Expressão geográfica da epidemia de Aids em Campinas, São Paulo, de 1980 a 2005

Abstract

OBJECTIVE:To analyze the spatial distribution of reported AIDS cases in adults and its association with living conditions in the city of Campinas, Southeastern Brazil. METHODS:Data on AIDS cases in men (n=2,945) and women (n=1,230) aged more than 13 years and living in Campinas, recorded in the SINAN (Brazilian Information System for Notifi able Diseases), were used to map the spatial distribution of this disease and the male:female ratio. Maps were constructed for the following periods: from 1980 to 1995, from 1996 to 2000, and from 2001 to 2005. The variables included in the analysis were address, sex and age. A weighted composite index was used to study living and health conditions in the area. Patients' home addresses were geocoded on a cartographic base, after correction and standardization according to a reference database of streets. A generalized additive model was adjusted to analyze the spatial distribution of the ratio of male:female cases in space, in the three study periods. RESULTS:The ratio of male:female cases was higher in areas with better living conditions (central) and around the prison (northwestern), where families of prisoners and former prisoners live temporarily, while this ratio was lower in the city suburbs (southwestern). CONCLUSIONS:The trends towards the AIDS epidemic affecting more women and poorer individuals were confi rmed by the decrease in the ratio of male:female cases in the period, particularly in vulnerable and impoverished populations. Geographic information systems and spatial data analysis can be useful for AIDS control and surveillance actions.

Tuberculosis, AIDS and tuberculosis-AIDS co-infection in a large city

“…In a study on the feminization and pauperization of AIDS in Campinas (16) , differences were observed in the ratio of men to women, which was heterogeneous in the city itself, higher in the city center and in the region north of the municipality, and with lower values in the outskirts, particularly in the region southwest of the municipality. The increase in the incidence of AIDS among men aged 60 or over in the years 2007–2009 may be attributed to factors linked to sexuality, such as a low understanding of risk, the practice of sex without condoms, and treatment for impotence.…”

Saúde do homem e masculinidades na Política Nacional de Atenção Integral à Saúde do Homem: uma revisão bibliográfica

“…This is despite the fact that the epidemiological profile of how the disease spreads has changed in recent decades, coming to affect heterosexual men and women of all social classes, in particular the marginalized and vulnerable populations (Stephan et al, 2010).…”

Diagnósticos de enfermagem associados às necessidades humanas no enfrentamento do HIV

“…Local studies reveal that HIV still prevails in men, especially when coinfection with tuberculosis is taken into account. (25) However, tendencies of feminization and pauperization in vulnerable populations have been verified, (26) together with the fact that women tend to trust people more when there are positive and support network-related experiences, which justifies the higher number of women in the present investigation.…”