AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil
Autor(a) principal: | |
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Data de Publicação: | 2007 |
Outros Autores: | , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Cadernos de Saúde Pública |
Texto Completo: | https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190 |
Resumo: | Antiretroviral therapy contributes to decreasing morbidity and mortality, and ultimately to increasing survival. In Brazil, there are regional differences in HIV epidemiology regarding pregnant women and children with HIV/AIDS. This study evaluates survival time after AIDS diagnosis in 914 children infected by mother-to-child transmission, reported between 1983 and 1998 and followed until 2002, in Brazil's five regions. Time between birth and HIV diagnosis decreased over the years, mainly in the South and Southeast Regions. There was a significant improvement in survival; more than 75% of cases were still living four years after diagnosis in the 1997-1998 group. This Brazilian study demonstrates that even with regional inequalities in health care infrastructure it is possible for a developing country to establish an effective system of universal and free access to antiretroviral therapy that produces a significant increase in survival for children with AIDS. |
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AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of BrazilVertical Disease TransmissionHIVAcquired Immunodeficiency SyndromeSurvival AnalysisHealth InequalitiesAntiretroviral therapy contributes to decreasing morbidity and mortality, and ultimately to increasing survival. In Brazil, there are regional differences in HIV epidemiology regarding pregnant women and children with HIV/AIDS. This study evaluates survival time after AIDS diagnosis in 914 children infected by mother-to-child transmission, reported between 1983 and 1998 and followed until 2002, in Brazil's five regions. Time between birth and HIV diagnosis decreased over the years, mainly in the South and Southeast Regions. There was a significant improvement in survival; more than 75% of cases were still living four years after diagnosis in the 1997-1998 group. This Brazilian study demonstrates that even with regional inequalities in health care infrastructure it is possible for a developing country to establish an effective system of universal and free access to antiretroviral therapy that produces a significant increase in survival for children with AIDS.A terapia anti-retroviral contribui para a diminuição da morbidade e da mortalidade, com conseqüente aumento da sobrevida. No Brasil, há diferenças regionais relativas à dinâmica da epidemia do HIV e ao seu enfrentamento no grupo das gestantes e das crianças com HIV/AIDS. Este estudo verifica o tempo de sobrevida após o diagnóstico de AIDS em 914 crianças infectadas por transmissão vertical, entre os anos de 1983 e 1998, e acompanhadas até 2002, nas cinco regiões brasileiras. O tempo do nascimento ao diagnóstico de infecção pelo HIV, ao longo dos anos, apresenta uma diminuição, principalmente nos estados das regiões Sul e Sudeste. Houve melhora significativa da sobrevivência, mais de 75% dos casos ainda estavam vivendo quatro anos após o diagnóstico, no grupo de 1997 e 1998. Esta análise brasileira mostra ser possível para um país em desenvolvimento estabelecer um sistema efetivo de acesso gratuito e universal à terapia anti-retroviral, mesmo com dificuldades regionais para a organização de uma infra-estrutura ideal de saúde, tendo como resultado um aumento significativo da sobrevivência.Reports in Public HealthCadernos de Saúde Pública2007-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190Reports in Public Health; Vol. 23 No. 15 (2007): Supplement 3Cadernos de Saúde Pública; v. 23 n. 15 (2007): Suplemento 31678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190/6444https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190/6445Matida, Luiza HarunariRamos Jr., Alberto NovaesMoncau, José Eduardo CajadoMarcopito, Luiz FranciscoMarques, Heloisa Helena de SousaSucci, Regina Célia MenezesDella Negra, MarinellaHearst, Normaninfo:eu-repo/semantics/openAccess2024-03-06T15:27:27Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/3190Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:03:42.782130Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true |
dc.title.none.fl_str_mv |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
title |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
spellingShingle |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil Matida, Luiza Harunari Vertical Disease Transmission HIV Acquired Immunodeficiency Syndrome Survival Analysis Health Inequalities |
title_short |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
title_full |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
title_fullStr |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
title_full_unstemmed |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
title_sort |
AIDS by mother-to-child transmission: survival analysis of cases followed from 1983 to 2002 in different regions of Brazil |
author |
Matida, Luiza Harunari |
author_facet |
Matida, Luiza Harunari Ramos Jr., Alberto Novaes Moncau, José Eduardo Cajado Marcopito, Luiz Francisco Marques, Heloisa Helena de Sousa Succi, Regina Célia Menezes Della Negra, Marinella Hearst, Norman |
author_role |
author |
author2 |
Ramos Jr., Alberto Novaes Moncau, José Eduardo Cajado Marcopito, Luiz Francisco Marques, Heloisa Helena de Sousa Succi, Regina Célia Menezes Della Negra, Marinella Hearst, Norman |
author2_role |
author author author author author author author |
dc.contributor.author.fl_str_mv |
Matida, Luiza Harunari Ramos Jr., Alberto Novaes Moncau, José Eduardo Cajado Marcopito, Luiz Francisco Marques, Heloisa Helena de Sousa Succi, Regina Célia Menezes Della Negra, Marinella Hearst, Norman |
dc.subject.por.fl_str_mv |
Vertical Disease Transmission HIV Acquired Immunodeficiency Syndrome Survival Analysis Health Inequalities |
topic |
Vertical Disease Transmission HIV Acquired Immunodeficiency Syndrome Survival Analysis Health Inequalities |
description |
Antiretroviral therapy contributes to decreasing morbidity and mortality, and ultimately to increasing survival. In Brazil, there are regional differences in HIV epidemiology regarding pregnant women and children with HIV/AIDS. This study evaluates survival time after AIDS diagnosis in 914 children infected by mother-to-child transmission, reported between 1983 and 1998 and followed until 2002, in Brazil's five regions. Time between birth and HIV diagnosis decreased over the years, mainly in the South and Southeast Regions. There was a significant improvement in survival; more than 75% of cases were still living four years after diagnosis in the 1997-1998 group. This Brazilian study demonstrates that even with regional inequalities in health care infrastructure it is possible for a developing country to establish an effective system of universal and free access to antiretroviral therapy that produces a significant increase in survival for children with AIDS. |
publishDate |
2007 |
dc.date.none.fl_str_mv |
2007-01-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190 |
url |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190/6444 https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/3190/6445 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html application/pdf |
dc.publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
publisher.none.fl_str_mv |
Reports in Public Health Cadernos de Saúde Pública |
dc.source.none.fl_str_mv |
Reports in Public Health; Vol. 23 No. 15 (2007): Supplement 3 Cadernos de Saúde Pública; v. 23 n. 15 (2007): Suplemento 3 1678-4464 0102-311X reponame:Cadernos de Saúde Pública instname:Fundação Oswaldo Cruz (FIOCRUZ) instacron:FIOCRUZ |
instname_str |
Fundação Oswaldo Cruz (FIOCRUZ) |
instacron_str |
FIOCRUZ |
institution |
FIOCRUZ |
reponame_str |
Cadernos de Saúde Pública |
collection |
Cadernos de Saúde Pública |
repository.name.fl_str_mv |
Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ) |
repository.mail.fl_str_mv |
cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br |
_version_ |
1798943359536988160 |