AIDS em crianças: a influência dos diferenciais socioeconômicos no Município de Fortaleza, Ceará, Brasil

Lopes, Emeline Moura; Pedrosa, Nathália Lima; Holanda, Eliane Rolim de; Almeida, Rosa Lívia Freitas de; Kerr, Lígia Regina Franco Sansigolo; Galvão, Marli Teresinha Gimeniz

doi:10.1590/0102-311x00074514

Cited by 12 publications

(11 citation statements)

References 14 publications

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“…In Brazil, the HIV/AIDS epidemic expansion was concentrated mainly in regions with the worst socioeconomic conditions; in the vertical transmission context, this scenario was also identified. 1,2 Brazilian studies 1,3 indicate poverty conditions, low schooling level, and income as structures of vulnerability to HIV infection. This concept was incorporated into the public health from the necessity of intersect in different fields of knowledge to face AIDS strategies.…”

Section: Introductionmentioning

confidence: 99%

Hierarchical analysis of determinants of HIV vertical transmission: a case-control study

Siqueira

Miranda

Souza

et al. 2020

Rev. Bras. Saude Mater. Infant.

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Objectives: to analyze the association of socioeconomic, obstetric, pediatric and prophylactic factors to the vertical transmission of HIV in children followed at a reference service in Recife between 2010 and 2015. Methods: case-control nested the cohort of children exposed to vertical transmission of HIV. A univariate and multivariate statistical analysis was performed on the association of socioeconomic, obstetric, pediatric and prophylactic measures with the outcome. We considered two multivariate approaches, conventional and hierarchical, the latter made it possible to consider different levels of determination. Results: 46.5% of the mothers had low schooling, 69.6% without work-related wages and 35.7% received a family grant. Women with postpartum diagnosis and less than 6 prenatal appointments had a greater chance of vertical transmission. Prophylactic measures were statistically associated with prevention of transmission (p<0.1%). Conclusions: vertical risk factors for HIV transmission were identified: no sewage system, at least six prenatal consultations, first care of the child with more than two months and no prophylaxis in pregnancy and childbirth. Determining factors for which specific policies and programs exist and their non-access social determination evidence of HIV vertical transmission.

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Section: Introductionmentioning

confidence: 99%

Hierarchical analysis of determinants of HIV vertical transmission: a case-control study

Siqueira

Miranda

Souza

et al. 2020

Rev. Bras. Saude Mater. Infant.

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“…6 This type of space analysis is performed through geoprocessing tools for health events, which have been growing in Brazil in recent years and being applied in investigations that portray the spatial distribution of AIDS in the most diverse populations. [7][8][9][10] • To analyze the spatial and temporal distribution of AIDS mortality. This is a quantitative, descriptive study, whose geographical area of interest is the state of Piauí, located in Northeastern Brazil, with a total area of 251,529.186 km 2 , which corresponds to 16.2% and 2.9% of the total areas of the Northeast and Brazil, respectively.…”

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confidence: 99%

Padrão espaço-temporal da mortalidade por aids

Maranhão

Alencar

Ribeiro

et al. 2020

Rev enferm UFPE on line.

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Objetivo: analisar a distribuição espaço-temporal da mortalidade por aids. Método: trata-se de um estudo quantitativo, descritivo, que avaliou 959 óbitos por Aids notificados por meio do Sistema de Informação sobre Mortalidade. Analisou-se a tendência temporal por meio do software Joinpoint Regression Program, versão 4.6.0.0, e a varredura Scan foi empregada para avaliar a formação de clusters puramente espaciais de óbitos, considerando-se um nível de significância de 5%. Resultados: verifica-se que a maioria das mortes ocorreu entre indivíduos do sexo masculino (71,1%), com sete anos de estudo ou menos (79,6%), de raça parda (72,2%) e faixa etária de 30 a 39 anos (69,2%). Registrou-se um aumento estatisticamente significativo da mortalidade por Aids de 5,2% ao ano (p<0,001; IC95%: 1,0-9,5). Observa-se que a varredura espacial apontou para um cluster de óbitos estatisticamente significativo (p<0,0001), que abrangeu 18 municípios, incluindo Oeiras, Parnaíba e os da região metropolitana de Teresina. Conclusão: nota-se que a análise das tendências temporal e espacial demonstrou um aumento significativo da mortalidade ao longo do período estudado, bem como a presença de um aglomerado de óbitos que abrangeu 18 municípios, incluindo Teresina, Oeiras e Parnaíba. Descritores: HIV; Síndrome da Imunodeficiência Adquirida; Análise Espacial; Mapeamento Geográfico; Mortalidade; Epidemiologia.AbstractObjective: to analyze the spatial-temporal distribution of AIDS mortality. Method: this is a quantitative, descriptive study, which evaluated 959 aids deaths reported through the Mortality Information System. The temporal trend was analyzed using the Joinpoint Regression Program, version 4.6.0.0, and the Scan scanning was used to evaluate the formation of purely spatial clusters of deaths, considering a significance level of 5%. Results: most deaths occurred among males (71.1%), with seven years of schooling or less (79.6%), of pardo race (72.2%) and age group from 30 to 39 years (69.2%). There was a statistically significant increase in AIDS mortality of 5.2% per year (p<0.001; 95% CI: 1.0-9.5). The spatial scanning pointed to a statistically significant cluster of deaths (p<0.0001), which covered 18 municipalities, including Oeiras, Parnaíba and those in the metropolitan region of Teresina. Conclusion: the analysis of temporal and spatial trends showed a significant increased mortality over the period studied, as well as the presence of a cluster of deaths that covered 18 municipalities, including Teresina, Oeiras and Parnaíba. Descriptors: HIV; Acquired Immunodeficiency Syndrome; Spatial Analysis; Geographic Mapping; Mortality; Epidemiology.ResumenObjetivo: analizar la distribución espacio-temporal de la mortalidad por SIDA. Método: se trata de un estudio cuantitativo y descriptivo que evaluó 959 muertes por SIDA reportadas a través del Sistema de Información sobre Mortalidad. La tendencia temporal se analizó utilizando el software Joinpoint Regression Program, versión 4.6.0.0, y el escaneo Scan se utilizó para evaluar la formación de grupos puramente espaciales de muertes, considerando un nivel de significancia del 5%. Resultados: se verificó que la mayoría de las muertes ocurrieron entre los varones (71,1%), con siete años de escolaridad o menos (79,6%), de raza parda (72,2%) y grupos de edad de 30 a 39 años (69,2%). Hubo un aumento estadísticamente significativo de la mortalidad por SIDA del 5,2% anual (p<0.001; IC del 95%: 1,0-9,5). Se observó que el escaneo espacial apuntaba a un grupo estadísticamente significativo de muertes (p<0.0001), que abarcaba 18 municipios, incluyendo Oeiras, Parnaíba y los de la región metropolitana de Teresina. Conclusión: se observa que el análisis de las tendencias temporales y espaciales mostró un aumento significativo de la mortalidad durante el período estudiado, así como la presencia de un grupo de muertes que abarcó 18 municipios, entre ellos Teresina, Oeiras y Parnaíba. Descriptores: VIH; Síndrome de Inmunodeficiencia Adquirida; Análisis Espacial; Mapeo Geográfico; Mortalidad; Epidemiología.

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“…There were four main area-levels that were considered in the papers: municipalities (with an average population of 37,000) 32 - 35 ; census tracts (average population 660) 7 , 36 - 38 ; districts (average population 20,000) 36 , 39 - 42 ; and neighborhoods 43 - 46 . Six papers considered other area levels 7 , 47 - 51 .…”

Section: Resultsmentioning

confidence: 99%

Area deprivation measures used in Brazil

Ichihara¹,

Ramos²,

Rebouças³

et al. 2018

Rev. saúde pública

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OBJECTIVETo describe and assess currently used area-based measures of deprivation in Brazil for health research, to the purpose of informing the development of a future small area deprivation index.METHODSWe searched five electronic databases and seven websites of Brazilian research institutions and governmental agencies. Inclusion criteria were: studies proposing measures of deprivation for small areas (i.e., finer geography than country-level) in Brazil, published in English, Portuguese or Spanish. After data-extraction, results were tabulated according to the area level the deprivation measure was created for and to the dimensions of deprivation or poverty included in the measures. A narrative synthesis approach was used to summarize the measures available, highlighting their utility for public health research.RESULTSA total of 7,199 records were retrieved, 126 full-text articles were assessed after inclusion criteria and a final list of 30 articles was selected. No small-area deprivation measures that have been applied to the whole of Brazil were found. Existing measures were mainly used to study infectious and parasitic diseases. Few studies used the measures to assess inequalities in mortality and no studies used the deprivation measure to evaluate the impact of social programs.CONCLUSIONSNo up-to-date small area-based deprivation measure in Brazil covers the whole country. There is a need to develop such an index for Brazil to measure and monitor inequalities in health and mortality, particularly to assess progress in Brazil against the Sustainable Development Goal targets for different health outcomes, showing progress by socioeconomic groups.

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AIDS em crianças: a influência dos diferenciais socioeconômicos no Município de Fortaleza, Ceará, Brasil

Cited by 12 publications

References 14 publications

Hierarchical analysis of determinants of HIV vertical transmission: a case-control study

Hierarchical analysis of determinants of HIV vertical transmission: a case-control study

Padrão espaço-temporal da mortalidade por aids

Area deprivation measures used in Brazil

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