de Holanda Eliane Rolim, Galvão Marli Teresinha Gimeniz, Pedrosa Nathália Lima, Paiva Simone de Sousa, de Almeida Rosa Lívia Freitas
Centro Acadêmico de Vitória, Universidade Federal de Pernambuco, Vitória de Santo Antão, PE, BR.
Departamento de Enfermagem, Universidade Federal do Ceará, Fortaleza, CE, BR.
Rev Lat Am Enfermagem. 2015 May-Jun;23(3):441-9. doi: 10.1590/0104-1169.0481.2574. Epub 2015 Jul 3.
to analyze the spatial distribution of reported cases of pregnant women infected by the human immunodeficiency virus and to identify the urban areas with greater social vulnerability to the infection among pregnant women.
ecological study, developed by means of spatial analysis techniques of area data. Secondary data were used from the Brazilian National Disease Notification System for the city of Recife, Pernambuco. Birth data were obtained from the Brazilian Information System on Live Births and socioeconomic data from the 2010 Demographic Census.
the presence of spatial self-correlation was verified. Moran's Index was significant for the distribution. Clusters were identified, considered as high-risk areas, located in grouped neighborhoods, with equally high infection rates among pregnant women. A neighborhood located in the Northwest of the city was distinguished, considered in an epidemiological transition phase.
precarious living conditions, as evidenced by the indicators illiteracy, absence of prenatal care and poverty, were relevant for the risk of vertical HIV transmission, converging to the grouping of cases among disadvantaged regions.
分析报告的感染人类免疫缺陷病毒的孕妇病例的空间分布,并确定孕妇感染风险较高的社会脆弱性城市地区。
采用区域数据空间分析技术开展生态学研究。使用了来自巴西伯南布哥州累西腓市国家疾病通报系统的二手数据。出生数据来自巴西活产信息系统,社会经济数据来自2010年人口普查。
证实存在空间自相关性。分布的莫兰指数具有显著性。确定了一些聚集区,被视为高风险地区,位于相邻街区群中,孕妇感染率同样很高。该市西北部的一个街区较为突出,处于流行病学转变阶段。
文盲、缺乏产前护理和贫困等指标所证明的不稳定生活条件与艾滋病毒垂直传播风险相关,这些因素集中在弱势地区的病例群中。