@article{24815, keywords = {Migration, leprosy, Brazil}, author = {Murto C and Ariza L and Alencar C and André Chichava O and Oliveira AR and Kaplan C and Da Silva LFM and Heukelbach J}, title = {Migration among individuals with leprosy: a population-based study in Central Brazil.}, abstract = {This study investigates social and clinical factors associated with migration among individuals affected by leprosy. A cross-sectional study was conducted among those newly diagnosed with leprosy (2006-2008), in 79 endemic municipalities in the state of Tocantins, Brazil (N = 1,074). In total, 76.2% were born in a municipality different from their current residence. In the five years before diagnosis 16.7% migrated, and 3.6% migrated after leprosy diagnosis. Findings reflect aspects associated with historical rural-urban population movement in Brazil. Indicators of poverty were prominent among before-diagnosis migrants but not after-diagnosis migrants. Migration after diagnosis was associated with prior migration. The association of multibacillary leprosy with migration indicates healthcare access may be an obstacle to early diagnosis among before-diagnosis migrants, which may also be related to the high mobility of this group.}, year = {2014}, journal = {Cadernos de saúde pública}, volume = {30}, pages = {487-501}, month = {2014 Mar}, issn = {1678-4464}, url = {http://www.scielosp.org/pdf/csp/v30n3/0102-311X-csp-30-3-0487.pdf}, doi = {10.1371/journal.pntd.0002845}, language = {eng}, }