps were made for each of the variables. Subsequently, a layer overlap analysis was performed.

Results:

A higher concentration of cases was observed in the center-south of the province; mainly in the municipalities of Centro Habana, Habana Vieja, Diez de Octubre and Boyeros ; with the exception of the latter, these municipalities are the most densely populated, those with the highest land occupation and the most unfavorable living conditions.

Conclusions:

The spatial distribution of tuberculosis in Havana is closely related to the behavior of socio-economic, demographic and geospatial variables in its different municipalities. These variables should be taken into account in health interventions aimed at eliminating the disease in the province.

Keywords : tuberculosis; geospatial analysis; index of living conditions..

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