[1986年至2000年间，亚马孙州玛瑙斯市的艾滋病毒/艾滋病感染模式]

[Pattern of HIV/AIDS infection in Manaus, State of Amazonas, between 1986 and 2000].

作者信息

Silva Leila Cristina Ferreira da, Santos Elizabeth Moreira dos, Silva Neto Antonio Levino da, Miranda Angélica Espinosa, Talhari Sinésio, Toledo Luciano de Medeiros

机构信息

Gerência de Dermatologia e DST/Aids, Fundação de Medicina Tropical do Amazonas, Manaus, AM.

出版信息

Rev Soc Bras Med Trop. 2009 Sep-Oct;42(5):543-50. doi: 10.1590/s0037-86822009000500012.

DOI:10.1590/s0037-86822009000500012

PMID:19967237

Abstract

The objective of this study was to describe HIV infection in Manaus, Amazonas, between 1986 and 2000. This was a descriptive study on confirmed cases of HIV/AIDS among adults, from the medical records of the State Reference Service. To delineate the spatial epidemiological profile and historical trends, the following periods were considered: 1986-1990, 1991-1995 and 1996-2000. The behavioral, social and clinical variables were analyzed by means of descriptive statistics. The spatial trends and patterns and the incidence rates were presented according to residential district using thematic maps. Among the 1,400 cases studied, the mortality rate decreased from 61.3% to 17.8% and the gender ratio (four men/one woman) decreased over the study period. The main exposure route was sexual: bisexual (31%) and heterosexual (19.3%). There was a high rate of late diagnosis, made during the symptomatic phase of AIDS (50.8%). This study showed that HIV/AIDS infection in Manaus has spread slowly and progressively from the central area of the city towards the south, north, east and west.

摘要

本研究的目的是描述1986年至2000年期间位于亚马孙州马瑙斯市的HIV感染情况。这是一项基于该州参考服务机构医疗记录的关于成人HIV/AIDS确诊病例的描述性研究。为了描绘空间流行病学概况和历史趋势，研究考虑了以下几个时期：1986 - 1990年、1991 - 1995年和1996 - 2000年。通过描述性统计分析行为、社会和临床变量。利用专题地图按居民区展示空间趋势、模式和发病率。在所研究的1400例病例中，死亡率从61.3%降至17.8%，在研究期间性别比（男性/女性 = 4/1）有所下降。主要传播途径为性传播：双性恋（31%）和异性恋（19.3%）。在艾滋病症状期确诊的比例较高（50.8%）。本研究表明，马瑙斯市的HIV/AIDS感染已从市中心缓慢且逐步地向南部、北部、东部和西部扩散。