Table 2.
Annual Percentage Change (APC) and Average Annual Percentage Change (AAPC) of schistosomiasis case detection and hospitalization for the disease according to sociodemographic variables in the northeast region, Brazil, 2001–2017.
| Variable | SISPCE + SINAN | SIH | ||||
|---|---|---|---|---|---|---|
| Period | APC (95%CI) | AAPC (95%CI) | Period | APC (95%CI) | AAPC (95%CI) | |
| Total | 2001–2003 | 19.8 (−10.9 to 61.1) | −11.5 * (−13.9 to −9.1) | 2001–2014 | −14.2 * (−16.8 to −11.6) | −13.2 * (−15.0 to −11.3) |
| 2003–2017 | −13.7 * (−15.5 to −11.9) | 2014–2017 | 0.8 (−35.2 to 56.9) | |||
| State of residence | ||||||
| Maranhão | 2001–2005 | 22.5 (0 to 50.2) | −7.6 * (−11.8 to -3.1) | 2001–2017 | −17.5 * (−20.9 to −14.0) | −17.5 * (−20.9 to −14.0) |
| 2005–2017 | −13.1 * (−16.9 to −9) | |||||
| Piauí | 2001–2017 | −3.1 (−12.1 to 6.8) | −3.1 (−12.1 to 6.8) | 2001–2017 | 8.8 (−0.7 to 19.2) | 8.8 (−0.7 to 19.2) |
| Ceará | 2001–2017 | −19.4 * (−22.8 to −15.8) | −19.4 * (−22.8 to −15.8) | 2001–2017 | −9.8 * (−13.2 to −6.1) | −9.8 * (−13.2 to −6.1) |
| Rio Grande do Norte | 2001–2005 | 110.5 (−13.5 to 412.6) | −12.0 * (−21.9 to −0.8) | 2001–2017 | −7.8 * (−12.9 to −2.4) | −7.8 * (−12.9 to −2.4) |
| 2005–2017 | −20.1 * (−28.8 to −10.3) | |||||
| Paraíba | 2001–2014 | −9.5 * (−12.7 to −6.3) | −10.4 * (−13.9 to −6.7) | 2001–2017 | −13.8 * (−18.0 to −9.5) | −13.8 * (−18.0 to −9.5) |
| 2014–2017 | −70.6 (−96.1 to 118.8) | |||||
| Pernambuco | 2001–2017 | −4.8 * (−7.5 to −2.1) | −4.8 * (−7.5 to −2.1) | 2001–2017 | −9.8 * (−11.6 to −8.0) | −9.8 * (−11.6 to −8.0) |
| Alagoas | 2001–2003 | 18.5 (−5.4 to 48.4) | −8.2 * (−9.9 to −6.4) | 2001–2017 | −21.4 * (−24.2 to −18.4) | −21.4 * (−24.2 to −18.4) |
| 2003–2017 | −9.8 * (−11 to −8.6) | |||||
| Sergipe | 2001–2006 | 8.1 (−6.1 to 24.5) | −9.0 * (-12.8 to −4.9) | 2001–2017 | −12.5 * (−15.7 to −9.2) | −12.5 * (−15.7 to −9.2) |
| 2006–2017 | −15.5 * (−20.2 to −10.5) | |||||
| Bahia | 2001–2017 | −19.6 * (−24.6 to −14.3) | −19.6 * (−24.6 to −14.3) | 2001–2006 | −2.8 (−15.0 to 11.1) | −14.2 * (−18.3 to −9.9) |
| 2006–2017 | −20.6 * (−26.4 to −14.4) | |||||
| Residence in the capital | ||||||
| No | 2001–2003 | 18.7 (−11.1 to 58.5) | −11.6 * (−13.9 to −9.2) | 2001–2005 | −6.7 (−19.0 to 7.4) | −12.6 * (−14.6 to −10.4) |
| 2003–2017 | −13.7 * (−15.5 to −11.9) | 2005–2017 | −14.4 * (−18.0 to −10.7) | |||
| Yes | 2001–2005 | 30.3 * (10.6 to 53.5) | −9.9 * (−15.2 to −4.2) | 2001–2017 | −16.8 * (−18.4 to −15.1) | −16.8 * (−18.4 to −15.1) |
| 2005–2017 | −17.6 * (−21 to −14.1) | |||||
| Municipality extremely poor | ||||||
| No | 2001–2003 | 21.3 (−10.5 to 64.4) | −10.2 * (−12.4 to −8) | 2001–2017 | −12.6 * (−14.1 to −11.1) | −12.6 * (−14.1 to −11.1) |
| 2003–2017 | −12.3* (−14.1 to −10.5) | |||||
| Yes | 2001–2017 | −14.3 * (−17.2 to −11.2) | −14.3 * (−17.2 to −11.2) | 2001–2006 | −2.2 (−14.7 to 12.2) | −14.1 * (−18.3 to −9.7) |
| 2006–2017 | −20.7 * (−26.6 to −14.2) | |||||
| Municipality of the semi-arid region | ||||||
| No | 2001–2003 | 27.3 (−10.3 to 80.6) | −10.0 * (−12.4 to −7.5) | 2001–2005 | −7.6 (−19.8 to 6.5) | −13.8 * (−16.0 to −11.6) |
| 2003–2017 | −12.3 * (−14.2 to −10.3) | 2005–2017 | −15.9 * (−19.7 to −12.0) | |||
| Yes | 2001–2017 | −18.1 * (−21.1 to −14.9) | −18.1 * (−21.1 to −14.9) | 2001–2014 | −13.2 * (−15.1 to −11.1) | −11.1 * (−13.0 to −9.3) |
| 2014–2017 | 12.8 (−17.9 to 55.0) | |||||
| SVI | ||||||
| Very low | 2001–2017 | −10.8 * (−16.8 to −4.3) | −10.8 * (−16.8 to −4.3) | 2001–2017 | −2.6 * (−4.9 to −0.1) | −2.6 * (−4.9 to −0.1) |
| Low | 2001–2017 | −17.0 * (−23.1 to −10.4) | −17.0 * (−23.1 to −10.4) | 2001–2017 | −11.2 * (−14.3 to −8.0) | −11.2 * (−14.3 to −8.0) |
| Medium | 2001–2005 | 0.4 (−15.5 to 19.3) | −13.0 * (−16.1 to −9.8) | 2001–2011 | −17.0 * (−19.3 to −14.7) | −14.8 * (−16.3 to −13.2) |
| 2005–2017 | −17.4 * (−21.6 to −12.9) | 2011–2017 | −6.3 (−15.9 to 4.4) | |||
| High | 2001–2003 | 19.6 (−15.6 to 69.3) | −11.5 * (−13.9 to −9) | 2001–2005 | −1.2 (−16.9 to 17.4) | −11.7 * (−14.5 to −8.8) |
| 2003–2017 | −13.7 * (−15.9 to −11.5) | 2005–2017 | −14.8 * (−18.8 to −10.5) | |||
| Very high | 2001–2003 | 23.3 (−10.1 to 69.1) | −10.1 * (−12.3 to −7.8) | 2001–2017 | −14.2 * (−16.6 to −11.7) | −14.2 * (−16.6 to −11.7) |
| 2003–2017 | −12.2 * (−13.9 to −10.4) | |||||
| HDI | ||||||
| Very low | 2001–2017 | −17.4 * (−24.8 to −9.3) | −17.4 * (−24.8 to −9.3) | 2001–2017 | −3.4 (−6.8 to 0.1) | −3.4 (−6.8 to 0.1) |
| Low | 2001–2003 | 22 (−8.7 to 63.1) | −11.2 * (−13.6 to −8.7) | 2001–2006 | −4.5 (−17.9 to 11.1) | −14.4 * (−18.3 to −10.2) |
| 2003–2017 | −13.4 * (−15.1 to −11.7) | 2006–2017 | −19.9 * (−26.4 to −12.9) | |||
| Medium | 2001–2006 | −2.7 (−10.7 to 5.9) | −11.7 * (−14.1 to −9.3) | 2001–2017 | −11.5 * (−13.0 to −9.9) | −11.5 * (−13.0 to −9.9) |
| 2006–2017 | −16.1 * (−19.6 to −12.6) | |||||
| High | 2001–2006 | 7.8 (−4.1 to 21.1) | −10.6 * (−14.7 to −6.4) | 2001–2010 | −17.8 * (−21.6 to −13.9) | −13.6 * (−15.9 to −11.3) |
| 2006–2017 | −17.9 * (−22.2 to −13.4) | 2010–2017 | −3.4 (−13.9 to 8.3) | |||
| SPI | ||||||
| Very low | 2001–2003 | 20.6 (−9.4 to 60.7) | −11.2 * (−13.5 to −8.8) | 2001–2006 | −4.5 (−18.1 to 11.4) | −14.4 * (−18.3 to −10.2) |
| 2003–2017 | −13.3 * (−15 to −11.6) | 2006–2017 | −19.9 * (−26.4 to −12.8) | |||
| Low | 2001–2003 | 22.2 (−16.7 to 79.1) | −10.6 * (−13 to −8.1) | 2001–2017 | −10.5 * (−12.4 to −8.5) | −10.5 * (−12.4 to −8.5) |
| 2003–2017 | −12.8 * (−15.1 to −10.5) | |||||
| Medium | 2001–2017 | −13.3 * (−16.1 to −10.5) | −13.3 * (−16.1 to −10.5) | 2001–2017 | −11.7 * (−13.6 to −9.7) | −11.7 * (−13.6 to −9.7) |
| High | 2001–2017 | −14.9 * (−20.4 to −9.1) | −14.9 * (−20.4 to −9.1) | 2001–2009 | −20.0 * (−23.9 to −15.8) | −15.8 * (−18.0 to −13.6) |
| 2009–2017 | −8.1 (−16.1 to 0.5) | |||||
| Very high | 2001–2017 | −12.5 * (−17 to −7.7) | −12.5 * (−17 to −7.7) | 2001–2017 | −11.1 * (−14.5 to −7.5) | −11.1 * (−14.5 to −7.5) |
| Size of municipality | ||||||
| Small Size I | 2001–2006 | −0.1 (−8.5 to 9.1) | −10.6 * (−13.2 to −8) | 2001–2014 | −16.3 * (−19.1 to −13.4) | −13.6 * (−16.2 to −11.0) |
| 2006–2017 | −15.5 * (−18.9 to −11.9) | 2014–2017 | 19.2 (−31.7 to 108.0) | |||
| Small Size II | 2001–2003 | 18.6 (−9 to 54.6) | −12.2 * (−14.5 to −9.7) | 2001–2006 | −1.7 (−14.9 to 13.7) | −13.9 * (−18.1 to −9.5) |
| 2003–2017 | −14.4 * (−16.1 to −12.7) | 2006–2017 | −20.3 * (−26.4 to −13.8) | |||
| Medium Size | 2001–2017 | −11.3 * (−14.1 to −8.4) | −11.3 * (−14.1 to −8.4) | 2001–2017 | −11.6 * (−13.6 to −9.7) | −11.6 * (−13.6 to −9.7) |
| Large Size | 2001–2007 | −2.8 (−8.4 to 3.1) | −11.5 * (−14.4 to −8.5) | 2001–2010 | −15.7 * (−18.7 to −12.7) | −12.6 * (−14.3 to −10.8) |
| 2007–2017 | −18.2 * (−22.2 to −14) | 2010–2017 | −5.3 (−12.9 to 2.9) | |||
* Significantly different from 0 (p < 0.05). Monte Carlo permutation method; 95%CI: 95% Confidence Interval. Size of municipality: Small Size I: ≤20,000 inhabitants, Small Size II: 20,001–50,000 inhabitants, Medium Size: 50,001–100,000 inhabants, Large Size: >100,001 inhabitants. APC: Annual Percentage Change; AAPC: Average Annual Percentage Change; SISPCE: Schistosomiasis Control Program Information System (Sistema de Informação do Programa de Controle da Esquistossomose). SINAN: Information System of Notifiable Diseases (Sistema de Informação de Agravos de Notificação). SIH-SUS: Hospital Information System—Unified Health System (Sistema de Informação Hospitalar—Sistema Único de Saúde); SVI: Social Vulnerability Index; HDI: Human Development Index; SPI: Social Prosperity Index.