<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0375-0760</journal-id>
<journal-title><![CDATA[Revista Cubana de Medicina Tropical]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Med Trop]]></abbrev-journal-title>
<issn>0375-0760</issn>
<publisher>
<publisher-name><![CDATA[Centro Nacional de Información de Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0375-07602022000300006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Algunas desigualdades sociodemográficas de la tuberculosis entre las regiones geográficas de Cuba]]></article-title>
<article-title xml:lang="en"><![CDATA[Some sociodemographic inequalities of tuberculosis among the geographic regions in Cuba]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ferrán Torres]]></surname>
<given-names><![CDATA[Rita María]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fernandes Vasconcelos]]></surname>
<given-names><![CDATA[Elma]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sandoval Torres]]></surname>
<given-names><![CDATA[Mario Luis]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Makanda Nsingui]]></surname>
<given-names><![CDATA[Mateta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Fortuna Ososeni]]></surname>
<given-names><![CDATA[Idalegio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Victoriano Da Costa]]></surname>
<given-names><![CDATA[Alberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Leitão Ribeiro]]></surname>
<given-names><![CDATA[Treve]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[González Ochoa]]></surname>
<given-names><![CDATA[Edilberto]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto de Medicina Tropical Pedro Kourí (IPK)  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Facultad de Tecnología de la Salud  ]]></institution>
<addr-line><![CDATA[ La Habana]]></addr-line>
<country>Cuba</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>74</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0375-07602022000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0375-07602022000300006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0375-07602022000300006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción: El estudio de la ocurrencia de la tuberculosis en los territorios geográficos es importante para guiar a los decisores en las intervenciones diferenciadas.  Objetivo: Evaluar las desigualdades en la ocurrencia de tuberculosis y de algunas variables sociodemográficas individuales entre las regiones geográficas cubanas.  Métodos: Estudio ecológico de series temporales combinado con un estudio descriptivo sobre el número de casos y las tasas de incidencia de tuberculosis en Occidente, Centro y Oriente. Obtuvimos la información de la base de datos nacional de vigilancia de tuberculosis. Calculamos las tasas de incidencia y sus medias geométricas, la menor fue referencia para calcular las diferencias absolutas y relativas. Estimamos las tendencias de las incidencias regionales y las proporciones de algunas variables individuales.  Resultados: La región oriental mostró la menor media geométrica de las tasas (5,2) y fue la referencia: su tendencia resultó descendente con reducción total de 22,6 %. En la incidencia predominaron los hombres de 15-64 años en las tres regiones (63,8 %). Los menores de 15 años estuvieron entre 0,4-1,3 %. La región oriental presentó menos defunciones (25,9 %). La occidental aportó 44,2 % de la tuberculosis pulmonar y 46,3 % del diagnóstico bacteriológico.  Conclusiones: La región occidental presentó las desigualdades más importantes y mayor riesgo en la ocurrencia de tuberculosis. Se debe profundizar en el análisis de los determinantes individuales posiblemente relacionados y realizar intervenciones diferenciadas.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction: The study of the occurrence of tuberculosis in the geographic territories is important to guide decision-makers in the differentiated interventions.  Objective: To identify inequalities in the occurrence of tuberculosis and evaluate some individual sociodemographic variables among the geographic regions in Cuba.  Methods: Ecological time series study combined with a descriptive study on the number of cases and the incidence rate of tuberculosis in the western, central and eastern regions. We gathered data from the national tuberculosis surveillance database. The incidence rate and the geometric means were calculated, the lowest was the reference to calculate absolute and relative differences. We estimated the regional incidence trends and the proportions of some individual variables.  Results: The eastern region showed the lowest geometric mean of the rates (5.2) and was the reference. It had a downward trend, with a total reduction of 22.6%. Men aged 15-64 years prevailed in the three regions (63.8%). Those under 15 years of age were between 0.4% and 1.3%. The eastern region had the fewest deaths (25.9%). The western region accounted for 44.2% of pulmonary tuberculosis cases and 46.3% of bacteriological diagnoses.  Conclusions: The Western region had the most significant inequalities and a higher risk of tuberculosis. It should be further analyzed the probable relationship among individual determinants and carry out differentiated interventions.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[tuberculosis]]></kwd>
<kwd lng="es"><![CDATA[desigualdades]]></kwd>
<kwd lng="es"><![CDATA[tendencia]]></kwd>
<kwd lng="es"><![CDATA[vigilancia]]></kwd>
<kwd lng="es"><![CDATA[control]]></kwd>
<kwd lng="es"><![CDATA[eliminación]]></kwd>
<kwd lng="es"><![CDATA[Cuba]]></kwd>
<kwd lng="en"><![CDATA[tuberculosis]]></kwd>
<kwd lng="en"><![CDATA[inequalities]]></kwd>
<kwd lng="en"><![CDATA[trend]]></kwd>
<kwd lng="en"><![CDATA[surveillance]]></kwd>
<kwd lng="en"><![CDATA[control]]></kwd>
<kwd lng="en"><![CDATA[elimination]]></kwd>
<kwd lng="en"><![CDATA[Cuba]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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