Reconstructing the AIDS epidemic among injection drug users in Brazil

Detalhes bibliográficos
Autor(a) principal: Hacker, Mariana A.
Data de Publicação: 2006
Outros Autores: Leite, Iuri C., Renton, Adrian, Torres, Tania Guillén de, Gracie, Renata, Bastos, Francisco I.
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/2740
Resumo: The HIV/AIDS epidemic among injection drug users (IDUs) in Brazil has been unique in terms of temporal and geographical contrasts. This analysis explores these contrasts through the use of multilevel modeling. Standardized AIDS incidence rates among IDUs for Brazilian municipalities (1986-2000) were used as the dependent variable, with a set of social indicators as independent variables (covariates). In some States of the North/Northeast, the epidemic among IDUs has been incipient. The São Paulo epidemic extended to reach a network of municipalities, most of which located far from the capital. More recently, on a smaller scale, a similar extension has been observed in the southernmost States of the country. Both "number of physicians per inhabitant" and "standard distance to the State capital" were found to be associated with AIDS incidence. AIDS cases among IDUs appeared to cluster in wealthier, more developed municipalities. The relative weight of such extensive dissemination in key, heavily populated States prevails in the Brazilian IDU epidemic, defining a central-western-southeastern strip of wealthier middle-sized municipalities and more recently a southern strip of municipalities deeply affected by the epidemic in this population.
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spelling Reconstructing the AIDS epidemic among injection drug users in BrazilIntravenous Substance AbuseAcquired Immunodeficiency SyndromeResidence CharacteristicsIncidenceThe HIV/AIDS epidemic among injection drug users (IDUs) in Brazil has been unique in terms of temporal and geographical contrasts. This analysis explores these contrasts through the use of multilevel modeling. Standardized AIDS incidence rates among IDUs for Brazilian municipalities (1986-2000) were used as the dependent variable, with a set of social indicators as independent variables (covariates). In some States of the North/Northeast, the epidemic among IDUs has been incipient. The São Paulo epidemic extended to reach a network of municipalities, most of which located far from the capital. More recently, on a smaller scale, a similar extension has been observed in the southernmost States of the country. Both "number of physicians per inhabitant" and "standard distance to the State capital" were found to be associated with AIDS incidence. AIDS cases among IDUs appeared to cluster in wealthier, more developed municipalities. The relative weight of such extensive dissemination in key, heavily populated States prevails in the Brazilian IDU epidemic, defining a central-western-southeastern strip of wealthier middle-sized municipalities and more recently a southern strip of municipalities deeply affected by the epidemic in this population.A epidemia de HIV/AIDS entre usuários de drogas injetáveis (UDIs) apresenta, no Brasil, contrastes temporais e geográficos. Esta análise explora tais complexidades, com o emprego de modelagem multinível. As taxas padronizadas de incidência de AIDS em UDIs para os municípios brasileiros (período 1986-2000) foram consideradas como variável-dependente, e um conjunto de indicadores sociais como covariáveis. Em alguns Estados do Norte e Nordeste, a epidemia é incipiente entre UDIs, enquanto a epidemia paulista atinge uma rede de municípios, a maioria deles distantes da capital. Mais recentemente, e em menor escala, disseminação análoga foi observada nos Estados mais meridionais. As covariáveis "número de médicos por habitante" e "distância-padrão da capital do respectivo estado" se mostraram associadas à variável-dependente. Os casos de AIDS entre UDIs parecem se concentrar em municípios mais ricos e bem equipados. O peso relativo dessa disseminação extensa em Estados-chave, populosos, prevalece sobre o conjunto da epidemia brasileira, definindo uma faixa que se estende do Centro-oeste ao Sudeste, com municípios mais ricos, de médio porte, e, mais recentemente, uma faixa sul de municípios substancialmente afetados pela epidemia entre UDIs.Reports in Public HealthCadernos de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2740Reports in Public Health; Vol. 22 No. 4 (2006): AprilCadernos de Saúde Pública; v. 22 n. 4 (2006): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2740/5508https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2740/5509Hacker, Mariana A.Leite, Iuri C.Renton, AdrianTorres, Tania Guillén deGracie, RenataBastos, Francisco I.info:eu-repo/semantics/openAccess2024-03-06T15:27:12Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/2740Revistahttps://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:2024-03-06T13:03:11.406214Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv Reconstructing the AIDS epidemic among injection drug users in Brazil
title Reconstructing the AIDS epidemic among injection drug users in Brazil
spellingShingle Reconstructing the AIDS epidemic among injection drug users in Brazil
Hacker, Mariana A.
Intravenous Substance Abuse
Acquired Immunodeficiency Syndrome
Residence Characteristics
Incidence
title_short Reconstructing the AIDS epidemic among injection drug users in Brazil
title_full Reconstructing the AIDS epidemic among injection drug users in Brazil
title_fullStr Reconstructing the AIDS epidemic among injection drug users in Brazil
title_full_unstemmed Reconstructing the AIDS epidemic among injection drug users in Brazil
title_sort Reconstructing the AIDS epidemic among injection drug users in Brazil
author Hacker, Mariana A.
author_facet Hacker, Mariana A.
Leite, Iuri C.
Renton, Adrian
Torres, Tania Guillén de
Gracie, Renata
Bastos, Francisco I.
author_role author
author2 Leite, Iuri C.
Renton, Adrian
Torres, Tania Guillén de
Gracie, Renata
Bastos, Francisco I.
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Hacker, Mariana A.
Leite, Iuri C.
Renton, Adrian
Torres, Tania Guillén de
Gracie, Renata
Bastos, Francisco I.
dc.subject.por.fl_str_mv Intravenous Substance Abuse
Acquired Immunodeficiency Syndrome
Residence Characteristics
Incidence
topic Intravenous Substance Abuse
Acquired Immunodeficiency Syndrome
Residence Characteristics
Incidence
description The HIV/AIDS epidemic among injection drug users (IDUs) in Brazil has been unique in terms of temporal and geographical contrasts. This analysis explores these contrasts through the use of multilevel modeling. Standardized AIDS incidence rates among IDUs for Brazilian municipalities (1986-2000) were used as the dependent variable, with a set of social indicators as independent variables (covariates). In some States of the North/Northeast, the epidemic among IDUs has been incipient. The São Paulo epidemic extended to reach a network of municipalities, most of which located far from the capital. More recently, on a smaller scale, a similar extension has been observed in the southernmost States of the country. Both "number of physicians per inhabitant" and "standard distance to the State capital" were found to be associated with AIDS incidence. AIDS cases among IDUs appeared to cluster in wealthier, more developed municipalities. The relative weight of such extensive dissemination in key, heavily populated States prevails in the Brazilian IDU epidemic, defining a central-western-southeastern strip of wealthier middle-sized municipalities and more recently a southern strip of municipalities deeply affected by the epidemic in this population.
publishDate 2006
dc.date.none.fl_str_mv 2006-04-01
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dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2740
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2740
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/2740/5508
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/2740/5509
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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. 22 No. 4 (2006): April
Cadernos de Saúde Pública; v. 22 n. 4 (2006): Abril
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
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