HIV/AIDS and the social determinants of health: a time series study

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.

Descriptors:
Acquired Immunodeficiency Syndrome; HIV; Social Determinants of Health; Nursing; Chronic Disease

Age	Sex	β₀	β₁	p value	R2^* * R2: Coefficient of determination. M: Male. F: Female.	Trend
10 to 14	M	0.50	0.66	0.071	0.66	Stable
10 to 14	F	1.54	0.92	0.001	0.83	Growing
15 to 19	M	18.80	0.97	< 0.001	0.95	Growing
15 to 19	F	15.30	0.95	0.001	0.88	Growing
20 to 34	M	85.34	0.97	< 0.001	0.94	Growing
20 to 34	F	47.10	0.88	0.004	0.74	Growing
35 to 49	M	76.62	0.98	< 0.001	0.95	Growing
35 to 49	F	54.22	0.96	< 0.001	0.92	Growing
50 to 64	M	48.51	0.94	< 0.001	0.88	Growing
50 to 64	F	35.19	0.97	< 0.001	0.93	Growing
65 or more	M	14.42	0.97	< 0.001	0.94	Growing
65 or more	F	11.37	0.93	< 0.001	0.85	Growing
Total	M	55.10	0.97	< 0.001	0.94	Growing
Total	F	31.10	0.97	< 0.001	0.94	Growing

	r^* * r: Pearson’s correlation coefficient; /n^± ± N: Number of cities with information.	p value
City of the notification
GINI	+0.011/67	0.92
CHDI	+0.303/67	0.01
Sanitation rate	-0.039/68	0.75
City of residence
GINI	+0.149/78	0.19
CHDI	+0.342/78	0.02
Sanitation rate	+0.051/79	0.66

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] Corresponding author: Josiel Elisandro Werle, E-mail: werle_josiel@hotmail.com