Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic
Abstract The COVID-19 pandemic has severely affected global health, leading to the suspension of numerous routine healthcare services and posing challenges in efforts to control other diseases, such as HIV/AIDS. This study aimed to assess the impact of the COVID-19 pandemic on HIV/AIDS diagnoses and...
| Main Authors: | , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-12-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-50359-y |
| _version_ | 1797371147493310464 |
|---|---|
| author | Lucas Almeida Andrade Thiago de França Amorim Wandklebson Silva da Paz Mariana do Rosário Souza Emerson Lucas S. Camargo Débora dos Santos Tavares Shirley Verônica M. A. Lima Enaldo Vieira de Melo Marco Aurélio de O. Góes Rodrigo Feliciano do Carmo Carlos Dornels F. de Souza Allan Dantas dos Santos Álvaro Francisco L. de Sousa Isabel Amélia C. Mendes Abelardo Silva-Júnior Wagnner José N. Porto Márcio Bezerra-Santos |
| author_facet | Lucas Almeida Andrade Thiago de França Amorim Wandklebson Silva da Paz Mariana do Rosário Souza Emerson Lucas S. Camargo Débora dos Santos Tavares Shirley Verônica M. A. Lima Enaldo Vieira de Melo Marco Aurélio de O. Góes Rodrigo Feliciano do Carmo Carlos Dornels F. de Souza Allan Dantas dos Santos Álvaro Francisco L. de Sousa Isabel Amélia C. Mendes Abelardo Silva-Júnior Wagnner José N. Porto Márcio Bezerra-Santos |
| author_sort | Lucas Almeida Andrade |
| collection | DOAJ |
| description | Abstract The COVID-19 pandemic has severely affected global health, leading to the suspension of numerous routine healthcare services and posing challenges in efforts to control other diseases, such as HIV/AIDS. This study aimed to assess the impact of the COVID-19 pandemic on HIV/AIDS diagnoses and mortality rates in Brazil during 2020 and 2021. The percentage change was calculated to determine whether there was an increase or decrease in HIV/AIDS diagnoses and mortality, considering the average numbers from the last 5 years. Additionally, a Joinpoint regression model and an interrupted time series analysis were applied to assess time trends before and after the onset of the pandemic. Lastly, choropleth maps were prepared. We observed a reduction of 22.4% (2020) and 9.8% (2021) in the diagnosis of HIV/AIDS in Brazil. Conversely, there was a significant increase in the percentage change of late diagnosis of AIDS deaths in 2020 (6.9%) and 2021 (13.9%), with some states showing an increase of over 87%. Decreasing time trends in the diagnosis of HIV/AIDS were identified before the pandemic in Brazil, especially in the Southeast and South regions, and then time trends stabilized after including the pandemic years. Along with the dissemination of COVID-19, there was a reduction in the diagnosis of HIV/AIDS and an increase in late diagnosis AIDS deaths, signaling a serious impact of the pandemic on HIV/AIDS control strategies in Brazil. Therefore, we highlight the need for continuous efforts to control both diseases, that is, maintaining regular health services even in crisis situations. |
| first_indexed | 2024-03-08T18:15:36Z |
| format | Article |
| id | doaj.art-738f2ed78bb140538cc08a510751699a |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-08T18:15:36Z |
| publishDate | 2023-12-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-738f2ed78bb140538cc08a510751699a2023-12-31T12:10:51ZengNature PortfolioScientific Reports2045-23222023-12-0113111210.1038/s41598-023-50359-yReduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemicLucas Almeida Andrade0Thiago de França Amorim1Wandklebson Silva da Paz2Mariana do Rosário Souza3Emerson Lucas S. Camargo4Débora dos Santos Tavares5Shirley Verônica M. A. Lima6Enaldo Vieira de Melo7Marco Aurélio de O. Góes8Rodrigo Feliciano do Carmo9Carlos Dornels F. de Souza10Allan Dantas dos Santos11Álvaro Francisco L. de Sousa12Isabel Amélia C. Mendes13Abelardo Silva-Júnior14Wagnner José N. Porto15Márcio Bezerra-Santos16Health Science Graduate Program, Universidade Federal de SergipeGraduate Program in Teaching and Teacher Training, Universidade Federal de AlagoasTropical Medicine Graduate Program, Universidade Federal de PernambucoHealth Science Graduate Program, Universidade Federal de SergipeRibeirão Preto College of Nursing, Universidade de São PauloDepartment of Health Science, Universidade Federal de SergipeDepartment of Nursing, Universidade Federal de SergipeDepartment of Medicine, Universidade Federal de SergipeDepartment of Medicine, Universidade Federal de SergipeCollege of Pharmaceutical Sciences, Federal University of Vale do São FranciscoCollege of Medicine, Federal University of Vale do São FranciscoDepartment of Nursing, Universidade Federal de SergipeInstitute of Teaching and Research, Hospital Sírio-LibânesRibeirão Preto College of Nursing, Universidade de São PauloHealth Science Graduate Program, Universidade Federal de AlagoasHealth Science Graduate Program, Universidade Federal de AlagoasHealth Science Graduate Program, Universidade Federal de SergipeAbstract The COVID-19 pandemic has severely affected global health, leading to the suspension of numerous routine healthcare services and posing challenges in efforts to control other diseases, such as HIV/AIDS. This study aimed to assess the impact of the COVID-19 pandemic on HIV/AIDS diagnoses and mortality rates in Brazil during 2020 and 2021. The percentage change was calculated to determine whether there was an increase or decrease in HIV/AIDS diagnoses and mortality, considering the average numbers from the last 5 years. Additionally, a Joinpoint regression model and an interrupted time series analysis were applied to assess time trends before and after the onset of the pandemic. Lastly, choropleth maps were prepared. We observed a reduction of 22.4% (2020) and 9.8% (2021) in the diagnosis of HIV/AIDS in Brazil. Conversely, there was a significant increase in the percentage change of late diagnosis of AIDS deaths in 2020 (6.9%) and 2021 (13.9%), with some states showing an increase of over 87%. Decreasing time trends in the diagnosis of HIV/AIDS were identified before the pandemic in Brazil, especially in the Southeast and South regions, and then time trends stabilized after including the pandemic years. Along with the dissemination of COVID-19, there was a reduction in the diagnosis of HIV/AIDS and an increase in late diagnosis AIDS deaths, signaling a serious impact of the pandemic on HIV/AIDS control strategies in Brazil. Therefore, we highlight the need for continuous efforts to control both diseases, that is, maintaining regular health services even in crisis situations.https://doi.org/10.1038/s41598-023-50359-y |
| spellingShingle | Lucas Almeida Andrade Thiago de França Amorim Wandklebson Silva da Paz Mariana do Rosário Souza Emerson Lucas S. Camargo Débora dos Santos Tavares Shirley Verônica M. A. Lima Enaldo Vieira de Melo Marco Aurélio de O. Góes Rodrigo Feliciano do Carmo Carlos Dornels F. de Souza Allan Dantas dos Santos Álvaro Francisco L. de Sousa Isabel Amélia C. Mendes Abelardo Silva-Júnior Wagnner José N. Porto Márcio Bezerra-Santos Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic Scientific Reports |
| title | Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic |
| title_full | Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic |
| title_fullStr | Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic |
| title_full_unstemmed | Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic |
| title_short | Reduced HIV/AIDS diagnosis rates and increased AIDS mortality due to late diagnosis in Brazil during the COVID-19 pandemic |
| title_sort | reduced hiv aids diagnosis rates and increased aids mortality due to late diagnosis in brazil during the covid 19 pandemic |
| url | https://doi.org/10.1038/s41598-023-50359-y |
| work_keys_str_mv | AT lucasalmeidaandrade reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT thiagodefrancaamorim reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT wandklebsonsilvadapaz reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT marianadorosariosouza reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT emersonlucasscamargo reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT deboradossantostavares reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT shirleyveronicamalima reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT enaldovieirademelo reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT marcoaureliodeogoes reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT rodrigofelicianodocarmo reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT carlosdornelsfdesouza reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT allandantasdossantos reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT alvarofranciscoldesousa reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT isabelameliacmendes reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT abelardosilvajunior reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT wagnnerjosenporto reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic AT marciobezerrasantos reducedhivaidsdiagnosisratesandincreasedaidsmortalityduetolatediagnosisinbrazilduringthecovid19pandemic |