Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1.480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.
Instituto de Comunicação e Informação Científica e Tecnológica, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.
Cien Saude Colet. 2022 Mar;27(3):895-908. doi: 10.1590/1413-81232022273.00432021. Epub 2021 Mar 3.
This investigation analyzed the trend of HIV/AIDS mortality by sociodemographic characteristics in the Brazilian states from 2000 to 2018. This is an ecological study of time-series of standardized rates of mortality from AIDS overall, by gender, age group, marital status, and ethnicity/skin color, employing the Prais-Winsten generalized linear model. The results showed that the states with the highest rates were Rio Grande do Sul, Rio de Janeiro, São Paulo, and Santa Catarina. The trend was increasing in the North and Northeast. Men had higher rates than women and the general population. The most advanced age groups showed a growing trend. The analysis by marital status showed higher and growing rates among the unmarried. Blacks had higher rates, except for Paraná, with a mainly increasing trend. Mortality due to HIV/AIDS had different trends by sociodemographic characteristics, with a need for preventive and care actions for men, adults, older adults, unmarried, and black people due to the change in the mortality profile.
本研究分析了 2000 至 2018 年巴西各州按社会人口特征划分的艾滋病毒/艾滋病死亡率趋势。这是一项针对总体艾滋病死亡率的标准化率的时间序列的生态学研究，按性别、年龄组、婚姻状况和种族/肤色进行了 Prais-Winsten 广义线性模型分析。结果表明，死亡率最高的州是南里奥格兰德州、里约热内卢州、圣保罗州和圣卡塔琳娜州。北部和东北部的趋势呈上升趋势。男性的死亡率高于女性和总人口。年龄较大的人群呈上升趋势。婚姻状况分析显示，未婚人群的死亡率较高且呈上升趋势。黑人的死亡率较高，但巴拉那州除外，其趋势主要呈上升趋势。艾滋病毒/艾滋病死亡率存在不同的社会人口特征趋势，需要对男性、成年人、老年人、未婚者和黑人采取预防和护理措施，因为死亡率模式发生了变化。
