[圣埃斯皮里图州老年人中的艾滋病特征与趋势]

[Features and trend of AIDS, among the elderly in the State of Espirito Santo].

作者信息

Toledo Lidiane da Silveira Gouvea, Maciel Ethel Leonor Noia, Rodrigues Lívia Carla de Melo, Tristão-Sá Ricardo, Fregona Geisa

机构信息

Faculdade Novo Milênio, Vila Velha, ES.

出版信息

Rev Soc Bras Med Trop. 2010 May-Jun;43(3):264-7. doi: 10.1590/s0037-86822010000300010.

DOI:10.1590/s0037-86822010000300010

PMID:20563493

Abstract

INTRODUCTION

AIDS among older adults is a public health problem emerging. This study compared the demographic and epidemiological profile and the evolution and trend of the epidemic among men and women aged 50 years and older and 20 to 39 years affected by AIDS in the State of Espirito Santo, Brazil.

METHODS

We conducted a time serie study with secondary data from SINAN/AIDS for the period January 1991 to December 2006.

RESULTS

In this period were 3,382 reported cases of AIDS in individuals aged 20 to 39 years and 551 cases among individuals with 50 years or older. In both age groups most affected are men. There are differences related to race or color, where the majority of the older is white (45.3% - p-value = 0.044) and the young brown (44.7%, p = 0.003). Illiteracy prevails among the older (17.7% - p-value = 0.001). More than half (80%) of the notifications occurred in cities of medium to large. The main risk factor was heterosexual in both the age groups more frequently to the group of 50 or more (77.3% - p = 0.0001). The cumulative incidence is higher for the age group 20 to 39 years (R(2) = 0.68), but is increasing proportionally between the two bands over the years, with a significant upward trend for both (p<0.01).

CONCLUSIONS

The AIDS epidemic among the elderly can be seen growing among older on the Espirito Santo State.

摘要

引言

老年人中的艾滋病是一个新出现的公共卫生问题。本研究比较了巴西圣埃斯皮里图州50岁及以上和20至39岁受艾滋病影响的男性和女性的人口统计学和流行病学特征以及疫情的演变和趋势。

方法

我们利用1991年1月至2006年12月期间巴西全国艾滋病监测系统（SINAN/AIDS）的二级数据进行了一项时间序列研究。

结果

在此期间，20至39岁的人群中有3382例艾滋病报告病例，50岁及以上的人群中有551例。两个年龄组中受影响最大的都是男性。在种族或肤色方面存在差异，其中老年人中大多数是白人（45.3% - p值 = 0.044），年轻人中大多数是棕色人种（44.7%，p = 0.003）。老年人中文盲率较高（17.7% - p值 = 0.001）。超过一半（80%）的报告病例发生在中大型城市。两个年龄组的主要危险因素都是异性性行为，50岁及以上组更为频繁（77.3% - p = 0.0001）。20至39岁年龄组的累积发病率更高（R(2) = 0.68），但多年来两个年龄组的发病率都在按比例上升，两组均有显著上升趋势（p<0.01）。