巴西东北部一个州的艾滋病流行病学研究

T. A. Maranhão, Leonardo Miranda Ribeiro, G. J. B. Sousa, Mariana Araujo Matos, T. L. Silva, Isaac Gonçalves Da Silva, M. L. D. Pereira
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引用次数: 0

摘要

目的:确定2007年至2015年巴西Piauí州各市艾滋病高危聚集群并描述该疾病的流行病学概况。方法:选取巴西传染病通报系统通报的2.908例病例进行生态学研究。进行单变量和双变量分析,并使用空间扫描统计来评估纯艾滋病群集的形成,显著性为5%。结果:性取向与性别、年龄有显著相关性(p<0.0001)。最可能的群集,相对风险(RR)为5.05 (p <0.0001),覆盖6个城市,包括该州首府特雷西纳。BR-343高速公路穿过该州中北部的五个城市,艾滋病的发病率高于该州的平均水平。结论:青少年、同性恋/双性恋男性以及高速公路交叉的艾滋病高RR城市需要采取预防干预措施。
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EPIDEMIOLOGY OF AIDS IN A NORTHEASTERN BRAZILIAN STATE
Objective: to identify high-risk clusters to AIDS and describe the epidemiologic profile of the disease in the municipalities of the State of Piauí, Brazil, from 2007 to 2015. Methods: This ecological study included 2.908 cases notified by the Brazilian System of Notifiable Diseases. Univariate and bivariate analyses were performed and the spatial scan statistic was used to evaluate the formation of purely AIDS clusters, with a significance of 5%. Results: Significant associations were observed between sexual orientation and sex and age (p<0.0001). The most probable cluster, with a relative risk (RR) of 5.05 (p <0.0001), covered six cities, including the capital of the state, Teresina. The BR-343 highway cuts through five cities in the Center-north mesoregion of state, with RRs to AIDS above the state average. Conclusions: Preventive intervention strategies are needed for young people, homosexual/bisexual men as well as in cities with high RR to AIDS that are transected by highways.
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审稿时长
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