Spatial analysis of hiv cases in young adults and access to public services in a municipality of Paraná

Limas, Flaviane Marizete; Brandão, Marlise Lima; Luccas, Daiane Siqueira de; Bossle, Renato Cabral; Khalaf, Daiana Kloh; Chaves, Maria Marta Nolasco

doi:10.15343/0104-7809.202145337347

Cited by 3 publications

(3 citation statements)

References 6 publications

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“…In addition, there is also a concentration of cases in the regions of São José do Rio Preto, Ribeirão Preto, southern Araraquara, and Vale do Paraíba Paulista, which concentrate a large portion of the population in the countryside of the state. These results corroborate other studies whose authors analyzed the distribution pattern of the disease across the country's territories, in which the highest concentration of cases occurs mainly in large urban centers and metropolitan regions, considering the intense flow of people and the concentration of health services 30 – 33 .…”

Section: Discussionsupporting

confidence: 90%

A space-time analysis of mortality in older people living with HIV/AIDS in the state of São Paulo, Brazil

Souza

Santana

Alves

et al. 2023

Rev. bras. epidemiol.

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Objective: To analyze the spatiotemporal distribution of mortality in older people living with the human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS) in the state of São Paulo, Brazil. Methods: This is an ecological study with temporal and spatial approaches to analyze mortality from HIV/AIDS in the older adult population in the 2010-2020 period in the state of São Paulo, Brazil. Analysis of temporal trends was performed using the joinpoint regression, and spatial analysis was carried out using the Moran's index and the local empirical Bayesian model. Results: We identified a total of 3,070 deaths from HIV/AIDS among older adults and a mortality rate of 51.71 per 100 thousand inhabitants during the study period. The joinpoint method showed a growing trend for the age groups from 70 to 79 years (annual percent change [APC]=3.45; p=0.01) and ≥80 years (APC=6.60; p=0.006) and stability for the general older adult population (APC=0.99; p=0.226). The spatial distribution of the crude mortality rate was diffuse throughout the state. After smoothing by the Bayesian estimator, we observed greater concentration in the eastern mesoregions. In Moran's analysis, we observed clusters of lower mortality rates in more central regions; and of higher rates in the southern and northern regions of the state. Conclusions: We found a major growing trend in mortality from HIV/AIDS in the age group of older adults over 69 years during the 2010-2020 period. Clusters of high mortality rates were located in regions further to the south and north of the state, where places of greater social inequalities are concentrated.

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Section: Discussionsupporting

confidence: 90%

A space-time analysis of mortality in older people living with HIV/AIDS in the state of São Paulo, Brazil

Souza

Santana

Alves

et al. 2023

Rev. bras. epidemiol.

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“…The use of geographic reference techniques plays a key role in the epidemiological surveillance of HIV infection, contributing to the planning and monitoring of the disease. Furthermore, it can support the need for decentralization of health actions and services, which tend to be concentrated in large centers, directing disease prevention and health promotion strategies with a view to fighting HIV (Limas et al, 2021).…”

Section: Discussionmentioning

confidence: 99%

HIV in Paraná: clinical-epidemiological overview, distribution, and incidence by macroregional and regional health

Lima,

Pavinati,

Sala

et al. 2023

Acta Sci. Health Sci.

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Objective: to trace the clinical-epidemiological panorama, distribution, and incidence of HIV cases by macroregional and regional health of Paraná. Material and Methods: descriptive epidemiological study, carried out with data obtained by the Notifiable Diseases Information System regarding HIV/AIDS cases registered in the state of Paraná between 2018 and 2019. Data were analyzed by descriptive statistics. The study was authorized by the State Department of Health of Paraná and had a favorable opinion from the Research Ethics Committee. Results: 6,023 cases of HIV/AIDS were reported, with a prevalence of male, white, mean age of 35 years old, complete high school and college, and predominance of sexual transmission. The epidemiological characteristics corroborate the findings in the literature and are similar to the national profile. There were cases of mother-to-child vertical transmission during pregnancy and via transfusion, suggesting possibilities for effective action. East macroregional had the highest number of cases and incidence coefficient. Conclusion: the HIV/AIDS epidemic represents a multidimensional challenge for the health sector, considering its magnitude, severity, costs, and dissemination. Despite the improvement in infection prevention and health promotion strategies, the numbers of new infections per year are relevant and stable. The regionalization of information allows the individualization of epidemiological data, enabling the adoption of more effective strategies that correspond to local needs. Therefore, this study brings great contributions to local managers to direct strategies for assistance, surveillance, and control of this condition of great importance to public health.

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“…Além disso, também há concentração de casos nas regiões de São José do Rio Preto, Ribeirão Preto, Sul de Araraquara e Vale do Paraíba Paulista, que abrigam grande parcela da população no interior do estado. Estes resultados corroboram outros estudos que analisaram o padrão de distribuição da doença pelos territórios do país, em que a maior concentração dos casos ocorre, principalmente, nos grandes centros urbanos e regiões metropolitanas, dado o intenso fluxo de pessoas e a concentração dos serviços de saúde[30][31][32][33] .Um estudo da análise espacial dos fatores associados às taxas de mortalidade por HIV/AIDS em idosos nas microrregiões do sul e sudeste do Brasil constatou que existem desigualdades regionais na distribuição espacial da mortalidade8 . Fatores socioeconômicos, demográficos e de saúde influenciam diretamente essas taxas, sendo necessário abordar os determinantes sociais de saúde durante A: Taxa de mortalidade bruta por HIV/AIDS em pessoas idosas; B: Taxa de mortalidade suavizada por HIV/AIDS em pessoas idosas; C: Análise de Moran dos óbitos por HIV/AIDS em pessoas idosas.…”

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Uma análise espaço temporal da mortalidade em pessoas idosas que vivem com HIV/AIDS no estado de São Paulo, Brasil

Souza

Santana

Alves

et al. 2023

Rev. bras. epidemiol.

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RESUMO Objetivo: O estudo tem como objetivo analisar a distribuição espaço-temporal da mortalidade em idosos que vivem com HIV/AIDS no estado de São Paulo, Brasil. Métodos: Estudo ecológico com abordagens temporal e espacial para análise da mortalidade por HIV/AIDS em pessoas idosas no período de 2010–2020 no estado de São Paulo, Brasil. A análise das tendências temporais foi realizada por meio da regressão joinpoint e as análises espaciais foram realizadas usando o índice de Moran e o modelo bayesiano empírico local. Resultados: Foram identificados 3.070 óbitos por HIV/AIDS entre pessoas idosas e taxa de mortalidade de 51,71 por 100 mil habitantes no período de estudo. O método joinpoint revelou tendência crescente para as faixas etárias de 70 a 79 anos (variação percentual anual — APC=3,45 p=0,01) e 80 anos ou mais (APC=6,60, p=0,006) e de estabilidade para a população idosa geral (APC=0,99, p=0,226). A distribuição espacial da taxa bruta de mortalidade demonstrou-se difusa em todo o estado. Após suavização pelo estimador bayesiano, observou-se maior concentração nas mesorregiões ao leste. Na análise de Moran, foram observados aglomerados das menores taxas de mortalidade em regiões mais centrais e das altas taxas em regiões mais ao sul e norte do estado. Conclusão: O grupo etário em que ocorreu maior tendência de crescimento da mortalidade por HIV/AIDS durante o período de 2010–2020 foi o de pessoas idosas com mais de 69 anos. Os aglomerados das altas taxas de mortalidade foram localizados em regiões mais ao sul e norte do estado, onde se concentram locais de maiores desigualdades sociais.

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Spatial analysis of hiv cases in young adults and access to public services in a municipality of Paraná

Cited by 3 publications

References 6 publications

A space-time analysis of mortality in older people living with HIV/AIDS in the state of São Paulo, Brazil

A space-time analysis of mortality in older people living with HIV/AIDS in the state of São Paulo, Brazil

HIV in Paraná: clinical-epidemiological overview, distribution, and incidence by macroregional and regional health

Uma análise espaço temporal da mortalidade em pessoas idosas que vivem com HIV/AIDS no estado de São Paulo, Brasil

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