{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,26]],"date-time":"2026-03-26T03:40:49Z","timestamp":1774496449821,"version":"3.50.1"},"reference-count":30,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T00:00:00Z","timestamp":1668211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"National Council for Scientific and Technological Development\u2014CNPq","award":["130420\/2020-4"],"award-info":[{"award-number":["130420\/2020-4"]}]},{"name":"National Council for Scientific and Technological Development\u2014CNPq","award":["2020\/03361-8"],"award-info":[{"award-number":["2020\/03361-8"]}]},{"name":"Research Support Foundation of the State of S\u00e3o Paulo\u2014FAPESP","award":["130420\/2020-4"],"award-info":[{"award-number":["130420\/2020-4"]}]},{"name":"Research Support Foundation of the State of S\u00e3o Paulo\u2014FAPESP","award":["2020\/03361-8"],"award-info":[{"award-number":["2020\/03361-8"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>(1) Background: Tuberculosis remains a public health problem in the world. The study analyzed the factors associated with drug-resistant tuberculosis in the prison population of the state of Paran\u00e1. (2) Methods: Ecological study of drug-resistant tuberculosis cases registered in the Paran\u00e1 Information System, Brazil (2008 to 2018). We performed descriptive statistics of quantitative parameters calculated with absolute frequencies. Additionally, we used binary regression logistics, where the odds ratio with its respective confidence interval was calculated. (3) Results: Of the 653 cases registered as cases of tuberculosis in the incarcerated population, 98 were drug-resistant tuberculosis. We observed that educational level of up to 8 to 11 years of schooling, negative bacterial culture (test outcome) and no tobacco use were factors associated with the non-development of drug-resistant tuberculosis, while clinically confirmed pulmonary TB and positive sputum smear microscopy in the fourth month of follow-up showed an association for the development of drug resistance. (4) Conclusions: The study showed that clinically confirmed pulmonary TB and a positive sputum smear microscopy in the fourth month of follow-up were associated with drug-resistant tuberculosis.<\/jats:p>","DOI":"10.3390\/ijerph192214895","type":"journal-article","created":{"date-parts":[[2022,11,14]],"date-time":"2022-11-14T02:29:32Z","timestamp":1668392972000},"page":"14895","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Acquired and Transmitted Multidrug-Resistant Tuberculosis among the Incarcerated Population and Its Determinants in the State of Paran\u00e1\u2014Brazil"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4455-8490","authenticated-orcid":false,"given":"M\u00e1rcio Souza dos","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fl\u00e1via Meneguetti","family":"Pieri","sequence":"additional","affiliation":[{"name":"Department of Nursing, State University of Londrina, Londrina 86039-440, PR, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4163-8719","authenticated-orcid":false,"given":"Tha\u00eds Zamboni","family":"Berra","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alessandro Rolim","family":"Scholze","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ant\u00f4nio Carlos Vieira","family":"Ramos","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliane","family":"de Almeida Crispim","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cl\u00f3vis Luciano","family":"Giacomet","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan Mathias","family":"Alves","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernanda Bruzadelli Paulino","family":"da Costa","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heriederson S\u00e1vio Dias","family":"Moura","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Titilade Kehinde Ayandeyi","family":"Teibo","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonas Bodini","family":"Alonso","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giselle Lima de","family":"Freitas","sequence":"additional","affiliation":[{"name":"Department of Nursing, Federal University of Minas Gerais, Belo Horizonte 30130-100, MG, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ricardo Alexandre","family":"Arc\u00eancio","sequence":"additional","affiliation":[{"name":"Department of Maternal-Infant and Public Health Nursing, Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Ribeir\u00e3o Preto 05403-000, SP, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2022,11,12]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2021). 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Nurs."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/22\/14895\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T01:16:59Z","timestamp":1760145419000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/19\/22\/14895"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,11,12]]},"references-count":30,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2022,11]]}},"alternative-id":["ijerph192214895"],"URL":"https:\/\/doi.org\/10.3390\/ijerph192214895","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,11,12]]}}}