Universidade do Vale do Rio do Sinos. Programa de Pós-Graduação em Saúde Coletiva. São Leopoldo, RS, Brasil.
Centro Universitário da Serra Gaúcha FSG. Caxias do Sul, RS, Brasil.
Rev Saude Publica. 2021 Dec 8;55:84. doi: 10.11606/s1518-8787.2021055003384. eCollection 2021.
To present some factors related to the mortality rates of WLHIV in the city of Porto Alegre-RS.
This is a spatial and spatio-temporal analysis of ecological data about all women monitored by the health care services for the vertical transmission (VT) of HIV, between 2007 and 2017, residing in the city that died during the period. The units of analysis were the 17 sanitary districts of the city. The dependent variable was the mortality rate. The independent territorial variables were the indicators of vulnerability to poverty, women householder proportion, lack of infrastructure, HDI, and GINI index. Still, the individual data collected were: age, race/color, level of education, and period since the HIV diagnosis. The analyses used SPSS 20.0, and QGIS 218.15.
Regions with higher vulnerability to poverty and precarious local infrastructure registered higher WLHIV mortality rates, especially black/"pardo" women in fertile age with low education. The regions with most women householders presented a risk of mortality seven times higher. The population with vulnerability to poverty presented the same result.
Regions with critical indicators of vulnerability presented higher mortality rates of WLHIV, which demonstrates social inequalities' impact for these women.
介绍一些与 Porto Alegre-RS 市 WLHIV 死亡率相关的因素。
这是对 2007 年至 2017 年间居住在该城市且在此期间死亡的所有接受艾滋病毒垂直传播 (VT) 保健服务监测的妇女的卫生保健服务的生态数据进行的空间和时空分析。分析单位是城市的 17 个卫生区。因变量是死亡率。独立的地域变量是贫困脆弱性指标、女户主比例、基础设施缺乏、人类发展指数和基尼指数。个体数据包括:年龄、种族/肤色、受教育程度和艾滋病毒诊断后时间。分析使用了 SPSS 20.0 和 QGIS 218.15。
贫困脆弱性和当地基础设施不稳定的地区的 WLHIV 死亡率较高,尤其是处于生育年龄、教育程度低的黑人/“混血儿”妇女。女户主比例较高的地区的死亡率风险高 7 倍。弱势群体的结果相同。
脆弱性关键指标较高的地区的 WLHIV 死亡率较高,这表明社会不平等对这些妇女的影响。