A epidemia de AIDS no Brasil e as desigualdades regionais e de oferta de serviço

Abstract

Abstract

Perfil dos casos de Síndrome da Imunodeficiência Adquirida em um estado do nordeste do Brasil

“…Por outro lado, as regiões Norte e Nordeste e os municípios de médio porte apresentam a epidemia da AIDS em crescimento e capacidade de resposta relativamente baixa. 6 Com relação à magnitude e à tendência da doença, ressalta-se que os municípios com epidemias de AIDS de pequena magnitude que apresentam crescimento acima da média nacional, localizam-se no interior dos estados, com destaque para o Estado do Rio Grande do Norte.…”

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

“…Towns with larger populations had a reduction or exhibited a stabilizing trend, while smaller cities showed a lower magnitude of the epidemic 19,20 . Szwarcwald et al 21 analyzed the epidemic of AIDS in adults in the city of Rio de Janeiro from 1988 to 1996 and found high rates in the center of the city and in coast areas initially.…”

30 years later: Social Representations about AIDS and sexual practices of rural towns residents

“…Considering the phenomenon of dissemination of the epidemic in the rural areas of Brazil, although HIV-positive people still remain concentrated in large cities, recent survey studies point to a significant growth in medium--sized cities, highlighting inequalities in access to services and low resoluteness of smaller municipalities in terms of care, treatment and management of the disease (11)(12) . In small municipalities, although the occurrence of the disease is still regarded as irregular and of small magnitude -an average of 4.7 cases per 100,000 inhabitants (11) -one cannot fail to consider factors such as poverty, low education and income -which remain as characteristics of a great part of the population of small municipalities.…”

“…These facts, when linked to health care service shortages, can contribute to restrictions in terms of the information about Aids and safe sex practices within this population, thereby putting them in situations of increasing vulnerability and risk. Researchers emphasize heterosexual transmission, which is the main form of transmission in these locations, which places women in more vulnerable situations, because of gender inequalities (11)(12) . A study performed with teenagers from Paraíba to evaluate sexual behavior and care practices (13) showed that, in the rural context, this population had little information about STD/Aids and generally did not use condoms in stable sexual relationships; many teenagers attribute HIV infection to "a thing of destiny."…”