Sífilis no estado de São Paulo, Brasil, 2011‒2017

Luppi, Carla Gianna; Tayra, Ângela; Domingues, Carmen Silvia Bruniera; Gomes, Silas Prímola; Pinto, Valdir Monteiro; Silva, Maria Aparecida da; Silva, Roberto José Carvalho da; Tancredi, Mariza Vono

doi:10.1590/1980-549720200103

Cited by 8 publications

(10 citation statements)

References 12 publications

(16 reference statements)

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“…Injection drug use is a possibility for increasing HTLV-1/2 but probably unlikely in the blood donor population. The recent recrudescence of syphilis and an increase in HIV prevalence among young people in Brazil corroborate the hypothesis of sexual transmission ( 15 , 16 ). A study carried out in São Paulo found that a large percentage of adolescents has not learned about safe sexual behavior ( 17 ).…”

Section: Discussionsupporting

confidence: 64%

Prevalence and Risk Factors for Human T-Cell Lymphotropic Virus (HTLV) in Blood Donors in Brazil—A 10-Year Study (2007–2016)

et al. 2022

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It is unknown whether HTLV-1/2 prevalence has been stable or changing with time in Brazil. We present a 10-year (2007–2016) analysis of HTLV-1/2 infection in first-time blood donors from four blood banks in Brazil. The Brazilian blood centers participating in this multicenter Recipient Epidemiology and Donor Evaluation Study (REDS) are located in Recife in the Northeast and in São Paulo, Rio de Janeiro and Belo Horizonte located in the Southeast of the country. A previous REDS study using the same database from 2007 to 2009 showed that the prevalence per 100,000 donors was 222 in Recife, 83 in Belo Horizonte and 101 in São Paulo. From 2007 to 2016, HTLV-1/2 prevalence was calculated by year, blood center and birth cohort. Covariates included age, gender, schooling, self-reported skin color and type of donation. From 1,092,174 first-blood donations, in the general analysis, HTLV-1/2 infection predominated in females, donors over 50 years of age, black skin color and less educated. The average prevalence was 228 per 100,000 donors in Recife, 222 in Rio de Janeiro, 104 in Belo Horizonte and 103 in São Paulo. In the 10-year analysis, HTLV-1/2 prevalence was stable, but a trend was observed toward an increase in HTLV-1/2 infection among younger people (p < 0.001), males (p = 0.049), those with white skin color (p < 0.001), and higher education (p = 0.014). Therefore, this 10-year surveillance of the infection showed stable HTLV-1/2 prevalence overall but a trend toward increased prevalence among the younger and more educated donors despite Brazilian policies to control sexually transmitted infections being in place for more than 10 years.

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Section: Discussionsupporting

confidence: 64%

Prevalence and Risk Factors for Human T-Cell Lymphotropic Virus (HTLV) in Blood Donors in Brazil—A 10-Year Study (2007–2016)

et al. 2022

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“…O cluster 3, nessa perspectiva, apresentou o melhor desempenho para o conjunto de indicadores; a cidade de São Paulo (cluster 6), em quase ambivalência, apresentou o pior desempenho. Sistematicamente, o comportamento dos indicadores, entre todos os clusters, priorizou o debate em torno da saúde materno-infantil e das condições crônicas de saúde de adultos e idosos, com destaque para as regiões metropolitanas [31][32][33][34] .…”

Section: Discussionunclassified

Desempenho da atenção primária à saúde, segundo clusters de municípios convergentes no estado de São Paulo

Pinheiro

Carneiro

Sala³

et al. 2022

Rev. bras. epidemiol.

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RESUMO: Objetivo: Descrever o desempenho da atenção primária à saúde, segundo clusters de municípios paulistas que apresentaram indicadores homogêneos. Métodos: Trata-se de um estudo descritivo, com base em dados secundários extraídos de fontes oficiais do Sistema Único de Saúde, referentes ao ano de 2018. Foi elaborada uma matriz de análise, com a proposição de indicadores de desempenho (acesso, efetividade e adequação) e contexto (população, determinantes de saúde e financiamento), selecionados e organizados em dimensões e subdimensões. Para identificar os grupos de municípios homogêneos, foi utilizada a análise de cluster Resultados: Dos 645 municípios, constituíram-se seis clusters. Os clusters 2 e 3 foram formados, predominantemente, por municípios pequenos e com maior acesso; entre eles, o cluster 3 apresentou menor vulnerabilidade social e maior investimento em saúde. Os clusters 1, 4 e 5, em contrapartida, foram formados por municípios maiores e com menor acesso; entre eles, o cluster 4 apresentou maior vulnerabilidade social, menor cobertura de planos privados de saúde e maior percentual de recursos utilizados em saúde; e o cluster 5, maior produto interno bruto per capita e maior cobertura de planos privados de saúde. O cluster 6, formado pelo município de São Paulo, demonstrou ser um caso particular. Ainda, o cluster 2 chamou atenção. Apresentando maior cobertura, sinalizou menor efetividade e adequação. Entre todos os clusters, o cluster 3 alcançou o melhor desempenho. Conclusão: Os resultados podem subsidiar a gestão regional e municipal, diante da complexidade do território paulista, apontando para cenários que demandam maiores inciativas de gestão pública.

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“…Cluster 3, from this perspective, presented the best performance for the set of indicators; the city of São Paulo (cluster 6), almost in ambivalence, presented the worst performance. The behavior of the indicators, in all clusters, put the spotlight on the debate around maternal and child health and chronic health conditions of adults and the elderly, with emphasis on the metropolitan regions [31][32][33][34] .…”

Section: Discussionmentioning

confidence: 99%

Primary health care performance according to clusters of convergent municipalities in the state of São Paulo

Pinheiro

Carneiro

Sala³

et al. 2022

Rev. bras. epidemiol.

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Objective: To describe the performance of Primary Health Care, according to conglomerates of São Paulo cities that present homogeneous indicators. Methods: This is a descriptive study, based on secondary data extracted from official sources of the Unified Health System, for the year 2018. An analysis matrix was created, with the proposition of performance (access, effectiveness and adequacy) and context indicators (population, health determinants and financing) selected and organized in dimensions and sub-dimensions. Cluster Analysis was used to identify the groups of homogeneous municipalities. Results: 645 municipalities were divided in 6 conglomerates. Clusters 2 and 3 were formed predominantly by small municipalities with greater access to health; cluster 3 has less social vulnerability and greater investment in health. Clusters 1, 4 and 5 were formed by the largest municipalities with less access to health; cluster 4 presents greater social vulnerability, less coverage of private health plans and a greater percentage of health resources; cluster 5 was characterized by greater Gross Domestic Product per capita and greater coverage of private health plans. Cluster 6, formed by the city of São Paulo, was a particular case. Cluster 2 drew attention, as it was shown to have increased coverage, but signaled lower efficacy and adequacy levels. Cluster 3 had the best performance among all clusters. Conclusion: These findings can support regional and municipal management, given the complexity of the territory of São Paulo, pointing to scenarios that demand broader public management initiatives.

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Sífilis no estado de São Paulo, Brasil, 2011‒2017

Cited by 8 publications

References 12 publications

Prevalence and Risk Factors for Human T-Cell Lymphotropic Virus (HTLV) in Blood Donors in Brazil—A 10-Year Study (2007–2016)

Prevalence and Risk Factors for Human T-Cell Lymphotropic Virus (HTLV) in Blood Donors in Brazil—A 10-Year Study (2007–2016)

Desempenho da atenção primária à saúde, segundo clusters de municípios convergentes no estado de São Paulo

Primary health care performance according to clusters of convergent municipalities in the state of São Paulo

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