La carga de enfermedad por Tuberculosis en mujeres, Colombia 2010-2018

Contenido principal del artículo

Laura Plata-Casas
Oscar Gutiérrez-Lesmes
Favio Cala-Vitery

Resumen

Objetivo: estimar los años de vida ajustados por discapacidad en mujeres atribuibles a Tuberculosis, Colombia 2010-2018. Métodos: Estudio descriptivo retrospectivo. Se estudiaron las variables: año de ocurrencia, grupos de edad y procedencia. Se incluyeron 41.354 mujeres que con¬sultaron en la red hospitalaria y 2530 casos de mortalidad en mujeres, registrados en el sistema de estadísticas vitales del país. Mediante la metodología abreviada propuesta por la Organización Mundial de la Salud para la medición de la carga de la enfermedad, se estimaron los años de vida perdidos, años de vida con discapacidad y años de vida saludable perdidos por mujeres a nivel subnacional.  Resultados: La tasa de años de vida ajustados por discapacidad del periodo de estudio fue de 427,2 (II95% 353-492,3) por cada 100.000 mujeres. Las mujeres en edad reproductiva (10 a 49 años) concentran el 57,9% de estos. Amazonas 1.426 (725,4-2541,4) y Guajira 1.001,1 (693,3-1260) presentaron las tasas más altas. Doce entidades territoriales tienen aumento de la carga de enfermedad.  Conclusiones: La tasa de años de vida ajustados por discapacidad por tuberculosis en mujeres durante nueve años, fue alta y presenta diferencias subnacionales quizás debidas a las grandes brechas sociales o económicas o déficit de capacidades institucionales o programáticas.

Detalles del artículo

Sección
Articulos Originales

Citas

Noubiap JJ, Nansseu JR, Nyaga UF, Nkeck JR, Endomba FT, Kaze AD, Agbor VN, Bigna JJ. Global prevalence of diabetes in active tuberculosis: a systematic review and meta-analysis of data from 2•3 million patients with tuberculosis. Lancet Glob Health. 2019 Apr;7(4):e448-e460. doi: 10.1016/ S2214-109X(18)30487-X. Epub 2019 Feb 25. PMID: 30819531. https://doi.org/10.1016/S2214-109X(18)30487-X

World Health Organization. Coronavirus (COVID-19) dashboard [website]. Geneva: World Health Organization (https://covid19.who.int/). https:// covid19.who.int/. 2020.

Organización Mundial de la Salud Informe Mundial sobre la Tuberculosis. 2020. https://apps.who.int/iris/bitstream/handle/10665/336069/9789240013131- eng.pdf. [accessed on 14 Dec 2022].

Ministerio de Salud y Protección Social. Informe del evento Tuberculosis 2021. https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/ VS/PP/ET/comportamiento-tuberculosis-2020.pdf. [accessed on 1 Dec 2022].

Silva DR, Muñoz-Torrico M, Duarte R, Galvão T, Bonini EH, Arbex FF, Arbex MA, Augusto VM, Rabahi MF, Mello FCQ. Risk factors for tuberculosis: diabetes, smoking, alcohol use, and the use of other drugs. J Bras Pneumol. 2018 Apr;44(2):145-152. doi: 10.1590/s1806-37562017000000443. PMID: 29791552; PMCID: PMC6044656. https://doi.org/10.1590/s1806-37562017000000443

Gutiérrez-Lesmes O and Grisales-Romero H. Burden of disease in Colombian Orinoquia, 2017 [version 1 peer review: awaiting peer review]. F1000Research 2022, 11:1257 (https://doi.org/10.12688/ f1000research.124503.1).

Plata-Casas L, Gutierrez-Lesmes O, Cala-Vitery F. Tuberculosis Disability Adjusted Life Years, Colombia 2010-2018. Trop Med Infect Dis. 2022 Sep 18;7(9):250. doi: 10.3390/tropicalmed7090250. PMID: 36136661; PMCID: PMC9505559. https://doi.org/10.3390/tropicalmed7090250

Plata-Casas L, González-Támara L, Cala-Vitery F. Tuberculosis Mortality in Children under Fifteen Years of Age: Epidemiological Situation in Colombia, 2010-2018. Trop Med Infect Dis. 2022 Jun 25;7(7):117. doi: 10.3390/tropicalmed7070117. PMID: 35878129; PMCID: PMC9319292. https://doi.org/10.3390/tropicalmed7070117

World Health Organization. Tuberculosis in women. https://www.who.int/ publications/m/item/tuberculosis-in-women. [accessed on 2 Dec 2022].

Stop TB partnership. Gender and TB. 2021. https://stoptb.org/assets/ documents/global/awards/tbreach/TB-REACH_Gender2021-web.pdf. [accessed on 1 Dec 2022].

Food and Agriculture Organization of the United Nations. Gender Equality and Women's Empowerment in the context of Food Security and Nutrition. https://www.fao.org/fileadmin/templates/cfs/Docs1920/ Gender/GEWE_Scoping_Paper-FINAL040ct.pdf. [accessed on 11 Dec 2022].

UNESCO. Girls' and women's literacy with a lifelong learning perspective: issues, trends and implications for the Sustainable Development Goals. 2016. https://unesdoc.unesco.org/ark:/48223/pf0000244959. [accessed on 10 Dec 2022].

Stop TB partnership. Género y TB. 2020. https://stoptb.org/assets/ documents/communities/CRG_Investment_Package_Gender_and_ TB_06.07.2020_ES.pdf. [accessed on 30 Nov 2022].

Hermans S, Cornell M, Middelkoop K, Wood R. The differential impact of HIV and antiretroviral therapy on gender-specific tuberculosis rates. Trop Med Int Health. 2019 Apr;24(4):454-462. doi: 10.1111/tmi.13209. Epub 2019 Feb 14. PMID: 30681241; PMCID: PMC6555136. https://doi.org/10.1111/tmi.13209

Krishnan L, Akande T, Shankar AV, et al. Gender-related barriers and delays in accessing tuberculosis diagnostic and treatment services: a systematic review of qualitative studies. Tuberc Res Treat. 2014;2014:215059. doi:10.1155/2014/215059. https://doi.org/10.1155/2014/215059

Agence Française de developpment. Diagnóstico Multidimensional sobre las Desigualdades en Colombia https://www.repository.fedesarrollo.org. co/handle/11445/4338. [accessed on 7 Dec 2022].

De Santacruz C, Chavarro-Carvajal D, Venegas-Sanabria L, Gama A, Cano Gutiérrez C. Inequalities between Women and Men Aged Over and Under Seventy Years. SABE Colombia - Survey on Health, Well-being and Aging 2015 a. 2019. Universitas Medica: 60(3). https://doi.org/10.11144/Javeriana.umed60-3.sabe

World Heatlh Organization. WHO Methods and data sources for global burden of disease estimates 2000-2015. In: Department of Information EaRW, Geneva, editor: Global Health Estimates Technical Paper WHO/HIS/ IER/GHE/. 2017. p. 52.

https://cdn.who.int/media/docs/default-source/ gho-documents/global-health-estimates/ghe2019_daly-methods. pdf?sfvrsn=31b25009_7.

Ramon Martinez, Patricia Soliz, Roberta Caixeta, Pedro Ordunez, Reflection on modern methods: years of life lost due to premature mortality-a versatile and comprehensive measure for monitoring non-communicable disease mortality, International Journal of Epidemiology, Volume 48, Issue 4, August 2019, Pages 1367-1376, https://doi.org/10.1093/ije/dyy254. https://doi.org/10.1093/ije/dyy254

Dicker D, Nguyen G, Abate D, Abate KH, Abay SM, Abbafati C, et al. Supplement to: GBD 2017 Mortality Collaborators. Global, regional, and national age-sex-specific mortality and life expectancy, 1950-2017: a systematic analysis for the Global Burden of Disease Study 2017. The lancet. 2018; 392(10159):1684-52. DOI:10.1016/S0140-6736(18)31891-9. DOI: https://doi.org/10.1016/S0140-6736(18)31891-9. https://doi.org/10.1016/S0140-6736(18)31891-9

Shaweno D, Horton KC, Hayes RJ, Dodd PJ. Assortative social mixing and sex disparities in tuberculosis burden. Sci Rep. 2021;11(1):7530. Published 2021 Apr 6. doi:10.1038/s41598-021-86869-w. https://doi.org/10.1038/s41598-021-86869-w

Saunders MJ, Tovar MA, Collier D, Baldwin MR, Montoya R, Valencia TR, Gilman RH, Evans CA. Active and passive case-finding in tuberculosis-affected households in Peru: a 10-year prospective cohort study. Lancet Infect Dis. 2019 May;19(5):519-528. doi: 10.1016/S1473-3099(18)30753-9. Epub 2019 Mar 22. PMID: 30910427; PMCID: PMC6483977. https://doi.org/10.1016/S1473-3099(18)30753-9

Nhamoyebonde S, Leslie A. Biological differences between the sexes and susceptibility to tuberculosis. J Infect Dis. 2014 Jul 15;209 Suppl 3:S100-6. doi: 10.1093/infdis/jiu147. PMID: 24966189. https://doi.org/10.1093/infdis/jiu147

Mathema B, Andrews JR, Cohen T, Borgdorff MW, Behr M, Glynn JR, Rustomjee R, Silk BJ, Wood R. Drivers of Tuberculosis Transmission. J Infect Dis. 2017 Nov 3;216(suppl_6):S644-S653. doi: 10.1093/infdis/jix354. PMID: 29112745; PMCID: PMC5853844. https://doi.org/10.1093/infdis/jix354

Ramos JM, Comeche B, Tesfamariam A, Reyes F, Tiziano G, Balcha S, Edada T, Biru D, Pérez-Butragueño M, Górgolas M. Sex differences and HIV status of tuberculosis in adults at a rural hospital in southern Ethiopia: an 18-year retrospective cross-sectional study. Afr Health Sci. 2020 Jun;20(2):605-614. doi: 10.4314/ahs.v20i2.8. PMID: 33163021; PMCID: PMC7609105. https://doi.org/10.4314/ahs.v20i2.8

Valencia-Aguirre S, Arroyave I, García-Basteiro AL. Educational level and tuberculosis mortality in Colombia: growing inequalities and stagnation in reduction. Cad Saude Publica. 2022 Jan 31;38(1):e00031721. doi: 10.1590/0102-311X00031721. PMID: 35107505. https://doi.org/10.1590/0102-311x00031721

Wang Q, Guo L, Wang J, Zhang L, Zhu W, Yuan Y, et al. Spatial distribution of tuberculosis and its socioeconomic influencing factors in mainland China 2013-2016. Tropical Medicine and International Health. 2019 Sep 1;24(9):1104-13. https://doi.org/10.1111/tmi.13289 https://doi.org/10.1111/tmi.13289

Pini A, Stenbeck M, Galanis I, Kallberg H, Danis K, Tegnell A, et al. Socioeconomic disparities associated with 29 common infectious diseases in Sweden, 2005-14: an individually matched case-control study. Lancet Infect Dis. 2019 Feb 1;19(2):165-76. DOI:https://doi.org/10.1016/S1473- 3099(18)30485-7. https://doi.org/10.1016/S1473-3099(18)30485-7

Wang, L., Xu, C., Hu, M. et al. Spatio-temporal variation in tuberculosis incidence and risk factors for the disease in a region of unbalanced socio-economic development. BMC Public Health 21, 1817 (2021). https://doi. org/10.1186/s12889-021-11833-2. https://doi.org/10.1186/s12889-021-11833-2

Gutierrez Lesmes O, Grisales Romero H. Completitud de los reportes de mortalidad en el sistema de estadísticas vitales en la Orinoquía colombiana, 2017. Rev. salud pública [Internet]. [accessed on 8 Dec 2022]. 22(4):407-13. https://revistas.unal.edu.co/index.php/revsaludpublica/ article/view/86460. https://doi.org/10.15446/rsap.v22n4.86460

Bragazzi NL, Martini M, Mahroum N. Social determinants, ethical issues and future challenge of tuberculosis in a pluralistic society: the example of Israel. J Prev Med Hyg. 2020 Apr 30;61(1 Suppl 1):E24-E27. doi: 10.15167/2421-4248/jpmh2020.61.1s1.1443. PMID: 32529102; PMCID: PMC7263062.

Connor KM, Davidson JR. Development of a new resilience scale: the Connor-Davidson Resilience Scale (CD-RISC). Depress Anxiety. 2003;18(2):76-82. doi: 10.1002/da.10113. PMID: 12964174. https://doi.org/10.1002/da.10113

Schilling EA, Aseltine RH Jr, Gore S. Adverse childhood experiences and mental health in young adults: a longitudinal survey. BMC Public Health. 2007;7:30. Published 2007 Mar 7. doi:10.1186/1471-2458-7-30. https://doi.org/10.1186/1471-2458-7-30

Murray EJ, Dodd PJ, Marais B, Ayles H, Shanaube K, Schaap A, White RG, Bond V. Sociological variety and the transmission efficiency of Mycobacterium tuberculosis: a secondary analysis of qualitative and quantitative data from 15 communities in Zambia. BMJ Open. 2021 Dec 14;11(12):e047136. doi: 10.1136/bmjopen-2020-047136. PMID: 34907038; PMCID: PMC8671921. https://doi.org/10.1136/bmjopen-2020-047136

Sweetland, A; Kritski, A; Oquendo, M; Sublette, M; Norcini, A; Batista-Silva, L;, Karpati, A; Silva, C; Moraes, M; Lapa e Silva, J; Wainberg, L. Addressing the tuberculosis-depression syndemic to end the tuberculosis epidemic. Int J Tuberc Lung Dis. 2017: 21(8):852-861.

https://www.ingentaconnect. com/content/iuatld/ijtld/2017/00000021/00000008/art00005#. https://doi.org/10.5588/ijtld.16.0584

Geard N, Glass K, McCaw JM, McBryde ES, Korb KB, Keeling MJ, McVernon J. The effects of demographic change on disease transmission and vaccine impact in a household structured population. Epidemics. 2015 Dec;13:56- 64. doi: 10.1016/j.epidem.2015.08.002. Epub 2015 Sep 2. PMID: 26616042. https://doi.org/10.1016/j.epidem.2015.08.002

Maheen Humayun, Joconiah Chirenda, Wen Ye, Innocent Mukeredzi, Hilda Angela Mujuru, Zhenhua Yang, Effect of Gender on Clinical Presentation of Tuberculosis (TB) and Age-Specific Risk of TB, and TB-Human Immunodeficiency Virus Coinfection, Open Forum Infectious Diseases, Volume 9, Issue 10, October 2022, ofac512 . https://doi.org/10.1093/ofid/ofac512

Ben Jmaa M, Ben Ayed H, Koubaa M, Hammami F, Damak J, Ben Jemaa M. Is there gender inequality in the epidemiological profile of tuberculosis? Tunis Med. 2020 Mar;98(3):232-240. PMID: 32395817.

Fröberg G, Jansson L, Nyberg K, Obasi B, Westling K, Berggren I, Bruchfeld J. Screening and treatment of tuberculosis among pregnant women in Stockholm, Sweden, 2016-2017. Eur Respir J. 2020 Mar 20;55(3):1900851. doi: 10.1183/13993003.00851-2019. PMID: 31949114. https://doi.org/10.1183/13993003.00851-2019

Rao S. Tuberculosis and patient gender: An analysis and its implications in tuberculosis control. Lung India. 2009;26(2):46-47. doi:10.4103/0970- 2113.48897. https://doi.org/10.4103/0970-2113.48897

Leung, C.Y., Huang, HL., Rahman, M.M. et al. Cancer incidence attributable to tuberculosis in 2015: global, regional, and national estimates. BMC Cancer 20, 412 (2020). https://doi.org/10.1186/s12885-020-06891-5. https://doi.org/10.1186/s12885-020-06891-5

Espinosa-Arana M, Ortiz-Ruiz N, Diaz-Grajales C, Carvajal-Barona R, Zamudio-Espinoza D, Lina-Miranda L. Procesos y capacidades en la Estrategia Alto a la Tuberculosis Valle del Cauca - Colombia. Rev Cubana Salud Pública. 2021. V. 47 (1) e1332. http://scielo.sld.cu/scielo. php?script=sci_arttext&pid=S0864-34662021000100002&lng=es&nrm= iso>. [accessed on 18 Dec 2022]. Epub 01-Mar-2021.

Zhong W, Bragazzi NL, Kong JD, Safiri S, Behzadifar M, Liu J, Liu X, Wang W. Burden of Respiratory Infection and Tuberculosis Among US States from 1990 to 2019. Clin Epidemiol. 2021 Jun 29;13:503-514. doi: 10.2147/ CLEP.S314802. PMID: 34234569; PMCID: PMC8254524. https://doi.org/10.2147/CLEP.S314802

Cremers AL, de Laat MM, Kapata N, Gerrets R, Klipstein-Grobusch K, Grobusch MP. Assessing the consequences of stigma for tuberculosis patients in urban Zambia. PLoS One. 2015 Mar 25;10(3):e0119861. doi: 10.1371/journal.pone.0119861. PMID: 25806955; PMCID: PMC4373828. https://doi.org/10.1371/journal.pone.0119861

Rueda ZV, Ruiz Manco Y, Elena B, Ochoa M. Mitos y realidades sobre la tuberculosis en Colombia. Editorial Universidad Pontificia Bolivariana: 2021 https://repository.upb.edu.co/bitstream/handle/20.500.11912/9312/ Tuberculosis_Mitos_Realidades.pdf?sequence=1&isAllowed=y