دورية أكاديمية
أعرض في EDS

AIDS-related mortality in Pará Province, Brazilian Amazon region: Spatial and temporal analysis.

التفاصيل البيبلوغرافية
العنوان: AIDS-related mortality in Pará Province, Brazilian Amazon region: Spatial and temporal analysis.
المؤلفون: Rodrigues TB; Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil., Dias BRL; Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil., Gomes D; Department of Mathematics, University of Évora, Évora, Portugal., Arcêncio RA; Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil., Andrade JAA; Department of Epidemiology and Health Surveillance, Evandro Chagas Institute, Pará, Brazil., Ferreira GRON; Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil., Gonçalves LHT; Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil., Botelho EP; Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil.
المصدر: PloS one [PLoS One] 2023 Jan 20; Vol. 18 (1), pp. e0279483. Date of Electronic Publication: 2023 Jan 20 (Print Publication: 2023).
نوع المنشور: Journal Article; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
أسماء مطبوعة: Original Publication: San Francisco, CA : Public Library of Science
مواضيع طبية MeSH: Acquired Immunodeficiency Syndrome*/epidemiology, Humans ; Brazil/epidemiology ; Spatial Analysis ; Income ; Policy
مستخلص: Despite considerable therapeutic advances in the care of people living with human immunodeficiency virus (HIV) and with the acquired immunodeficiency syndrome (AIDS) and an overall reduction of 47% in the AIDS mortality rate in the last decade, the AIDS-mortality rates remains high. The social determinants of health (SDH) have a direct influence on the dynamics of this phenomenon. However, changes in SDH caused by the implemented policies against HIV have been poorly investigated. Moreover, the Brazilian rainforest has had the highest and continuously increasing AIDS mortality rate in Brazil since the 1980s. In this study, AIDS mortality in a province of the Brazilian rainforest was examined by using temporal and spatial analyses.
Methods: In this ecological study, data from 2007 to 2018 were extracted from the Mortality Information System provided by the State Department of Public Health of Pará. For the temporal analysis, the integrated autoregressive model of moving average (ARIMA) and locally weighted polynomial regression (STLF) were used to forecast AIDS mortality from 2019 to 2022. For the spatial analysis, spatial autocorrelation and geographically weighted regression (GWR) analyses were employed.
Results: The samples consisted of 6,498 notifications for AIDS-related deaths. From 2007 to 2013, the AIDS mortality rates showed an upward trend, followed by a stabilization until 2018 and an upward forecasted trend from 2019 to 2022. High mortality rates and high-high clusters were found in economic pole municipalities. Furthermore, AIDS mortality risk was directly associated with per capita income and demographic density, except in the southwestern region of Pará, which exhibited an inverse association with population density.
Conclusion: Although the policies against HIV may have contributed to the stabilization of AIDS mortality rates from 2013 in Pará, the upward forecasted trend until 2022 raises an alert and concern to health authorities to provide reinforcement of the policies. The geographic variability of AIDS mortality promoted by SDH provides subsidies to health authorities to implement SDH-focused strategies for AIDS mortality reduction.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright: © 2023 Rodrigues et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.)
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تواريخ الأحداث: Date Created: 20230120 Date Completed: 20230124 Latest Revision: 20231118
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9858710
DOI: 10.1371/journal.pone.0279483
PMID: 36662846
قاعدة البيانات: MEDLINE
الوصف
تدمد:1932-6203
DOI:10.1371/journal.pone.0279483