Social geography of AIDS in Brazil: identifying patterns of regional inequalities

Cadernos de Saúde Pública

Tatiana Rodrigues De Araujo Teixeira¹  Renata Gracie¹  Monica Siqueira Malta¹  Francisco I. Bastos¹ 

关键词: Acquired Immunodeficiency Syndrome;    Spatial Analysis;    Ecological Studies;    Sindrome de Imunodeficiencia Adquirida;    Analise Espacial;    Estudos Ecologicos;    Sindrome de Imunodeficiencia Adquirida;    Analisis Espacial;    Estudios Ecologicos;   

DOI  :  10.1590/0102-311X00051313

来源: SciELO

【 摘 要 】

The trend towards decline and stabilization of the AIDS epidemic in Brazil should be analyzed carefully, since aggregate data can mask regional or local inequalities in such a large and diverse country. The current study reevaluates the epidemic’s spatial dissemination and the AIDS-related mortality pattern in Brazil. The study considered all AIDS cases diagnosed in individuals over 18 years of age and living in Brazil, as well as AIDS deaths recorded in 1998-2008. Three-year moving average rates were estimated, and a spatial analysis was conducted using a local empirical Bayesian method. The epidemic was only found to be expanding in the North and Northeast regions, while declining in the rest of the country, especially in the Southeast. According to the findings, the apparent stabilization of AIDS mortality tends to mask regional disparities. Social determinants of health and regional disparities should be taken into account in program development and policymaking.

【 授权许可】

CC BY   
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