Garollo Piran Camila Moraes, Nascimento de Oliveira Natan, Martire Mori Mariana, Rosseto de Oliveira Rosana, Villarroel Yañez Leslie, Gutiérrez-Carmona Andrés Antonio, Demitto Furtado Marcela
Universidade Estadual de Maringá, Maringá, Brazil.
Universidade de Antofagasta, Antofagasta, Chile.
Rev Cuid. 2025 Apr 11;16(1):e4186. doi: 10.15649/cuidarte.4186. eCollection 2025 Jan-Apr.
The Joint United Nations Programme on HIV/AIDS (UNAIDS) has set the 95-95-95 targets. It is expected that 95% of HIV-positive individuals will know their HIV status and of these, 95% will be on antiretroviral therapy (ART) and 95% will achieve viral suppression.
To analyze the distribution and spatial autocorrelation of the 95-95-95 targets among children and adolescents living with HIV/AIDS in Latin America and the Caribbean.
An epidemiological ecological study using data from AIDSinfo by the Joint United Nations Programme on HIV/AIDS (UNAIDS) on the 95-95-95 targets among children and adolescents between 2015 and 2022. The analysis was performed using Moran's spatial autocorrelation coefficient (global and local), considering a 5% significance level.
A total of 52,000 and 42,000 cases of HIV/AIDS among children and adolescents in Latin America and the Caribbean were analyzed, respectively, for the period from 2015 to 2022. Disparities in the targets were identified between countries, with significant spatial autocorrelation for the second target of 95, showing a value of 0.375 (p-value 0.017).
Among the 27 countries included in the study, only Guatemala met the first 95 target. To reach the goal, strategies are needed to increase access to HIV testing, with more accessible counseling and testing services.
There are discrepancies between countries in Latin America and the Caribbean in meeting and increasing the percentage of the 95-95-95 targets. The study allowed the identification of priority areas for attention, highlighting the need for new strategies and policies tailored to each locality, assisting in the achievement of the targets.
联合国艾滋病规划署（UNAIDS）制定了95-95-95目标。预计95%的艾滋病毒呈阳性者将知晓自己的艾滋病毒感染状况，其中95%将接受抗逆转录病毒治疗（ART），95%将实现病毒抑制。
分析拉丁美洲和加勒比地区感染艾滋病毒/艾滋病的儿童和青少年中95-95-95目标的分布及空间自相关性。
一项流行病学生态学研究，使用联合国艾滋病规划署（UNAIDS）AIDSinfo的数据，涉及2015年至2022年间儿童和青少年的95-95-95目标。采用莫兰空间自相关系数（全局和局部）进行分析，显著性水平为5%。
分别对拉丁美洲和加勒比地区2015年至2022年期间52000例和42000例儿童和青少年艾滋病毒/艾滋病病例进行了分析。各国在目标上存在差异，95的第二个目标存在显著空间自相关性，值为0.375（p值0.017）。
在纳入研究的27个国家中，只有危地马拉达到了第一个95目标。为实现这一目标，需要采取策略增加艾滋病毒检测的可及性，提供更易获得的咨询和检测服务。
拉丁美洲和加勒比地区各国在实现和提高95-95-95目标百分比方面存在差异。该研究有助于确定重点关注领域，强调需要针对每个地区制定新的策略和政策，以协助实现目标。
