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巴西城市中艾滋病流行的增长模式和规模法则。

Growth patterns and scaling laws governing AIDS epidemic in Brazilian cities.

作者信息

Antonio Fernando Jose, de Picoli Sergio, Teixeira Jorge Juarez Vieira, Mendes Renio dos Santos

机构信息

Departamento de Física, Universidade Estadual de Maringá and National Institute of Science and Technology for Complex Systems, Maringá, Brazil.

Departamento de Análises Clínicas e Biomedicina, Universidade Estadual de Maringá, Maringá, Brazil.

出版信息

PLoS One. 2014 Oct 23;9(10):e111015. doi: 10.1371/journal.pone.0111015. eCollection 2014.

Abstract

Brazil holds approximately 1/3 of population living infected with AIDS (acquired immunodeficiency syndrome) in Central and South Americas, and it was also the first developing country to implement a large-scale control and intervention program against AIDS epidemic. In this scenario, we investigate the temporal evolution and current status of the AIDS epidemic in Brazil. Specifically, we analyze records of annual absolute frequency of cases for more than 5000 cities for the first 33 years of the infection in Brazil. We found that (i) the annual absolute frequencies exhibit a logistic-type growth with an exponential regime in the first few years of the AIDS spreading; (ii) the actual reproduction number decaying as a power law; (iii) the distribution of the annual absolute frequencies among cities decays with a power law behavior; (iv) the annual absolute frequencies and the number of inhabitants have an allometric relationship; (v) the temporal evolution of the annual absolute frequencies have different profile depending on the average annual absolute frequencies in the cities. These findings yield a general quantitative description of the AIDS infection dynamics in Brazil since the beginning. They also provide clues about the effectiveness of treatment and control programs against the infection, that has had a different impact depending on the number of inhabitants of cities. In this framework, our results give insights into the overall dynamics of AIDS epidemic, which may contribute to select empirically accurate models.

摘要

巴西的艾滋病(获得性免疫缺陷综合征)感染者人数约占中南美洲艾滋病感染者总数的三分之一,而且巴西也是首个实施大规模艾滋病疫情防控与干预项目的发展中国家。在此背景下,我们对巴西艾滋病疫情的时间演变及现状展开了调查。具体而言,我们分析了巴西艾滋病感染最初33年里5000多个城市的年度病例绝对频数记录。我们发现:(i)年度绝对频数在艾滋病传播的最初几年呈现出指数形式的逻辑斯蒂型增长;(ii)实际再生数呈幂律衰减;(iii)各城市年度绝对频数的分布呈幂律衰减;(iv)年度绝对频数与城市居民数量存在异速生长关系;(v)年度绝对频数的时间演变因城市的年均绝对频数而异。这些发现从一开始就对巴西艾滋病感染动态给出了一般性的定量描述。它们还为针对该感染的治疗和防控项目的有效性提供了线索,这些项目因城市居民数量不同而产生了不同的影响。在此框架下,我们的结果为艾滋病疫情的整体动态提供了见解,这可能有助于选择经验上准确的模型。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7925/4207789/b122c3bd5318/pone.0111015.g001.jpg

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