HIV/AIDS and the social determinants of health: a time series study

Abstract

Objective: To analyze the time trend, spatial distribution, and the cases of human immunodeficiency virus/acquired immunodeficiency syndrome cases with social determinants of health. Methods: Ecological and analytical study, carried out based on the cases of human immunodeficiency virus/acquired immunodeficiency syndrome notified in a state in the Brazilian Midwest, from 2009 to 2018. The study used descriptive analysis, polynomial regression, and geospatial analysis. Results: In 10 years, there were 9,157 notifications, growing each year. There was a growing trend for both sexes (p<0.001, r2=0.94). The City Human Development Index was related to the higher number of cases (city of notification, p=0.01; and city where the person lives, p=0.02). The highest concentration was in cities that house health macro-regions. Conclusion: Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.

HIV testing among immigrant men who have sex with men in Brazil

“…Despite these efforts, HIV testing among immigrants in Brazil still faces challenges, and there is currently no national overview that provides structured and precise data on this issue (Melo, 2019; Mesenburg et al., 2017). Therefore, it is recommended to explore successful experiences from different continents as a way to maximize the utilization of evidence and promising results in their countries of origin, while also seeking to overcome existing cross‐cultural barriers and adapt interventions to be culturally competent in caring for the migrant MSM population, taking into account social determinants of health (Soares et al., 2020; Werle et al., 2022).…”