How many AIDS epidemics can occur in São Paulo city?

Revista de saúde pública
Breno Souza de AguiarFrancisco Chiaravalloti Neto

Abstract

OBJECTIVE An ecological study describring the spatial characteristics of AIDS in São Paulo city between 2001 and 2010 according to the place of residence of reported cases in adults. METHODS The AIDS reported cases (28,146), grouped by sex, were geocodified (25,969) and linked with a census tract database (18,953). Case and population at risk data supplied spatial cluster identification and relative risk estimate by the scan method, using the discrete Poisson model. Incidence rate and proportional distribution allowed comparing people living in the high-risk clusters areas to other locations by age, race/ethnicity, schooling and transmission category. RESULTS The AIDS incidence rate decreased in both sexes except among young men and older people. The identification of spatial high-risk clusters showed that the decrease of AIDS did not occur in the same way in the city. Clusters located in the central area presented the highest AIDS incidence rates (245.7/100,000 men), especially among black women (RR = 7.9), men who have sex with men (66.2%) and injection drug users (10.7%) participation. In peripheral clusters, identified only in the female population, the epidemic can be related to the poverty of these women (22.5% low educat...Continue Reading

Citations

Aug 23, 2019·Revista latino-americana de enfermagem·Larissa Pereira FalavinaThais Aidar de Freitas Mathias

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Software Mentioned

TerraView
NET
SINAN
COVISA
Sat Scan

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