HIV/AIDS and the social determinants of health: a time series study.

Authors :: Werle JE
Teston EF
Rossi RM
Marcon SS
Sá JS
Frota OP
Ferreira Júnior MA
Andrade GKS
Source :: Revista brasileira de enfermagem [Rev Bras Enferm] 2022 Apr 15; Vol. 75 (4), pp. e20210499. Date of Electronic Publication: 2022 Apr 15 (Print Publication: 2022).
Publication Year :: 2022
Abstract: Objective: To analyze the time trend, spatial distribution, and the cases of human immunodeficiency virus/acquired immunodeficiency syndrome cases with social determinants of health.<br />Methods: Ecological and analytical study, carried out based on the cases of human immunodeficiency virus/acquired immunodeficiency syndrome notified in a state in the Brazilian Midwest, from 2009 to 2018. The study used descriptive analysis, polynomial regression, and geospatial analysis.<br />Results: In 10 years, there were 9,157 notifications, growing each year. There was a growing trend for both sexes (p<0.001, r2=0.94). The City Human Development Index was related to the higher number of cases (city of notification, p=0.01; and city where the person lives, p=0.02). The highest concentration was in cities that house health macro-regions.<br />Conclusion: Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.