艾滋病毒/艾滋病与健康的社会决定因素：时间序列研究。
HIV/AIDS and the social determinants of health: a time series study.
机构信息
Universidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil.
Universidade Estatual de Maringá. Maringá, Paraná, Brazil.
出版信息
Rev Bras Enferm. 2022 Apr 15;75(4):e20210499. doi: 10.1590/0034-7167-2021-0499. eCollection 2022.
OBJECTIVE
To analyze the time trend, spatial distribution, and the cases of human immunodeficiency virus/acquired immunodeficiency syndrome cases with social determinants of health.
METHODS
Ecological and analytical study, carried out based on the cases of human immunodeficiency virus/acquired immunodeficiency syndrome notified in a state in the Brazilian Midwest, from 2009 to 2018. The study used descriptive analysis, polynomial regression, and geospatial analysis.
RESULTS
In 10 years, there were 9,157 notifications, growing each year. There was a growing trend for both sexes (p<0.001, r2=0.94). The City Human Development Index was related to the higher number of cases (city of notification, p=0.01; and city where the person lives, p=0.02). The highest concentration was in cities that house health macro-regions.
CONCLUSION
Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.
目的
分析与健康社会决定因素相关的人类免疫缺陷病毒/获得性免疫缺陷综合征病例的时间趋势、空间分布和病例情况。
方法
本生态和分析研究基于巴西中西部一州在 2009 至 2018 年间报告的人类免疫缺陷病毒/获得性免疫缺陷综合征病例，使用描述性分析、多项式回归和地理空间分析。
结果
10 年间共报告了 9157 例病例，每年都在增长。两性的发病率均呈上升趋势（p<0.001，r2=0.94）。城市人类发展指数与更多病例相关（报告病例的城市，p=0.01；以及患者居住的城市，p=0.02）。病例高度集中在容纳卫生大区的城市。
结论
社会决定因素与病例的时间趋势和空间分布有关，可指导预防和护理策略。
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