Mortality due to acquired immunodeficiency syndrome and associated social factors: a spatial analysis.

Thatiana Araújo Maranhão,Carlos Henrique Alencar,Wilson Correia De Abreu,Leonardo Miranda Ribeiro,Maria Lúcia Duarte Pereira,Mônica De Avelar Figueiredo Mafra Magalhães,George Jó Bezerra Sousa

doi:10.1590/0034-7167-2020-0002

Abstract

To analyze the spatial pattern of AIDS mortality and social factors associated with its occurrence. An ecological study that considered 955 AIDS deaths of residents in Piauí, reported in the Mortality Information System (MIS) from 2007 to 2015. Non-spatial and spatial regression models were used to identify social determinants of AIDS mortality, with a significance of 5%. The predictors of AIDS mortality were illiteracy rate in males (p = 0.020), proportion of households with water supply (p = 0.015), percentage of people in households with inadequate walls (p = 0.022), percentage of people in households vulnerable to poverty and in whom no one has completed primary education (p = 0.000) and percentage of people in households vulnerable to poverty and dependent on the elderly (p = 0.009). Social indicators related to education, job and income generation and housing were associated with AIDS mortality.

Highlights

METHODSSince the beginning of the HIV / AIDS epidemic, more than 35 million people have died worldwide[1]
After the institution of the policy that provides antiretroviral treatment (ART) regardless of the immune status of the person living with HIV / AIDS (PLWHA), there was a 7.2% reduction in the mortality rate in the 2014-2015 biennium
Brazil has public policies and programs for specialized monitoring of PLWHAs installed in capitals and cities in the interior of the states, the most complex health care and social networks in Piauí are predominantly concentrated in the capital

Summary

Introduction

METHODSSince the beginning of the HIV / AIDS epidemic, more than 35 million people have died worldwide[1]. After the institution of the policy that provides antiretroviral treatment (ART) regardless of the immune status of the person living with HIV / AIDS (PLWHA), there was a 7.2% reduction in the mortality rate in the 2014-2015 biennium. This drop was not verified in all Brazilian regions, given that in the North and Northeast the coefficients increased by 7.6% and 2.3%, respectively, demonstrating the tendency of growth of mortality in the last ten years in these regions[2]. In the state of Piauí, the increase in deaths in this period was 140% since, in 2000, the mortality coefficient was 1.5 deaths / 100,000 inhabitants and jumped to 3.6 deaths / 100,000 inhabitants in 2014(3)

Results

Discussion

Conclusion