Universidade Federal do Rio de Janeiro, Escola de Enfermagem Anna Nery, Rio de Janeiro, RJ, Brazil.
Universidade do Estado do Pará, Escola de Enfermagem Magalhães Barata, Departamento de Enfermagem Comunitária, Belém, PA, Brazil.
Rev Esc Enferm USP. 2023 Nov 20;57:e20220321. doi: 10.1590/1980-220X-REEUSP-2022-0321en. eCollection 2023.
To analyze the spatial pattern of human immunodeficiency virus infection in pregnant women and its correlation with socioeconomic determinants.
Ecological study, carried out with cases of human immunodeficiency virus infection in pregnant women in the state of Pará, Brazil, from 2010 to 2017. Rate analysis was performed using the empirical Bayesian method and univariate local Moran. Bivariate analyses were used to examine the correlation between infection and socioeconomic determinants.
High rates of infection were observed in municipalities in the mesoregions of Southeast of Pará and Metropolitan area of Belém. A significant spatial correlation was found between human immunodeficiency virus infection rates in pregnant women and human development index indicators (I = 0.2836; p < 0.05), average income (I = 0.6303; p < 0.05), and illiteracy rate (I = 0.4604; p < 0.05).
The spatial pattern of human immunodeficiency virus infection in pregnant women correlated to socioeconomic determinants highlights the need to restructure public policies for the control and prevention of AIDS virus that take into account the socioeconomic factors of this specific population and locoregional disparities in Pará.
分析孕妇人类免疫缺陷病毒（HIV）感染的空间模式及其与社会经济决定因素的相关性。
本研究为生态研究，纳入了 2010 年至 2017 年巴西帕拉州 HIV 感染孕妇病例。采用经验贝叶斯法和单变量局部 Moran 进行率分析。采用双变量分析来检验感染与社会经济决定因素之间的相关性。
在帕拉东南部地区和贝伦大都市区的市镇观察到较高的感染率。孕妇 HIV 感染率与人类发展指数指标（I = 0.2836；p < 0.05）、平均收入（I = 0.6303；p < 0.05）和文盲率（I = 0.4604；p < 0.05）呈显著的空间相关性。
孕妇 HIV 感染的空间模式与社会经济决定因素相关，这突出表明需要调整针对 AIDS 病毒的控制和预防的公共政策，以考虑到该特定人群的社会经济因素以及帕拉州的局部地区差异。
