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[巴西塞阿拉州福塔莱萨市儿童艾滋病:社会经济差异的影响]

[AIDS in children: the influence of socioeconomic differences in Fortaleza, Ceará State, Brazil].

作者信息

Lopes Emeline Moura, Pedrosa Nathália Lima, Holanda Eliane Rolim de, Almeida Rosa Lívia Freitas, Kerr Lígia Regina Franco Sansigolo, Galvão Marli Teresinha Gimeniz

机构信息

Universidade Federal do Ceará, Fortaleza, Brasil.

Universidade Federal de Pernambuco, Recife, Brasil.

出版信息

Cad Saude Publica. 2015 Sep;31(9):2005-16. doi: 10.1590/0102-311X00074514.

Abstract

This study aimed to analyze the relationship between pediatric AIDS cases and neighborhood socioeconomic characteristics in Fortaleza, Ceará State, Brazil. This was an ecological and descriptive study with socioeconomic data from the 2010 Population Census and AIDS data in children for 2001-2011 from the Information System on Notifiable Diseases. Pearson's correlation was performed and the Moran index was used to verify spatial autocorrelation. A multinomial model was used to identify clusters. Of the total sample, 57.8% were male. In 18.8% of the children, the diagnosis was made after two years of age. There was a positive spatial correlation between AIDS cases in children and income (I = 0.6; p = 0.001) and the proportion of poor (I = 0.5; p = 0.001). Neighborhoods with these characteristics are mainly located in the Northwest and Southwest areas of the city. Spatial correlation between pediatric AIDS cases and socioeconomic indicators highlights the need for interventions aimed at improving health and living conditions.

摘要

本研究旨在分析巴西塞阿拉州福塔莱萨市儿科艾滋病病例与社区社会经济特征之间的关系。这是一项生态描述性研究,使用了2010年人口普查的社会经济数据以及2001年至2011年法定传染病信息系统中的儿童艾滋病数据。进行了Pearson相关性分析,并使用莫兰指数来验证空间自相关性。采用多项模型来识别聚类。在总样本中,57.8%为男性。18.8%的儿童在两岁以后被诊断出患病。儿童艾滋病病例与收入(I = 0.6;p = 0.001)以及贫困人口比例(I = 0.5;p = 0.001)之间存在正空间相关性。具有这些特征的社区主要位于该市的西北部和西南部地区。儿科艾滋病病例与社会经济指标之间的空间相关性凸显了开展旨在改善健康和生活条件的干预措施的必要性。

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