TY - JOUR KW - Migration KW - leprosy KW - Brazil AU - Murto C AU - Ariza L AU - Alencar C AU - André Chichava O AU - Oliveira AR AU - Kaplan C AU - Da Silva LFM AU - Heukelbach J AB - 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. BT - Cadernos de saúde pública C1 - http://www.ncbi.nlm.nih.gov/pubmed/24714939?dopt=Abstract DA - 2014 Mar DO - 10.1371/journal.pntd.0002845 IS - 3 J2 - Cad Saude Publica LA - eng N2 - 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. PY - 2014 SP - 487 EP - 501 T2 - Cadernos de saúde pública TI - Migration among individuals with leprosy: a population-based study in Central Brazil. TT - La migración entre personas con lepra: un estudio basado en la población en el centro de Brasil UR - http://www.scielosp.org/pdf/csp/v30n3/0102-311X-csp-30-3-0487.pdf VL - 30 SN - 1678-4464 ER -