Epidemiological aspects of HIV infection and AIDS among indigenous populations
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng por |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | https://www.revistas.usp.br/rsp/article/view/161867 |
Resumo: | OBJECTIVE: To describe the epidemiological aspects of HIV infection and AIDS among indigenous peoples of the state of Mato Grosso do Sul, Brazil. METHODS: This is a descriptive epidemiological study on the occurrence and distribution of HIV infection and AIDS in the indigenous population assisted by the Distrito Sanitário Especial Indígena (Indigenous Special Health District) Mato Grosso do Sul between 2001 and 2014, based on three secondary databases. Annual rates of HIV and AIDS detection and prevalence were calculated, considering case distribution according to village, Health Base Pole and sociodemographic variables. Accumulated rates of detection, mortality and case fatality were calculated by ethnic group and for the Health Base Pole with the highest number of cases. RESULTS: The HIV detection rate fluctuated between 0.0 and 18.0/100 thousand people in the study period. For AIDS, there was no notification before 2007, but in 2012 its rate reached 16.6/100 thousand. HIV prevalence grew between 2001 and 2011, and it continuously grew for AIDS starting from 2007. The highest HIV detection rates occurred among Guarani peoples (167.1/100 thousand) and for AIDS, among the Kaiowá peoples (79.3/100 thousand); mortality and fatality rates were higher among the Kaiowá. Regarding the Dourados Health Base Pole, the AIDS detection rate increased, and the mortality and fatality rates decreased. CONCLUSIONS: HIV infection and AIDS have been increasing among indigenous peoples, with distribution of the disease mainly in the Health Base Poles of the southern region of the state, where greater economic and social vulnerability are also observed. The endemic character of HIV and AIDS can become epidemic in some years given the existence of cases in other villages in the state. Its occurrence among the Guarani and Kaiowá populations indicates the need for expanded diagnosis, access to treatment and prevention measures. |
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Epidemiological aspects of HIV infection and AIDS among indigenous populationsAspectos epidemiológicos da infecção pelo HIV e da aids entre povos indígenasHealth of Indigenous PeoplesHIV Infections, epidemiologyAcquired Immunodeficiency Syndrome, epidemiologyAIDS HIV Seroprevalence, trends. Serodiagnosis, trendsSaúde de Populações IndígenasInfecções por HIV, epidemiologiaSíndrome de Imunodeficiência Adquirida, epidemiologiaSoroprevalência de HIV, tendênciasSorodiagnóstico da AIDS, tendênciasOBJECTIVE: To describe the epidemiological aspects of HIV infection and AIDS among indigenous peoples of the state of Mato Grosso do Sul, Brazil. METHODS: This is a descriptive epidemiological study on the occurrence and distribution of HIV infection and AIDS in the indigenous population assisted by the Distrito Sanitário Especial Indígena (Indigenous Special Health District) Mato Grosso do Sul between 2001 and 2014, based on three secondary databases. Annual rates of HIV and AIDS detection and prevalence were calculated, considering case distribution according to village, Health Base Pole and sociodemographic variables. Accumulated rates of detection, mortality and case fatality were calculated by ethnic group and for the Health Base Pole with the highest number of cases. RESULTS: The HIV detection rate fluctuated between 0.0 and 18.0/100 thousand people in the study period. For AIDS, there was no notification before 2007, but in 2012 its rate reached 16.6/100 thousand. HIV prevalence grew between 2001 and 2011, and it continuously grew for AIDS starting from 2007. The highest HIV detection rates occurred among Guarani peoples (167.1/100 thousand) and for AIDS, among the Kaiowá peoples (79.3/100 thousand); mortality and fatality rates were higher among the Kaiowá. Regarding the Dourados Health Base Pole, the AIDS detection rate increased, and the mortality and fatality rates decreased. CONCLUSIONS: HIV infection and AIDS have been increasing among indigenous peoples, with distribution of the disease mainly in the Health Base Poles of the southern region of the state, where greater economic and social vulnerability are also observed. The endemic character of HIV and AIDS can become epidemic in some years given the existence of cases in other villages in the state. Its occurrence among the Guarani and Kaiowá populations indicates the need for expanded diagnosis, access to treatment and prevention measures.OBJETIVO: Descrever os aspectos epidemiológicos da infecção pelo HIV e da aids entre povos indígenas do Mato Grosso do Sul. MÉTODOS: Estudo epidemiológico descritivo sobre ocorrência e distribuição da infecção pelo HIV e aids na população indígena assistida pelo Distrito Sanitário Especial Indígena Mato Grosso do Sul, entre 2001 e 2014, a partir de três bases de dados secundários. Calcularam-se as taxas anuais de detecção e de prevalência de HIV e aids, com distribuição dos casos segundo aldeia, Polo Base e variáveis sociodemográficas. As taxas acumuladas de detecção, mortalidade e letalidade foram calculadas por etnia e para os Polos Base com o maior número de casos. RESULTADOS: A taxa de detecção de HIV flutuou entre 0,0 e 18,0/100 mil pessoas no período. Para a aids, não houve notificação antes de 2007, mas em 2012 sua taxa chegou a 16,6/100 mil. A prevalência de HIV indicou crescimento entre 2001 e 2011, e para a aids observou-se aumento contínuo a partir de 2007. As maiores taxas de detecção de HIV ocorreram entre os Guarani (167,1/100 mil) e de aids, entre os Kaiowá (79,3/100 mil); as taxas de mortalidade e letalidade foram superiores entre os Kaiowá. Para o Polo Base de Dourados, observou-se elevação da taxa de detecção de aids e diminuição das taxas de mortalidade e letalidade. CONCLUSÕES: A infecção pelo HIV e a aids mostraram-se crescentes entre povos indígenas, com distribuição da doença principalmente nos Polos Base da região sul do estado, onde observa-se também maior vulnerabilidade econômica e social. O caráter endêmico do HIV e da aids pode se tornar epidêmico em alguns anos, considerando a existência de casos em outras aldeias do estado. Sua ocorrência entre os Guarani e Kaiowá sinaliza a necessidade de ampliação do diagnóstico, do acesso ao tratamento e de medidas de prevenção.Universidade de São Paulo. Faculdade de Saúde Pública2019-02-07info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfapplication/xmlhttps://www.revistas.usp.br/rsp/article/view/16186710.11606/S1518-8787.2019053000362Revista de Saúde Pública; Vol. 53 (2019); 71Revista de Saúde Pública; Vol. 53 (2019); 71Revista de Saúde Pública; v. 53 (2019); 711518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPengporhttps://www.revistas.usp.br/rsp/article/view/161867/155758https://www.revistas.usp.br/rsp/article/view/161867/155759https://www.revistas.usp.br/rsp/article/view/161867/155760Graeff, Samara Vilas-BôasPícolli, Renata PalópoliArantes, RuiCastro, Vivianne de Oliveira Landgraf deCunha, Rivaldo Venâncio dainfo:eu-repo/semantics/openAccess2019-09-15T14:17:45Zoai:revistas.usp.br:article/161867Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2019-09-15T14:17:45Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Epidemiological aspects of HIV infection and AIDS among indigenous populations Aspectos epidemiológicos da infecção pelo HIV e da aids entre povos indígenas |
title |
Epidemiological aspects of HIV infection and AIDS among indigenous populations |
spellingShingle |
Epidemiological aspects of HIV infection and AIDS among indigenous populations Graeff, Samara Vilas-Bôas Health of Indigenous Peoples HIV Infections, epidemiology Acquired Immunodeficiency Syndrome, epidemiology AIDS HIV Seroprevalence, trends. Serodiagnosis, trends Saúde de Populações Indígenas Infecções por HIV, epidemiologia Síndrome de Imunodeficiência Adquirida, epidemiologia Soroprevalência de HIV, tendências Sorodiagnóstico da AIDS, tendências |
title_short |
Epidemiological aspects of HIV infection and AIDS among indigenous populations |
title_full |
Epidemiological aspects of HIV infection and AIDS among indigenous populations |
title_fullStr |
Epidemiological aspects of HIV infection and AIDS among indigenous populations |
title_full_unstemmed |
Epidemiological aspects of HIV infection and AIDS among indigenous populations |
title_sort |
Epidemiological aspects of HIV infection and AIDS among indigenous populations |
author |
Graeff, Samara Vilas-Bôas |
author_facet |
Graeff, Samara Vilas-Bôas Pícolli, Renata Palópoli Arantes, Rui Castro, Vivianne de Oliveira Landgraf de Cunha, Rivaldo Venâncio da |
author_role |
author |
author2 |
Pícolli, Renata Palópoli Arantes, Rui Castro, Vivianne de Oliveira Landgraf de Cunha, Rivaldo Venâncio da |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Graeff, Samara Vilas-Bôas Pícolli, Renata Palópoli Arantes, Rui Castro, Vivianne de Oliveira Landgraf de Cunha, Rivaldo Venâncio da |
dc.subject.por.fl_str_mv |
Health of Indigenous Peoples HIV Infections, epidemiology Acquired Immunodeficiency Syndrome, epidemiology AIDS HIV Seroprevalence, trends. Serodiagnosis, trends Saúde de Populações Indígenas Infecções por HIV, epidemiologia Síndrome de Imunodeficiência Adquirida, epidemiologia Soroprevalência de HIV, tendências Sorodiagnóstico da AIDS, tendências |
topic |
Health of Indigenous Peoples HIV Infections, epidemiology Acquired Immunodeficiency Syndrome, epidemiology AIDS HIV Seroprevalence, trends. Serodiagnosis, trends Saúde de Populações Indígenas Infecções por HIV, epidemiologia Síndrome de Imunodeficiência Adquirida, epidemiologia Soroprevalência de HIV, tendências Sorodiagnóstico da AIDS, tendências |
description |
OBJECTIVE: To describe the epidemiological aspects of HIV infection and AIDS among indigenous peoples of the state of Mato Grosso do Sul, Brazil. METHODS: This is a descriptive epidemiological study on the occurrence and distribution of HIV infection and AIDS in the indigenous population assisted by the Distrito Sanitário Especial Indígena (Indigenous Special Health District) Mato Grosso do Sul between 2001 and 2014, based on three secondary databases. Annual rates of HIV and AIDS detection and prevalence were calculated, considering case distribution according to village, Health Base Pole and sociodemographic variables. Accumulated rates of detection, mortality and case fatality were calculated by ethnic group and for the Health Base Pole with the highest number of cases. RESULTS: The HIV detection rate fluctuated between 0.0 and 18.0/100 thousand people in the study period. For AIDS, there was no notification before 2007, but in 2012 its rate reached 16.6/100 thousand. HIV prevalence grew between 2001 and 2011, and it continuously grew for AIDS starting from 2007. The highest HIV detection rates occurred among Guarani peoples (167.1/100 thousand) and for AIDS, among the Kaiowá peoples (79.3/100 thousand); mortality and fatality rates were higher among the Kaiowá. Regarding the Dourados Health Base Pole, the AIDS detection rate increased, and the mortality and fatality rates decreased. CONCLUSIONS: HIV infection and AIDS have been increasing among indigenous peoples, with distribution of the disease mainly in the Health Base Poles of the southern region of the state, where greater economic and social vulnerability are also observed. The endemic character of HIV and AIDS can become epidemic in some years given the existence of cases in other villages in the state. Its occurrence among the Guarani and Kaiowá populations indicates the need for expanded diagnosis, access to treatment and prevention measures. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-02-07 |
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/161867 10.11606/S1518-8787.2019053000362 |
url |
https://www.revistas.usp.br/rsp/article/view/161867 |
identifier_str_mv |
10.11606/S1518-8787.2019053000362 |
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/161867/155758 https://www.revistas.usp.br/rsp/article/view/161867/155759 https://www.revistas.usp.br/rsp/article/view/161867/155760 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/pdf application/xml |
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. 53 (2019); 71 Revista de Saúde Pública; Vol. 53 (2019); 71 Revista de Saúde Pública; v. 53 (2019); 71 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_ |
1800221800605417472 |