Spatial dynamics of AIDS incidence in the elderly in Rio de Janeiro, Brazil, 1997-2011

Rodrigues, Nádia Cristina Pinheiro; Almeida, Andréa Sobral de; Braga, José Ueleres; O’Dwyer, Gisele; Junior, Paulo Cavalcante Apratto; Daumas, Regina Paiva; Lino, Valéria Teresa Saraiva; Andrade, Mônica Kramer de Noronha; Monteiro, Denise Leite Maia; Barros, Mônica Bastos de Lima

doi:10.1590/0102-311x00152914

Cited by 5 publications

(6 citation statements)

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“…The areas in Belém that are hotspots for HIV/AIDS incidence rates, as well as the areas at risk of HIV/AIDS in the central area, have a high population density and numerous places that provide healthcare. Moreover, a study in Rio de Janeiro, Brazil, showed that the municipalities with higher HIV incidence rates among the elderly are the ones with the best economic situation and high accessibility to the healthcare system [10]. In China, a study showed that outbreaks among men who have sex with men were also located in areas with large populations and high economic growth [7].…”

Section: Discussionmentioning

confidence: 99%

“…However, studies using both techniques are still rare [5][6][7]. In a literature review of studies on the incidence of HIV infection and AIDS that used spatial analysis methods, only 14 studies were identified [4][5][6][7][8][9][10][11][12][13][14][15][16][17]. Of these, none employed the geographically weighted regression (GWR) to analyze the influence of social determinants of health (SDH) or the Kernel density to study the spread of the epidemic.…”

Section: Introductionmentioning

confidence: 99%

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The Temporal and Spatial Epidemiology Employed in the Elimination of the HIV Epidemic in the Largest Capital of the Brazilian Rainforest

et al. 2022

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Background: The main goal of this study was to analyze the human immunodeficiency virus (HIV) epidemic temporally and spatially in Belém from 2007 to 2018. Methods: The incidence rates were analyzed according to time using autoregressive integrated moving-average models, as well as spatially using spatial autocorrelation, Kernel density, scan statistics, and regression techniques. Results: During the study period, 6007 notifications of new cases of HIV/AIDS were reported. The time series analysis revealed a stabilized trend of incidence from 2007 to October 2016, followed by irregular fluctuations until the end of December 2018. Seasonal behavior was observed from 2019 to 2022. The high–high incidence clusters were found in the central and transition areas. An expansion of the number of new reported cases was observed in the central area. Three spatial risk zones were observed. The higher relative risk zone was concentrated in the transition area. The spatial regression showed that the incidence rates were positively correlated with the Family Health Strategy (FHS) coverage. Conclusions: To eliminate HIV in Belém, it will be necessary to decentralize testing and ART and expand the coverage of FHS to ensure universal access to healthcare for citizens.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Temporal and Spatial Epidemiology Employed in the Elimination of the HIV Epidemic in the Largest Capital of the Brazilian Rainforest

et al. 2022

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“…Categorizada como segundo maior risco espacial para o HIV, Belém é a cidade do Pará com a maior densidade demográfica 16 . Esses resultados coadunam com estudo feito com idosos no Rio de Janeiro em que as cidades mais populosas do estado, Rio de Janeiro e Niterói, apresentaram as maiores incidências de Aids 27 .…”

Section: Discussionunclassified

Análise espaço-temporal da epidemia do HIV em idosos num estado amazônico brasileiro

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et al. 2021

Rev. bras. geriatr. gerontol.

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Resumo Objetivo Analisar espaço-temporalmente a incidência do vírus da imunodeficiência humana (HIV) e da síndrome da imunodeficiência adquirida (Aids) entre idosos no estado do Pará, Brasil, nos anos de 2007 a 2018. Método Estudo ecológico utilizando notificações de casos de HIV/Aids em idosos provenientes do Sistema de Informação de Agravos de Notificação. A taxa de incidência do HIV/Aids foi analisada temporalmente pelo método de joinpoint e espacialmente pelas técnicas de autocorrelação de Moran, de varredura e de regressão espacial. Resultados 2.639 notificações de HIV/Aids foram elegíveis para o estudo, sendo 1.725 (65,4%) em homens e 914 (34,6%) em mulheres. No período do estudo houve aumento de 2.422,5% na taxa de incidência de HIV nos homens e de 1.929,8% nas mulheres, sendo o oposto, observado para a taxa de incidência de Aids que aumentou 77,6% nas mulheres e 40,7% nos homens. O método joinpoint revelou tendência crescente para a taxa de incidência de HIV (APC=30%, p=0,00) e de estabilidade para taxa de incidência de Aids (APC=3,0%, p=0,2). Os municípios mais impactados pela epidemia do HIV foram os do meridional sudeste paraense com moderada associação (R2=0,65) ao seu crescimento populacional. A análise de varredura espaço-temporal apontou Belém como zona de risco para o HIV/Aids (RR=3,93, p=0,00; 2017-2018) Conclusão Enquanto a incidência de Aids em idosos paraenses permaneceu estável no período de 2007 a 2018, a de HIV tendeu a crescer. O maior impacto da epidemia ocorreu nos municípios do sudeste paraense com associação ao crescimento populacional, e Belém apresentou risco espaço-temporal para o HIV/Aids.

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“…Studies do not show that the incidence of infection in men is greater than in women, however their active search for medical services, whether for routine HIV testing or for the detection mortality from AIDS-related causes. In this sense, a study involving the elderly indicated that the highest rates of infection and disease were concentrated in the large cities of Niterói and Rio de Janeiro, where disparities in the provision of services contribute to late access to diagnosis and treatment of HIV infection (15,28) . The evidence in this review indicates that social and spatial behaviors have increased vulnerability to HIV infection, requiring monitoring of areas and populations characterized by the highest proportion of cases, in order to target more focused and efficient prevention strategies to fight the virus.…”

Section: Discussionmentioning

confidence: 99%

“…Spatial dynamics of AIDS incidence in the elderly in Rio de Janeiro, Brazil, 1997-2011 (15) 2015 Brazil…”

Section: Spatial Distribution Analysis; Global Spatial Autocorrelation Analysis; Local Spatial Autocorrelation Analysismentioning

confidence: 99%

Integrative review on the incidence of HIV infection and its socio-spatial determinants

et al. 2021

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Objectives: to identify the socio-spatial determinants associated with the incidence of infection by the human immunodeficiency virus (HIV) described in national and international literature. Methods: integrative literature review that included original articles indexed in the LILACS, PUBMED, CINAHL, and Scopus databases, from 2015 to 2019. The synthesis of the articles was done in a descriptive manner in two categories according to the type of approach. Results: 13 articles were selected, with a predominance of ecological studies. Regions with deficient access to health services, high population density, higher rates of poverty, intense migratory flow, border areas, as well as precarious socioeconomic conditions, and risk behaviors are associated with higher rates of infection. Final Considerations: the influence of regional inequalities on the incidence of HIV infection is revealed, confirming the relevance of spatial analysis techniques for mapping the distribution of diseases and identifying risk areas.

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Spatial dynamics of AIDS incidence in the elderly in Rio de Janeiro, Brazil, 1997-2011

Abstract: The dynamics of the spread of the AIDS epidemic ranges according to the characteristics of 2002-2006: 11.87/100,000 (men) and 8,5/100,000 (women)

Cited by 5 publications

References 29 publications

The Temporal and Spatial Epidemiology Employed in the Elimination of the HIV Epidemic in the Largest Capital of the Brazilian Rainforest

The Temporal and Spatial Epidemiology Employed in the Elimination of the HIV Epidemic in the Largest Capital of the Brazilian Rainforest

Análise espaço-temporal da epidemia do HIV em idosos num estado amazônico brasileiro

Integrative review on the incidence of HIV infection and its socio-spatial determinants

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