Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001

Detalhes bibliográficos
Autor(a) principal: Rodrigues-Jr, Antonio L
Data de Publicação: 2006
Outros Autores: Ruffino-Netto, Antonio, Castilho, Euclides Ayres de
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Revista de Saúde Pública
Texto Completo: https://www.revistas.usp.br/rsp/article/view/32030
Resumo: OBJECTIVE: To assess the spatial pattern of tuberculosis incidence in relation to the Aids epidemic, with the aim of investigating the geographical influence on causality. METHODS: All Aids cases from State of São Paulo, notified to the Brazilian Ministry of Health between 1991 and 2001, were included. The cases were stratified by municipality, by administrative health regions, Aids transmission categories, gender and years since diagnosis. A Gaussian geostatistical model was used to construct a thematic risk map, utilizing the tuberculosis incidence among Aids cases as the response variable. RESULTS: Exploratory analysis showed two patterns of Aids incidence: one for the state capital, and another, with increasing risk, for the other municipalities. The more populous regions presented higher risk of tuberculosis transmission, with a pattern that matched the land occupation pattern, from east to west. The health regions with the highest Aids incidence coefficients (per 10,000 inhabitants) were Santos (53.5), São José do Rio Preto (43.1), Ribeirão Preto (42.4) and São Paulo (40.3). The health regions with greatest tuberculosis incidence among Aids cases were Santos (44.9%), Franco da Rocha (39.9%), Osasco (39.6%) and São Paulo (38.9%). CONCLUSIONS: The results allow the conclusion that geographical coordinates presented an association with tuberculosis risk, but not with Aids risk.
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spelling Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001 Distribuição espacial da co-infecção M. tuberculosis/HIV no Estado de São Paulo, 1991-2001 Infecções oportunistas relacionadas com a Aids^i1^sepidemioloTuberculose^i1^sepidemioloSíndrome de imunodeficiência adquirida^i1^sepidemioloVigilância epidemiológicaDistribuição espacialIncidênciaAIDS-related opportunistic infections^i2^sepidemiolTuberculosis^i2^sepidemiolAcquired Immunodeficiency Syndrome^i2^sepidemiolEpidemiologic surveillanceResidence characteristicsIncidence OBJECTIVE: To assess the spatial pattern of tuberculosis incidence in relation to the Aids epidemic, with the aim of investigating the geographical influence on causality. METHODS: All Aids cases from State of São Paulo, notified to the Brazilian Ministry of Health between 1991 and 2001, were included. The cases were stratified by municipality, by administrative health regions, Aids transmission categories, gender and years since diagnosis. A Gaussian geostatistical model was used to construct a thematic risk map, utilizing the tuberculosis incidence among Aids cases as the response variable. RESULTS: Exploratory analysis showed two patterns of Aids incidence: one for the state capital, and another, with increasing risk, for the other municipalities. The more populous regions presented higher risk of tuberculosis transmission, with a pattern that matched the land occupation pattern, from east to west. The health regions with the highest Aids incidence coefficients (per 10,000 inhabitants) were Santos (53.5), São José do Rio Preto (43.1), Ribeirão Preto (42.4) and São Paulo (40.3). The health regions with greatest tuberculosis incidence among Aids cases were Santos (44.9%), Franco da Rocha (39.9%), Osasco (39.6%) and São Paulo (38.9%). CONCLUSIONS: The results allow the conclusion that geographical coordinates presented an association with tuberculosis risk, but not with Aids risk. OBJETIVO: Avaliar o padrão espacial de incidência de tuberculose na epidemia de Aids, a fim de verificar a influência do espaço físico na causalidade. MÉTODOS: Foram incluídos os casos de Aids notificados ao Ministério da Saúde, entre 1991 e 2001, provenientes do Estado de São Paulo. Os casos foram estratificados em municípios de residência, em regiões de saúde, em categorias de transmissão de Aids, em sexos e em anos do diagnóstico. Um modelo geoestatístico gaussiano foi usado para construir um mapa temático de risco, utilizando a incidência de tuberculose em casos de Aids como variável de resposta. RESULTADOS: A análise exploratória mostrou dois padrões de incidência de Aids: um, para a capital do Estado, e outro, com risco crescente, para os outros municípios. As regiões mais populosas estão sob maiores riscos de transmissão de tuberculose, mostrando um padrão concordante com o padrão de ocupação do território, do leste para o oeste. As regiões de saúde com os maiores coeficientes de incidência de Aids (por 10 mil habitantes) foram Santos (53,5), São José do Rio Preto (43,1), Ribeirão Preto (42,4) e São Paulo (40,3). As regiões de saúde com maiores incidências de tuberculose em casos de Aids foram Santos (44,9%), Franco da Rocha (39,9%), Osasco (39,6%) e São Paulo (38,9%). CONCLUSÕES: Os resultados permitem concluir que as coordenadas geográficas estão associadas ao risco da tuberculose, mas não de Aids. Universidade de São Paulo. Faculdade de Saúde Pública2006-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3203010.1590/S0034-89102006000200012Revista de Saúde Pública; Vol. 40 No. 2 (2006); 265-270 Revista de Saúde Pública; Vol. 40 Núm. 2 (2006); 265-270 Revista de Saúde Pública; v. 40 n. 2 (2006); 265-270 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPporenghttps://www.revistas.usp.br/rsp/article/view/32030/34066https://www.revistas.usp.br/rsp/article/view/32030/34067Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessRodrigues-Jr, Antonio LRuffino-Netto, AntonioCastilho, Euclides Ayres de2012-07-08T23:00:55Zoai:revistas.usp.br:article/32030Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-08T23:00:55Revista de Saúde Pública - Universidade de São Paulo (USP)false
dc.title.none.fl_str_mv Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
Distribuição espacial da co-infecção M. tuberculosis/HIV no Estado de São Paulo, 1991-2001
title Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
spellingShingle Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
Rodrigues-Jr, Antonio L
Infecções oportunistas relacionadas com a Aids^i1^sepidemiolo
Tuberculose^i1^sepidemiolo
Síndrome de imunodeficiência adquirida^i1^sepidemiolo
Vigilância epidemiológica
Distribuição espacial
Incidência
AIDS-related opportunistic infections^i2^sepidemiol
Tuberculosis^i2^sepidemiol
Acquired Immunodeficiency Syndrome^i2^sepidemiol
Epidemiologic surveillance
Residence characteristics
Incidence
title_short Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
title_full Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
title_fullStr Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
title_full_unstemmed Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
title_sort Spatial distribution of M. tuberculosis-HIV coinfection in São Paulo State, Brazil, 1991-2001
author Rodrigues-Jr, Antonio L
author_facet Rodrigues-Jr, Antonio L
Ruffino-Netto, Antonio
Castilho, Euclides Ayres de
author_role author
author2 Ruffino-Netto, Antonio
Castilho, Euclides Ayres de
author2_role author
author
dc.contributor.author.fl_str_mv Rodrigues-Jr, Antonio L
Ruffino-Netto, Antonio
Castilho, Euclides Ayres de
dc.subject.por.fl_str_mv Infecções oportunistas relacionadas com a Aids^i1^sepidemiolo
Tuberculose^i1^sepidemiolo
Síndrome de imunodeficiência adquirida^i1^sepidemiolo
Vigilância epidemiológica
Distribuição espacial
Incidência
AIDS-related opportunistic infections^i2^sepidemiol
Tuberculosis^i2^sepidemiol
Acquired Immunodeficiency Syndrome^i2^sepidemiol
Epidemiologic surveillance
Residence characteristics
Incidence
topic Infecções oportunistas relacionadas com a Aids^i1^sepidemiolo
Tuberculose^i1^sepidemiolo
Síndrome de imunodeficiência adquirida^i1^sepidemiolo
Vigilância epidemiológica
Distribuição espacial
Incidência
AIDS-related opportunistic infections^i2^sepidemiol
Tuberculosis^i2^sepidemiol
Acquired Immunodeficiency Syndrome^i2^sepidemiol
Epidemiologic surveillance
Residence characteristics
Incidence
description OBJECTIVE: To assess the spatial pattern of tuberculosis incidence in relation to the Aids epidemic, with the aim of investigating the geographical influence on causality. METHODS: All Aids cases from State of São Paulo, notified to the Brazilian Ministry of Health between 1991 and 2001, were included. The cases were stratified by municipality, by administrative health regions, Aids transmission categories, gender and years since diagnosis. A Gaussian geostatistical model was used to construct a thematic risk map, utilizing the tuberculosis incidence among Aids cases as the response variable. RESULTS: Exploratory analysis showed two patterns of Aids incidence: one for the state capital, and another, with increasing risk, for the other municipalities. The more populous regions presented higher risk of tuberculosis transmission, with a pattern that matched the land occupation pattern, from east to west. The health regions with the highest Aids incidence coefficients (per 10,000 inhabitants) were Santos (53.5), São José do Rio Preto (43.1), Ribeirão Preto (42.4) and São Paulo (40.3). The health regions with greatest tuberculosis incidence among Aids cases were Santos (44.9%), Franco da Rocha (39.9%), Osasco (39.6%) and São Paulo (38.9%). CONCLUSIONS: The results allow the conclusion that geographical coordinates presented an association with tuberculosis risk, but not with Aids risk.
publishDate 2006
dc.date.none.fl_str_mv 2006-04-01
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/32030
10.1590/S0034-89102006000200012
url https://www.revistas.usp.br/rsp/article/view/32030
identifier_str_mv 10.1590/S0034-89102006000200012
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://www.revistas.usp.br/rsp/article/view/32030/34066
https://www.revistas.usp.br/rsp/article/view/32030/34067
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. 40 No. 2 (2006); 265-270
Revista de Saúde Pública; Vol. 40 Núm. 2 (2006); 265-270
Revista de Saúde Pública; v. 40 n. 2 (2006); 265-270
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
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