{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,31]],"date-time":"2026-10-31T05:19:35Z","timestamp":1793423975510,"version":"4.5.0"},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"crossref","award":["408811\/2021-8"],"award-info":[{"award-number":["408811\/2021-8"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003593","name":"Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico","doi-asserted-by":"crossref","award":["316316\/2023-7"],"award-info":[{"award-number":["316316\/2023-7"]}],"id":[{"id":"10.13039\/501100003593","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["408811\/2021-8"],"award-info":[{"award-number":["408811\/2021-8"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"crossref","award":["316316\/2023-7"],"award-info":[{"award-number":["316316\/2023-7"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O objetivo foi analisar a ocorr\u00eancia, a evolu\u00e7\u00e3o e os fatores associados \u00e0 incapacidade f\u00edsica por hansen\u00edase no diagn\u00f3stico da doen\u00e7a e na alta da poliquimioterapia (PQT), no Estado da Bahia, Brasil, 2001-2023. Estudo transversal de base populacional com componentes repetidos no tempo pela an\u00e1lise do grau de incapacidade f\u00edsica (GIF) no diagn\u00f3stico e na alta da PQT em casos novos de hansen\u00edase. Calcularam-se as propor\u00e7\u00f5es e raz\u00f5es de preval\u00eancia (RP), com intervalos de 95% de confian\u00e7a (IC95%) por regress\u00e3o de Poisson com vari\u00e2ncia robusta. Foram detectados 58.168 casos novos de hansen\u00edase. A propor\u00e7\u00e3o com GIF avaliado foi de 85% no diagn\u00f3stico (n = 49.434) e 48% na alta (n = 27.860). Entre os casos com GIF 0 na admiss\u00e3o, 5,9% (n = 1.077) evolu\u00edram para GIF 1 e 1,2% (n = 212) para GIF 2. Dos casos novos com GIF 1, 44,5% (n = 2.231) mantiveram o grau e 4% (n = 201) pioraram para GIF 2. Entre aqueles com GIF 2 no diagn\u00f3stico, 53,8% (n = 830) mantiveram o grau. A menor taxa de detec\u00e7\u00e3o de casos novos com GIF 2 por 1.000.000 de habitantes ocorreu em 2020, com maior propor\u00e7\u00e3o de casos na admiss\u00e3o em 2023 (7,8%, p\u00f3s-COVID-19). Verificou-se associa\u00e7\u00e3o entre GIF 1\/2 e: sexo masculino (RPa = 1,17; IC95%: 1,06-1,27; p = 0,001), aus\u00eancia de escolaridade (RPa = 1,85; IC95%: 1,29-2,63; p = 0,001), classifica\u00e7\u00e3o multibacilar (RPa = 1,52; IC95%: 1,20-1,91; p = 0,001), rea\u00e7\u00e3o hans\u00eanica tipo 1 e 2 (RPa = 1,27; IC95%: 1,12-1,43; p &lt; 0,001). Verificou-se associa\u00e7\u00e3o na piora do GIF em rea\u00e7\u00e3o hans\u00eanica tipo 1 e 2 (RPa = 1,34; IC95%: 1,02-1,76; p = 0,039). A hansen\u00edase mant\u00e9m elevada carga de incapacidade f\u00edsica na Bahia, refor\u00e7ando a necessidade de diagn\u00f3stico oportuno, monitoramento longitudinal do GIF e integra\u00e7\u00e3o entre vigil\u00e2ncia e cuidado, com aten\u00e7\u00e3o especial a pessoas socialmente vulnerabilizadas.<\/jats:p>","DOI":"10.1590\/0102-311xpt120025","type":"journal-article","created":{"date-parts":[[2026,1,26]],"date-time":"2026-01-26T15:08:54Z","timestamp":1769440134000},"source":"Crossref","is-referenced-by-count":2,"title":["Incapacidade f\u00edsica por hansen\u00edase no Estado da Bahia, Brasil (2001-2023): ocorr\u00eancia, evolu\u00e7\u00e3o diagn\u00f3stico-alta e fatores associados"],"prefix":"10.1590","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8617-9261","authenticated-orcid":false,"given":"Alana Maria Alves","family":"Costa","sequence":"first","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7982-1757","authenticated-orcid":false,"given":"Alberto Novaes","family":"Ramos Jr.","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1816-9459","authenticated-orcid":false,"given":"Anderson Fuentes","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Cear\u00e1,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5401-6495","authenticated-orcid":false,"given":"Mayana de Souza","family":"Trece","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-5437-9916","authenticated-orcid":false,"given":"Danilo de Souza","family":"Reis Junior","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9653-3164","authenticated-orcid":false,"given":"Eliana Amorim de","family":"Souza","sequence":"additional","affiliation":[{"name":"Universidade Federal da Bahia,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2026]]},"reference":[{"key":"ref1","first-page":"501","article-title":"Global leprosy (Hansen disease) update, 2023: elimination of leprosy disease is possible - 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