Temporal trend in the incidence of tuberculosis-HIV coinfection in Brazil, by macro-region, Federative Unit, sex and age group, 2010-2021.

IF 2.5 Q1 Multidisciplinary Epidemiologia e Servicos de Saude Pub Date : 2024-02-19 eCollection Date: 2024-01-01 DOI:10.1590/S2237-96222024v33e2023522.en

Lucas Vinícius de Lima, Gabriel Pavinati, Rosana Rosseto de Oliveira, Rodrigo de Macedo Couto, Kleydson Bonfim Andrade Alves, Gabriela Tavares Magnabosco

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Abstract

Objective: To analyze the temporal trend in the incidence of tuberculosis-HIV coinfection in Brazil, by macro-region, Federative Unit, sex and age group, from 2010 to 2021.

Methods: This was a time series study using surveillance data to estimate average annual percentage changes (AAPC), and 95% confidence intervals (95%CI) via joinpoint regression.

Results: 122,211 cases of tuberculosis-HIV coinfection were analyzed; a falling trend was identified for Brazil as a whole (AAPC = -4.3; 95%CI -5.1;-3.7), and in the country's Southern (AAPC = -6.2; 95%CI -6.9;-5.5) and Southeast (AAPC = -4.6; 95%CI -5.6;-3.8) regions, even more so during the COVID-19 pandemic (2020-2021); the greatest falling trend was seen in Santa Catarina (AAPC = -9.3; 95%CI -10.1;-8.5), while the greatest rising trend was found in Tocantins (AAPC = 4.1; 95%CI 0.1;8.6); there was a rising trend among males, especially in Sergipe (AAPC = 3.9; 95%CI 0.4;7.9), and those aged 18 to 34 years, especially in Amapá (AAPC = 7.9; 95%CI 5.1;11.5).

Conclusion: The burden and trends of tuberculosis-HIV coinfection were geographically and demographically disparate.

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2010-2021 年按宏观地区、联邦单位、性别和年龄组分列的巴西结核病-艾滋病毒合并感染发病率的时间趋势。

摘要按宏观地区、联邦单位、性别和年龄组分析 2010 年至 2021 年巴西结核病-艾滋病毒合并感染发病率的时间趋势：这是一项时间序列研究，使用监测数据，通过连接点回归估算年均百分比变化（AAPC）和 95% 置信区间（95%CI）：分析了 122,211 例结核病-艾滋病毒合并感染病例；发现巴西全国（AAPC = -4.3; 95%CI -5.1;-3.7）和巴西南部（AAPC = -6.2; 95%CI -6.9;-5.5）和东南部（AAPC = -4.6; 95%CI -5.6;-3.8）地区，在 COVID-19 大流行期间（2020-2021 年）更是如此；下降趋势最大的是圣卡塔琳娜州（AAPC = -9.男性呈上升趋势，尤其是在塞尔希培（AAPC = 3.9；95%CI 0.4；7.9），18 至 34 岁人群呈上升趋势，尤其是在阿马帕（AAPC = 7.9；95%CI 5.1；11.5）：结论：结核病与艾滋病毒合并感染的负担和趋势在地域和人口方面存在差异。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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