Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy
Autor(a) principal: | |
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Data de Publicação: | 2005 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/644 |
Resumo: | We examined the characteristics of the AIDS epidemic in the northeastern region of Brazil, comparing it to the epidemic in Brazil as a whole, and to the state of São Paulo, with respect to the temporal evolution of morbidity and mortality during the period 1990 to 1999, using information from communicable disease reports and mortality records. Since 1996, the incidence rate of AIDS in adults in Brazil as a whole and in São Paulo has been showing a trend towards stability, whereas in the Brazilian northeast the incidence rates of the disease continue to grow. In the northeast, sexual transmission is responsible for more than 80% of cases, injectable drug users (IDU) comprising only a small percentage of cases. There is a greater incidence of AIDS among groups with lower educational levels throughout the country. The comparative analysis of cases of AIDS and of deaths from AIDS shows growth, both in the number of cases and in the number of deaths; however, from 1996 onwards there has been a progressive reduction in the number of deaths in all regions analyzed. With respect to the incidence of cases of the disease acquired by vertical transmission, a significant growth trend can be seen in all regions for cases born in the period 1990-6, but in 1997 temporal analysis showed evidence of a reduction in this growth. In conclusion, temporal changes have occurred in the AIDS epidemic in Brazil, which has been showing a trend towards stability since 1996, when potent ARV therapy was introduced. However, this deceleration is not homogenous throughout all the regions. |
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Brito, Ana Maria deCastilho, Euclides Ayres deSzwarcwald, Celia Landmann2010-08-23T16:58:34Z2010-11-04T14:19:43Z2010-11-04T14:19:43Z2010-08-23T16:58:34Z2005BRITO, Ana Maria de; CASTILHO, Euclides Ayres de; SZWARCWALD, Celia Landmann. Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy. The Brazilian Journal of Infectious Diseases, Salvador, v. 9, n. 1, p. 9-19, 2005.1413-8670https://www.arca.fiocruz.br/handle/icict/644We examined the characteristics of the AIDS epidemic in the northeastern region of Brazil, comparing it to the epidemic in Brazil as a whole, and to the state of São Paulo, with respect to the temporal evolution of morbidity and mortality during the period 1990 to 1999, using information from communicable disease reports and mortality records. Since 1996, the incidence rate of AIDS in adults in Brazil as a whole and in São Paulo has been showing a trend towards stability, whereas in the Brazilian northeast the incidence rates of the disease continue to grow. In the northeast, sexual transmission is responsible for more than 80% of cases, injectable drug users (IDU) comprising only a small percentage of cases. There is a greater incidence of AIDS among groups with lower educational levels throughout the country. The comparative analysis of cases of AIDS and of deaths from AIDS shows growth, both in the number of cases and in the number of deaths; however, from 1996 onwards there has been a progressive reduction in the number of deaths in all regions analyzed. With respect to the incidence of cases of the disease acquired by vertical transmission, a significant growth trend can be seen in all regions for cases born in the period 1990-6, but in 1997 temporal analysis showed evidence of a reduction in this growth. In conclusion, temporal changes have occurred in the AIDS epidemic in Brazil, which has been showing a trend towards stability since 1996, when potent ARV therapy was introduced. However, this deceleration is not homogenous throughout all the regions.Oswaldo Cruz Foundation. Aggeu Magalhães Research Center. Recife, PE, Brazil.University of São Paulo. School of Medicine. Department of Preventive Medicine. São Paulo, SP, Brazil.Oswaldo Cruz Foundation. Scientific and Technological Information Center. Rio de Janeiro, RJ, Brazil.engThe Brazilian Journal of Infectious Diseases and Contexto PublishingRegional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapyinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAIDSMorbidityTemporal trendAntiretroviral TherapyNortheastern RegionBrazilMortalityinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTLANDMANN_Regional Patterns AIDS_2005.pdf.txtLANDMANN_Regional Patterns AIDS_2005.pdf.txtExtracted texttext/plain32663https://www.arca.fiocruz.br/bitstream/icict/644/6/LANDMANN_Regional%20Patterns%20AIDS_2005.pdf.txt6c56448d742f8e9ab85456da19be54ebMD56ORIGINALLANDMANN_Regional Patterns AIDS_2005.pdfapplication/pdf125658https://www.arca.fiocruz.br/bitstream/icict/644/2/LANDMANN_Regional%20Patterns%20AIDS_2005.pdfeb264a75e910ca7ca83e54c1b615c99bMD52LICENSElicense.txttext/plain1848https://www.arca.fiocruz.br/bitstream/icict/644/3/license.txt764095d8ed913a08baf727bc4d113b38MD53THUMBNAILLANDMANN_Regional Patterns AIDS_2005.pdf.jpgLANDMANN_Regional Patterns AIDS_2005.pdf.jpgGenerated Thumbnailimage/jpeg2380https://www.arca.fiocruz.br/bitstream/icict/644/5/LANDMANN_Regional%20Patterns%20AIDS_2005.pdf.jpgd904c71e98dc77b8c8388b2d54278d97MD55icict/6442023-08-03 11:44:42.36oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-03T14:44:42Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
title |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
spellingShingle |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy Brito, Ana Maria de AIDS Morbidity Temporal trend Antiretroviral Therapy Northeastern Region Brazil Mortality |
title_short |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
title_full |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
title_fullStr |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
title_full_unstemmed |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
title_sort |
Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy |
author |
Brito, Ana Maria de |
author_facet |
Brito, Ana Maria de Castilho, Euclides Ayres de Szwarcwald, Celia Landmann |
author_role |
author |
author2 |
Castilho, Euclides Ayres de Szwarcwald, Celia Landmann |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Brito, Ana Maria de Castilho, Euclides Ayres de Szwarcwald, Celia Landmann |
dc.subject.en.pt_BR.fl_str_mv |
AIDS Morbidity Temporal trend Antiretroviral Therapy Northeastern Region Brazil Mortality |
topic |
AIDS Morbidity Temporal trend Antiretroviral Therapy Northeastern Region Brazil Mortality |
description |
We examined the characteristics of the AIDS epidemic in the northeastern region of Brazil, comparing it to the epidemic in Brazil as a whole, and to the state of São Paulo, with respect to the temporal evolution of morbidity and mortality during the period 1990 to 1999, using information from communicable disease reports and mortality records. Since 1996, the incidence rate of AIDS in adults in Brazil as a whole and in São Paulo has been showing a trend towards stability, whereas in the Brazilian northeast the incidence rates of the disease continue to grow. In the northeast, sexual transmission is responsible for more than 80% of cases, injectable drug users (IDU) comprising only a small percentage of cases. There is a greater incidence of AIDS among groups with lower educational levels throughout the country. The comparative analysis of cases of AIDS and of deaths from AIDS shows growth, both in the number of cases and in the number of deaths; however, from 1996 onwards there has been a progressive reduction in the number of deaths in all regions analyzed. With respect to the incidence of cases of the disease acquired by vertical transmission, a significant growth trend can be seen in all regions for cases born in the period 1990-6, but in 1997 temporal analysis showed evidence of a reduction in this growth. In conclusion, temporal changes have occurred in the AIDS epidemic in Brazil, which has been showing a trend towards stability since 1996, when potent ARV therapy was introduced. However, this deceleration is not homogenous throughout all the regions. |
publishDate |
2005 |
dc.date.issued.fl_str_mv |
2005 |
dc.date.accessioned.fl_str_mv |
2010-08-23T16:58:34Z 2010-11-04T14:19:43Z |
dc.date.available.fl_str_mv |
2010-11-04T14:19:43Z 2010-08-23T16:58:34Z |
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info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
BRITO, Ana Maria de; CASTILHO, Euclides Ayres de; SZWARCWALD, Celia Landmann. Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy. The Brazilian Journal of Infectious Diseases, Salvador, v. 9, n. 1, p. 9-19, 2005. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/644 |
dc.identifier.issn.pt_BR.fl_str_mv |
1413-8670 |
identifier_str_mv |
BRITO, Ana Maria de; CASTILHO, Euclides Ayres de; SZWARCWALD, Celia Landmann. Regional patterns of the temporal evolution of the AIDS epidemic in Brazil following the introduction of antiretroviral therapy. The Brazilian Journal of Infectious Diseases, Salvador, v. 9, n. 1, p. 9-19, 2005. 1413-8670 |
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https://www.arca.fiocruz.br/handle/icict/644 |
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The Brazilian Journal of Infectious Diseases and Contexto Publishing |
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The Brazilian Journal of Infectious Diseases and Contexto Publishing |
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