{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T14:27:36Z","timestamp":1785594456266,"version":"3.56.0"},"reference-count":6,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"funder":[{"name":"PPSUS SERGIPE","award":["2017\/2018"],"award-info":[{"award-number":["2017\/2018"]}]},{"name":"CNPQ Universal","award":["421060\/2018-2"],"award-info":[{"award-number":["421060\/2018-2"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Leprosy remains a significant public health challenge despite diagnostic advances.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This cross-sectional study evaluated the social and clinical characteristics of 302 patients treated at a reference outpatient clinic in northeastern Brazil (2010\u20132019).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Men more frequently presented with multibacillary disease and disabilities than women. These clinical characteristics in men were associated with higher rates of alcohol consumption and hunting. No evidence was found for an association between diagnostic delays and disease severity.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>This study underscores that social determinants may contribute to worse disease outcomes in men, highlighting the need for targeted policies.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/trstmh\/traf048","type":"journal-article","created":{"date-parts":[[2025,4,24]],"date-time":"2025-04-24T06:38:03Z","timestamp":1745476683000},"page":"1204-1206","source":"Crossref","is-referenced-by-count":1,"title":["Male sex is associated with a higher risk of multibacillary leprosy and leprosy-associated disability in northeast Brazil"],"prefix":"10.1093","volume":"119","author":[{"given":"Julia S","family":"Barreto","sequence":"first","affiliation":[{"name":"Universidade Federal de Alagoas Escola de Enfermagem, , Macei\u00f3 57072970 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rodrigo A","family":"Cazzaniga","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Laborat\u00f3rio de Imunologia e Biologia Molecular, Hospital Universit\u00e1rio, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcio","family":"Bezerra-Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Alagoas Campus Arapiraca, , Arapiraca 57309005 ,","place":["Brazil"]},{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lenise F","family":"Albuquerque","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Hospital Universit\u00e1rio, Universidade Federal de Sergipe Departamento de Medicina, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela T","family":"de Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Laborat\u00f3rio de Imunologia e Biologia Molecular, Hospital Universit\u00e1rio, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonnia Maria S","family":"Araujo","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Hospital Universit\u00e1rio, Universidade Federal de Sergipe Departamento de Medicina, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela M","family":"da Silva","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Laborat\u00f3rio de Imunologia e Biologia Molecular, Hospital Universit\u00e1rio, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Hospital Universit\u00e1rio, Universidade Federal de Sergipe Departamento de Medicina, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Camilla Nat\u00e1lia O","family":"Santos","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Laborat\u00f3rio de Imunologia e Biologia Molecular, Hospital Universit\u00e1rio, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia R","family":"de Jesus","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Laborat\u00f3rio de Imunologia e Biologia Molecular, Hospital Universit\u00e1rio, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Universidade Federal de Sergipe Programa de P\u00f3s-Gradua\u00e7\u00e3o em Ci\u00eancias da Sa\u00fade, , Aracaju 49060108 ,","place":["Brazil"]},{"name":"Hospital Universit\u00e1rio, Universidade Federal de Sergipe Departamento de Medicina, , Aracaju 49060108 ,","place":["Brazil"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2169-7463","authenticated-orcid":false,"given":"Lucas S","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Universidade Federal de Sergipe Laborat\u00f3rio de Imunologia e 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