Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Factors Associated With Mortality With Tuberculosis Diagnosis in Indigenous Population in Peru 2015-2019

Version 1 : Received: 10 August 2022 / Approved: 11 August 2022 / Online: 11 August 2022 (12:00:20 CEST)

How to cite: Leon, H.; Rivera-Lozada, O.; Castro-Alzate, E.S.; Aylas-Salcedo, R.; Pacheco López, R.; Bonilla-Asalde, C.A. Factors Associated With Mortality With Tuberculosis Diagnosis in Indigenous Population in Peru 2015-2019. Preprints 2022, 2022080222 (doi: 10.20944/preprints202208.0222.v1). Leon, H.; Rivera-Lozada, O.; Castro-Alzate, E.S.; Aylas-Salcedo, R.; Pacheco López, R.; Bonilla-Asalde, C.A. Factors Associated With Mortality With Tuberculosis Diagnosis in Indigenous Population in Peru 2015-2019. Preprints 2022, 2022080222 (doi: 10.20944/preprints202208.0222.v1).

Abstract

Aim. To identify factors associated with mortality with tuberculosis diagnosis in the indigenous population in Peru 2015-2019. Methods. Case-control study nested in a retrospective cohort, using the registry of persons belonging to indigenous peoples of the National Tuberculosis Prevention and Control Strategy of the Ministry of Health of Peru. A descriptive analysis was applied, and then bivariate and multiple logistic regression was used to evaluate associations between the variables and the outcome (live-deceased), the results were presented as OR with their respective 95% confidence intervals. Results. The mortality rate of the total indigenous population of Peru was 1.75 deaths per 100,000 indigenous people diagnosed with TB. The community of Kukama kukamiria - Yagua reported 505 (28.48%) individuals. The final logistic model showed that indigenous men (OR=1.93; 95% CI: 1.001-3.7), with a history of HIV prior to TB (OR=16.7; 95% CI: 4.7-58.7) and indigenous people in old age (OR=2.95; 95% CI: 1.5-5.7), are factors associated with a greater chance of dying from TB. Conclusions. It is important to reorient health services among indigenous populations, especially those related to improving the timely diagnosis and early treatment of TB-HIV co-infection, to ensure comprehensive care for this population, considering that they are vulnerable groups.

Keywords

Tuberculosis; Mortality; Indigenous; Logistic Regression

Subject

MEDICINE & PHARMACOLOGY, General Medical Research

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