Adnan Aksoy, Murat Ozdemir, Lokman Aslan, Murat Aslankurt, Ozlem Gul
Effect of breast feeding on ocular morbidity
Medical science monitor : international medical journal of experimental and clinical research
tuberculosis tb disease influenced social determinants health however specific structural intermediary determinants tb eastern amazonia remain unclear despite rich natural resources region faces significant challenges related poverty inequality neglected diseases objective study use mathematical modeling evaluate influence structural intermediary determinants health tb eastern amazonia brazil crosssectional included tb cases diagnosed registered notifiable diseases information system sinan 2001 2017 data social determinants collected census tract level generalized additive model location scale shape gamlss framework employed identify effect social determinants communities high tb prevalence double poisson distribution dpo chosen inclusion quadratic effects tested total 1730 individuals diagnosed tb reported sinan analyzed period majority female 593 aged 31 59 years 476 identified blacks 679 incomplete elementary education 466 prevalence alcoholism 86 mental illness 07 gamlss analyses demonstrated risk community incidence tb associated proportion population lacking basic sanitation well age groups 1631 years 61 years study highlights strategic utility gamlss identifying highrisk areas tb models encompass broader range social determinants inform policies aimed reducing inequality achieving goals end tb strategy