Tomazelli Jeane, Czeresnia Dina, Barcellos Christovam
Secretaria de Estado de Saúde do Rio de Janeiro, Rio de Janeiro, RJ, 20031-142, Brasil.
Cad Saude Publica. 2003 Jul-Aug;19(4):1049-61. doi: 10.1590/s0102-311x2003000400027. Epub 2003 Sep 8.
The AIDS epidemic has spread and reached various population groups differently. The epidemic's dynamics have also differed according to the characteristics of different areas within cities, related to the principal modes of spread. This study analyzes the AIDS epidemic in women in the city of Rio de Janeiro using the space referential. The epidemic is on the rise among women, particularly in the Northern and Western Zones of the city. In this group it constitutes a "sub-epidemic", to the extent that it displays different characteristics in terms of clinical presentation, access to health services, and knowledge of risks. There was a high proportion of unknown transmission category among the women, thus revealing ignorance of their own risk situation. In addition, the high proportion of unknown level of schooling emphasizes the implications of the investigative system on quality of data recorded for women.
艾滋病疫情已经蔓延,且在不同人群中的传播情况各异。根据城市内不同区域的特征以及主要传播方式,疫情动态也有所不同。本研究采用空间参照法分析里约热内卢市女性中的艾滋病疫情。女性中的疫情呈上升趋势,尤其是在该市的北部和西部区域。在这一群体中,它构成了一种“子疫情”,因为在临床表现、获得医疗服务的机会以及对风险的认知方面呈现出不同特征。女性中传播类别不明的比例很高,这表明她们对自身风险状况缺乏了解。此外,受教育程度不明的比例很高,这凸显了调查系统对女性记录数据质量的影响。