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Social and environmental factors associated with the hospitalization of tuberculosis patients1 1 Paper extracted from Master's Thesis "Internação Hospitalar de Doentes com Tuberculose em Manaus e Fatores Sociais e Ambientais" presented to Universidade Federal do Amazonas, Manaus, AM, Brazil. Supported by Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), process # 481423/2008-7.

OBJECTIVE:

to identify social and environmental factors associated with hospitalization of tuberculosis (TB) patients in Manaus, Amazonas, during 2010.

METHODS:

this is a quantitative cross-sectional epidemiological study, with primary data collection and analysis of human immunodeficiency virus (HIV), based on seropositive status.

RESULTS:

Among social factors for TB-HIV co-infection, the association between alcohol use and dependence was significant for employed workers; among non-co-infections, the association between income less than one minimum wage (U.S. $200) and retired people, Bolsa Família Program [Family Allowance]/other social benefits was significant. Regarding environmental factors, the association was significant for TB-HIV co-infection among those not having their own house, having masonry housing and daily garbage collection; and among non-co-infection, owning their own house, no masonry housing and lack of daily garbage collection was significant.

CONCLUSION:

The findings indicated that not only social factors, but also environmental ones are associated with hospitalization of tuberculosis patients, and such associations differ according to TB-HIV co-infection. Findings revealed that the non-biological factors associated with hospitalization of tuberculosis patients should be considered when caring patients with this disease.

Tuberculosis; Hospitalization; Epidemiologic Factors; Co-infection


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