Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicators

Detalhes bibliográficos
Autor(a) principal: Barcellos,Christovam
Data de Publicação: 2009
Outros Autores: Acosta,Lisiane Morelia Weide, Lisboa,Eugenio, Bastos,Francisco Inácio
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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spelling Surveillance of mother-to-child HIV transmission: socioeconomic and health care coverage indicatorsHIV Infections/prevention &amp; 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 &amp; 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 &amp; 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 &amp; 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
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