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

Autor: Werle JE; Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil., Teston EF; Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil., Rossi RM; Universidade Estatual de Maringá. Maringá, Paraná, Brazil., Marcon SS; Universidade Estatual de Maringá. Maringá, Paraná, Brazil., Sá JS; Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil., Frota OP; Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil., Ferreira Júnior MA; Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil., Andrade GKS; Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.
Jazyk: English; Portuguese
Zdroj: Revista brasileira de enfermagem [Rev Bras Enferm] 2022 Apr 15; Vol. 75 (4), pp. e20210499. Date of Electronic Publication: 2022 Apr 15 (Print Publication: 2022).
DOI: 10.1590/0034-7167-2021-0499
Abstrakt: 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.
Databáze: MEDLINE