Estimação da incidência de HIV em dois municípios brasileiros, 2013

Detalhes bibliográficos
Autor(a) principal: Szwarcwald, Célia Landmann
Data de Publicação: 2016
Outros Autores: Ferreira Júnior, Orlando da Costa, Brito, Ana Maria de, Luhm, Karin Regina, Ribeiro, Clea Elisa Lopes, Silva, Ana Maria, Cavalcanti, Ana Maria Salustiano, Ito, Tomoko Sasazawa, Raboni, Sonia Mara, Souza Júnior, Paulo Roberto Borges de, Pereira, Gerson Fernando Mendes
Tipo de documento: Artigo
Idioma: eng
por
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/126558
Resumo: OBJECTIVE To estimate HIV incidence in two Brazilian municipalities, Recife and Curitiba, in the year of 2013. METHODS The method for estimating incidence was based on primary information, resulting from the Lag-Avidity laboratory test for detection of recent HIV infections, applied in a sample of the cases diagnosed in the two cities in 2013. For the estimation of the HIV incidence for the total population of the cities, the recent infections detected in the research were annualized and weighted by the inverse of the probability of HIV testing in 2013 among the infected and not diagnosed cases. After estimating HIV incidence for the total population, the incidence rates were estimated by sex, age group, and exposure category. RESULTS In Recife, 902 individuals aged 13 years and older were diagnosed with HIV infection. From these, 528 were included in the study, and the estimated proportion of recent infections was 13.1%. In Curitiba, 1,013 people aged 13 years and older were diagnosed, 497 participated in the study, and the proportion of recent infections was 10.5%. In Recife, the estimated incidence rate was 53.1/100,000 inhabitants of 13 years and older, while in Curitiba, it was 41.1/100,000, with male-to-female ratio of 3.5 and 2.4, respectively. We observed high rates of HIV incidence among men who have sex with men, of 1.47% in Recife and 0.92% in Curitiba. CONCLUSIONS The results obtained in the two cities showed that the group of men who have sex with men are disproportionately subject to a greater risk of new infections, and indicate that strategies to control the spread of the epidemic in this population subgroup are essential and urgent.
id USP-23_3ca3219cc8d9f2721b1db923082b0ad5
oai_identifier_str oai:revistas.usp.br:article/126558
network_acronym_str USP-23
network_name_str Revista de Saúde Pública
repository_id_str
spelling Estimação da incidência de HIV em dois municípios brasileiros, 2013 Estimation of HIV incidence in two Brazilian municipalities, 2013 OBJECTIVE To estimate HIV incidence in two Brazilian municipalities, Recife and Curitiba, in the year of 2013. METHODS The method for estimating incidence was based on primary information, resulting from the Lag-Avidity laboratory test for detection of recent HIV infections, applied in a sample of the cases diagnosed in the two cities in 2013. For the estimation of the HIV incidence for the total population of the cities, the recent infections detected in the research were annualized and weighted by the inverse of the probability of HIV testing in 2013 among the infected and not diagnosed cases. After estimating HIV incidence for the total population, the incidence rates were estimated by sex, age group, and exposure category. RESULTS In Recife, 902 individuals aged 13 years and older were diagnosed with HIV infection. From these, 528 were included in the study, and the estimated proportion of recent infections was 13.1%. In Curitiba, 1,013 people aged 13 years and older were diagnosed, 497 participated in the study, and the proportion of recent infections was 10.5%. In Recife, the estimated incidence rate was 53.1/100,000 inhabitants of 13 years and older, while in Curitiba, it was 41.1/100,000, with male-to-female ratio of 3.5 and 2.4, respectively. We observed high rates of HIV incidence among men who have sex with men, of 1.47% in Recife and 0.92% in Curitiba. CONCLUSIONS The results obtained in the two cities showed that the group of men who have sex with men are disproportionately subject to a greater risk of new infections, and indicate that strategies to control the spread of the epidemic in this population subgroup are essential and urgent. OBJETIVO Estimar a incidência de HIV em dois municípios brasileiros, Recife e Curitiba, no ano de 2013. MÉTODOS O método de estimação da incidência foi baseado em informações primárias, resultantes do ensaio laboratorial Lag-Avidity para detecção de infecções recentes do HIV, aplicado em uma amostra dos casos diagnosticados nas duas cidades em 2013. Para a estimação da incidência de HIV para a população total das cidades, as infecções recentes detectadas na pesquisa foram anualizadas e ponderadas pelo inverso da probabilidade de teste de HIV no ano de 2013 entre os casos infectados e não diagnosticados. Após a estimação da incidência de HIV para a população total, foram estimadas as taxas de incidência por sexo, faixa de idade e categoria de exposição. RESULTADOS Em Recife, foram diagnosticados 902 indivíduos de 13 anos e mais com infecção de HIV. Desses, 528 foram incluídos no estudo, e a proporção estimada de infecções recentes foi de 13,1%. Em Curitiba, foram diagnosticadas 1.013 pessoas de 13 anos e mais, 497 participaram do estudo, e a proporção de infecções recentes foi de 10,5%. Em Recife, a taxa de incidência estimada foi de 53,1 por 100 mil habitantes de 13 anos e mais, enquanto em Curitiba, de 41,1 por 100 mil, com razão do sexo masculino para o feminino de 3,5 e 2,4, respectivamente. Foram evidenciadas elevadas taxas de incidência de HIV entre homens que fazem sexo com homens, de 1,47% em Recife e 0,92% em Curitiba. CONCLUSÕES Os resultados obtidos nas duas cidades mostraram que o grupo dos homens que fazem sexo com homens está desproporcionalmente sujeito ao maior risco de novas infecções, e indicam que estratégias para controle da disseminação da epidemia nesse subgrupo populacional são essenciais e urgentes. Universidade de São Paulo. Faculdade de Saúde Pública2016-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/12655810.1590/S1518-8787.2016050006310Revista de Saúde Pública; Vol. 50 (2016); 55Revista de Saúde Pública; Vol. 50 (2016); 55Revista de Saúde Pública; v. 50 (2016); 551518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/126558/123528https://www.revistas.usp.br/rsp/article/view/126558/123529Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessSzwarcwald, Célia LandmannFerreira Júnior, Orlando da CostaBrito, Ana Maria deLuhm, Karin ReginaRibeiro, Clea Elisa LopesSilva, Ana MariaCavalcanti, Ana Maria SalustianoIto, Tomoko SasazawaRaboni, Sonia MaraSouza Júnior, Paulo Roberto Borges dePereira, Gerson Fernando Mendes2018-02-26T17:09:52Zoai:revistas.usp.br:article/126558Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2018-02-26T17:09:52Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Estimação da incidência de HIV em dois municípios brasileiros, 2013
Estimation of HIV incidence in two Brazilian municipalities, 2013
title Estimação da incidência de HIV em dois municípios brasileiros, 2013
spellingShingle Estimação da incidência de HIV em dois municípios brasileiros, 2013
Szwarcwald, Célia Landmann
title_short Estimação da incidência de HIV em dois municípios brasileiros, 2013
title_full Estimação da incidência de HIV em dois municípios brasileiros, 2013
title_fullStr Estimação da incidência de HIV em dois municípios brasileiros, 2013
title_full_unstemmed Estimação da incidência de HIV em dois municípios brasileiros, 2013
title_sort Estimação da incidência de HIV em dois municípios brasileiros, 2013
author Szwarcwald, Célia Landmann
author_facet Szwarcwald, Célia Landmann
Ferreira Júnior, Orlando da Costa
Brito, Ana Maria de
Luhm, Karin Regina
Ribeiro, Clea Elisa Lopes
Silva, Ana Maria
Cavalcanti, Ana Maria Salustiano
Ito, Tomoko Sasazawa
Raboni, Sonia Mara
Souza Júnior, Paulo Roberto Borges de
Pereira, Gerson Fernando Mendes
author_role author
author2 Ferreira Júnior, Orlando da Costa
Brito, Ana Maria de
Luhm, Karin Regina
Ribeiro, Clea Elisa Lopes
Silva, Ana Maria
Cavalcanti, Ana Maria Salustiano
Ito, Tomoko Sasazawa
Raboni, Sonia Mara
Souza Júnior, Paulo Roberto Borges de
Pereira, Gerson Fernando Mendes
author2_role author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Szwarcwald, Célia Landmann
Ferreira Júnior, Orlando da Costa
Brito, Ana Maria de
Luhm, Karin Regina
Ribeiro, Clea Elisa Lopes
Silva, Ana Maria
Cavalcanti, Ana Maria Salustiano
Ito, Tomoko Sasazawa
Raboni, Sonia Mara
Souza Júnior, Paulo Roberto Borges de
Pereira, Gerson Fernando Mendes
description OBJECTIVE To estimate HIV incidence in two Brazilian municipalities, Recife and Curitiba, in the year of 2013. METHODS The method for estimating incidence was based on primary information, resulting from the Lag-Avidity laboratory test for detection of recent HIV infections, applied in a sample of the cases diagnosed in the two cities in 2013. For the estimation of the HIV incidence for the total population of the cities, the recent infections detected in the research were annualized and weighted by the inverse of the probability of HIV testing in 2013 among the infected and not diagnosed cases. After estimating HIV incidence for the total population, the incidence rates were estimated by sex, age group, and exposure category. RESULTS In Recife, 902 individuals aged 13 years and older were diagnosed with HIV infection. From these, 528 were included in the study, and the estimated proportion of recent infections was 13.1%. In Curitiba, 1,013 people aged 13 years and older were diagnosed, 497 participated in the study, and the proportion of recent infections was 10.5%. In Recife, the estimated incidence rate was 53.1/100,000 inhabitants of 13 years and older, while in Curitiba, it was 41.1/100,000, with male-to-female ratio of 3.5 and 2.4, respectively. We observed high rates of HIV incidence among men who have sex with men, of 1.47% in Recife and 0.92% in Curitiba. CONCLUSIONS The results obtained in the two cities showed that the group of men who have sex with men are disproportionately subject to a greater risk of new infections, and indicate that strategies to control the spread of the epidemic in this population subgroup are essential and urgent.
publishDate 2016
dc.date.none.fl_str_mv 2016-01-01
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://www.revistas.usp.br/rsp/article/view/126558
10.1590/S1518-8787.2016050006310
url https://www.revistas.usp.br/rsp/article/view/126558
identifier_str_mv 10.1590/S1518-8787.2016050006310
dc.language.iso.fl_str_mv eng
por
language eng
por
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/126558/123528
https://www.revistas.usp.br/rsp/article/view/126558/123529
dc.rights.driver.fl_str_mv Copyright (c) 2017 Revista de Saúde Pública
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2017 Revista de Saúde Pública
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
publisher.none.fl_str_mv Universidade de São Paulo. Faculdade de Saúde Pública
dc.source.none.fl_str_mv Revista de Saúde Pública; Vol. 50 (2016); 55
Revista de Saúde Pública; Vol. 50 (2016); 55
Revista de Saúde Pública; v. 50 (2016); 55
1518-8787
0034-8910
reponame:Revista de Saúde Pública
instname:Universidade de São Paulo (USP)
instacron:USP
instname_str Universidade de São Paulo (USP)
instacron_str USP
institution USP
reponame_str Revista de Saúde Pública
collection Revista de Saúde Pública
repository.name.fl_str_mv Revista de Saúde Pública - Universidade de São Paulo (USP)
repository.mail.fl_str_mv revsp@org.usp.br||revsp1@usp.br
_version_ 1800221796764483584