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巴西结核病与艾滋病病毒合并感染的监测:一种时空分析方法。

Surveillance of TB-HIV coinfection in Brazil: a space-time approach.

作者信息

Santos Beatriz Almeida, Ribeiro Caíque Jordan Nunes, Santos Allan Dantas Dos, Sousa Álvaro Francisco Lopes de, Siqueira Thayane Santos, Andrade Lucas Almeida, Santos Adriano José Dos, Lima Shirley Verônica Melo Almeida

机构信息

Universidade Federal de Sergipe, Graduate Program in Nursing - São Cristóvão (SE), Brazil.

Universidade Nova de Lisboa, Institute of Hygiene and Tropical Medicine - Lisbon, Portugal.

出版信息

Rev Bras Epidemiol. 2024 Jul 15;27:e240037. doi: 10.1590/1980-549720240037. eCollection 2024.

Abstract

OBJECTIVE

To identify the epidemiological, spatial, and temporal pattern of TB-HIV coinfection in Brazil during the period from 2001 to 2020.

METHODS

Ecological study using space-time analysis techniques. It included cases of TB-HIV coinfection registered in Brazil from 2001 to 2020. The temporal trend analysis was performed using segmented regression by Joinpoint regression. For spatial analysis, Moran indices were calculated and choropleth maps were produced using TerraView and QGIS software.

RESULTS

A stable temporal trend was observed in the incidence rates of TB-HIV coinfection in Brazil during the analyzed period. In addition, high-risk areas for coinfection located in states in the North, Southeast, South, and Midwest regions were identified.

CONCLUSION

There was stability in the incidence of TB-HIV coinfection in Brazil over the last 20 years and heterogeneous geographic distribution of risk areas for the condition.

摘要

目的

确定2001年至2020年期间巴西结核病合并艾滋病病毒感染的流行病学、空间和时间模式。

方法

采用时空分析技术进行生态学研究。研究纳入了2001年至2020年在巴西登记的结核病合并艾滋病病毒感染病例。使用Joinpoint回归的分段回归进行时间趋势分析。对于空间分析,计算了莫兰指数,并使用TerraView和QGIS软件制作了等值线图。

结果

在分析期内,巴西结核病合并艾滋病病毒感染的发病率呈现出稳定的时间趋势。此外,还确定了位于北部、东南部、南部和中西部地区各州的合并感染高危地区。

结论

在过去20年中,巴西结核病合并艾滋病病毒感染的发病率保持稳定,且该病的高危地区地理分布不均。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6a69/11251641/7bb5718ff489/1980-5497-rbepid-27-e240037-gf01.jpg

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