@article{32664, keywords = {leprosy, Spatial analysis, Information Systems, Ecological studies, Spatial distribution, Brazil}, author = {Souza CDF and Santos FGB and Marques CS and Leal TC and Paiva JPS and Araújo EMCF}, title = {Spatial study of leprosy in Bahia, Brazil, 2001-2012: an approach based on the local empirical Bayesian model.}, abstract = {
OBJECTIVE: to compare the temporal evolution and spatial distribution of epidemiological indicators of leprosy, both crude and also corrected using the empirical Bayesian model, Bahia, Brazil, 2001-2012.
METHODS: this was an ecological study using data from the Notifiable Diseases Information System; all 417 municipalities in Bahia were included and the following indicators per 100,000 inhabitants were analyzed - detection rate of new cases in the general population, in those <15 years old, and in those with grade 2 physical disability -; the local empirical Bayesian model was used to smoothen the indicators, and Student's t-test was used to compare means.
RESULTS: indicators estimated by the model were higher than crude indicators; estimated detection rates in the general population and in those <15 years old were higher than crude rates in 253 (60.7%) and 209 (50.1%) municipalities, respectively; areas of greatest risk were concentrated in the northwestern and southern regions of the state.
CONCLUSION: spatial distribution of the disease was heterogeneous and there was possible underreporting of cases.
}, year = {2018}, journal = {Epidemiologia e servicos de saude : revista do Sistema Unico de Saude do Brasil}, volume = {27}, pages = {e2017479}, issn = {2237-9622}, url = {http://www.scielo.br/pdf/ress/v27n4/en_2237-9622-ress-27-04-e2017479.pdf}, doi = {10.5123/S1679-49742018000400013}, language = {eng}, }