Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators
Autor(a) principal: | |
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Data de Publicação: | 2009 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Revista de Saúde Pública |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102009000600012 |
Resumo: | OBJECTIVE: To identify clustering areas of infants exposed to HIV during pregnancy and their association with indicators of primary care coverage and socioeconomic condition. METHODS: Ecological study where the unit of analysis was primary care coverage areas in the city of Porto Alegre, Southern Brazil, in 2003. Geographical Information System and spatial analysis tools were used to describe indicators of primary care coverage areas and socioeconomic condition, and estimate the prevalence of liveborn infants exposed to HIV during pregnancy and delivery. Data was obtained from Brazilian national databases. The association between different indicators was assessed using Spearman's nonparametric test. RESULTS: There was found an association between HIV infection and high birth rates (r=0.22, p<0.01) and lack of prenatal care (r=0.15, p<0.05). The highest HIV infection rates were seen in areas with poor socioeconomic conditions and difficult access to health services (r=0.28, p<0.01). The association found between higher rate of prenatal care among HIV-infected women and adequate immunization coverage (r=0.35, p<0.01) indicates that early detection of HIV infection is effective in those areas with better primary care services. CONCLUSIONS: Urban poverty is a strong determinant of mother-to-child HIV transmission but this trend can be fought with health surveillance at the primary care level. |
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Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicatorsHIV Infections/prevention & controlInfectious Disease Transmission, VerticalHealth Services AccessibilitySocioeconomic FactorsHealth InequalitiesEpidemiologic Surveillance ServicesEcological StudiesBasic Health servicesGeographic information systemsOBJECTIVE: To identify clustering areas of infants exposed to HIV during pregnancy and their association with indicators of primary care coverage and socioeconomic condition. METHODS: Ecological study where the unit of analysis was primary care coverage areas in the city of Porto Alegre, Southern Brazil, in 2003. Geographical Information System and spatial analysis tools were used to describe indicators of primary care coverage areas and socioeconomic condition, and estimate the prevalence of liveborn infants exposed to HIV during pregnancy and delivery. Data was obtained from Brazilian national databases. The association between different indicators was assessed using Spearman's nonparametric test. RESULTS: There was found an association between HIV infection and high birth rates (r=0.22, p<0.01) and lack of prenatal care (r=0.15, p<0.05). The highest HIV infection rates were seen in areas with poor socioeconomic conditions and difficult access to health services (r=0.28, p<0.01). The association found between higher rate of prenatal care among HIV-infected women and adequate immunization coverage (r=0.35, p<0.01) indicates that early detection of HIV infection is effective in those areas with better primary care services. CONCLUSIONS: Urban poverty is a strong determinant of mother-to-child HIV transmission but this trend can be fought with health surveillance at the primary care level.Faculdade de Saúde Pública da Universidade de São Paulo2009-12-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102009000600012Revista de Saúde Pública v.43 n.6 2009reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USP10.1590/S0034-89102009005000070info:eu-repo/semantics/openAccessBarcellos,ChristovamAcosta,Lisiane Morelia WeideLisboa,EugenioBastos,Francisco Inácioeng2009-12-21T00:00:00Zoai:scielo:S0034-89102009000600012Revistahttp://www.scielo.br/scielo.php?script=sci_serial&pid=0034-8910&lng=pt&nrm=isoONGhttps://old.scielo.br/oai/scielo-oai.phprevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2009-12-21T00:00Revista de Saúde Pública - Universidade de São Paulo (USP)false |
dc.title.none.fl_str_mv |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
title |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
spellingShingle |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators Barcellos,Christovam HIV Infections/prevention & control Infectious Disease Transmission, Vertical Health Services Accessibility Socioeconomic Factors Health Inequalities Epidemiologic Surveillance Services Ecological Studies Basic Health services Geographic information systems |
title_short |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
title_full |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
title_fullStr |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
title_full_unstemmed |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
title_sort |
Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators |
author |
Barcellos,Christovam |
author_facet |
Barcellos,Christovam Acosta,Lisiane Morelia Weide Lisboa,Eugenio Bastos,Francisco Inácio |
author_role |
author |
author2 |
Acosta,Lisiane Morelia Weide Lisboa,Eugenio Bastos,Francisco Inácio |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Barcellos,Christovam Acosta,Lisiane Morelia Weide Lisboa,Eugenio Bastos,Francisco Inácio |
dc.subject.por.fl_str_mv |
HIV Infections/prevention & control Infectious Disease Transmission, Vertical Health Services Accessibility Socioeconomic Factors Health Inequalities Epidemiologic Surveillance Services Ecological Studies Basic Health services Geographic information systems |
topic |
HIV Infections/prevention & control Infectious Disease Transmission, Vertical Health Services Accessibility Socioeconomic Factors Health Inequalities Epidemiologic Surveillance Services Ecological Studies Basic Health services Geographic information systems |
description |
OBJECTIVE: To identify clustering areas of infants exposed to HIV during pregnancy and their association with indicators of primary care coverage and socioeconomic condition. METHODS: Ecological study where the unit of analysis was primary care coverage areas in the city of Porto Alegre, Southern Brazil, in 2003. Geographical Information System and spatial analysis tools were used to describe indicators of primary care coverage areas and socioeconomic condition, and estimate the prevalence of liveborn infants exposed to HIV during pregnancy and delivery. Data was obtained from Brazilian national databases. The association between different indicators was assessed using Spearman's nonparametric test. RESULTS: There was found an association between HIV infection and high birth rates (r=0.22, p<0.01) and lack of prenatal care (r=0.15, p<0.05). The highest HIV infection rates were seen in areas with poor socioeconomic conditions and difficult access to health services (r=0.28, p<0.01). The association found between higher rate of prenatal care among HIV-infected women and adequate immunization coverage (r=0.35, p<0.01) indicates that early detection of HIV infection is effective in those areas with better primary care services. CONCLUSIONS: Urban poverty is a strong determinant of mother-to-child HIV transmission but this trend can be fought with health surveillance at the primary care level. |
publishDate |
2009 |
dc.date.none.fl_str_mv |
2009-12-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102009000600012 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-89102009000600012 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/S0034-89102009005000070 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
publisher.none.fl_str_mv |
Faculdade de Saúde Pública da Universidade de São Paulo |
dc.source.none.fl_str_mv |
Revista de Saúde Pública v.43 n.6 2009 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_ |
1748936498737053696 |