4 research outputs found
Motives and determinants for residence change after leprosy diagnosis, central Brazil
Objective:
To
determine
the
extent
of
population
movement
after
diagnosis
with
leprosy
and
to
describe
the
underlying
motives
and
determinants
for
relocation.
Design:
Ac
ross-sectional
study
was
conducted
among
those
newly
diagnosed
with
leprosy
in
79
endemic
municipalities
in
the
state
of
Tocantins,
central
Brazil.
Individuals
were
identified
through
the
National
Information
System
for
Notifiable
Diseases
(SINAN)
database
and
interviewed
with
structured
questionnaires.
Results:
In
total,
224
(20
路9%)
out
of
1070
individuals
relocated
after
their
diagnosis
with
leprosy.
Respondents
moved
to
another
neighbourhood
in
the
same
municipality
(
n
录
178,
79
路5%),
followed
by
another
municipality
in
Tocantins
state
(
n
录
26,
11
路6%)
and
in
another
state
(
n
录
11,
4路
9%).
The
primary
motives
and/or
determinants
for
relocation
were:
home
ownership
(
n
录
55,
28
路4%),
familial
reasons
(
n
录
43,
19
路2%),
to
seek
better
living
conditions
(
n
录
27,
13
路9%),
employment
(
n
录
26,
11
路6%),
and
better
neighbourhood
(
n
录
22,
9路
8%).
Other
motives
were
related
to better
access
to
leprosy
diagnosis/treatment
(
n
录
11,
4路
9%),
owner-terminated
rental
(
n
录
5,
2路
2%),
personal
finances/could
not
afford
housing
(
n
录
4,
1路
8%).
Perceived
stigma
due
to
leprosy
was
mentioned
by
one
participant
(0
路5%).
Conclusion:
In
Tocantins
state,
population
movement
is
lower
among
individuals
recently
diagnosed
with
leprosy,
as
compared
to
the
overall
population.
The
primary
motives
for
relocation
after
leprosy
diagnosis
were
related
to
lifestyle
changes.
Stigma
and
treatment-related
reasons
did
not
appear
to
be
common
motives
for
population
movement.
These
results
may
reflect
policy
changes
instituted
from
the
Brazilian
Program
of
Leprosy
Control
to
decentralise
leprosy
services
and
intensify
health
education
campaigns
within
ab
roader
concept
of
Information,
Education
and
Communication