Social geography of AIDS in Brazil: identifying patterns of regional inequalities

The trend towards decline and stabilization of the AIDS epidemic in Brazil should be analyzed carefully, since aggregate data can mask regional or local inequalities in such a large and diverse country. The current study reevaluates the epidemic’s spatial dissemination and the AIDS-related mortality...

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Main Authors: Tatiana Rodrigues de Araujo Teixeira, Renata Gracie, Monica Siqueira Malta, Francisco I. Bastos
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2014-02-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000200259&lng=en&tlng=en
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author Tatiana Rodrigues de Araujo Teixeira
Renata Gracie
Monica Siqueira Malta
Francisco I. Bastos
author_facet Tatiana Rodrigues de Araujo Teixeira
Renata Gracie
Monica Siqueira Malta
Francisco I. Bastos
author_sort Tatiana Rodrigues de Araujo Teixeira
collection DOAJ
description The trend towards decline and stabilization of the AIDS epidemic in Brazil should be analyzed carefully, since aggregate data can mask regional or local inequalities in such a large and diverse country. The current study reevaluates the epidemic’s spatial dissemination and the AIDS-related mortality pattern in Brazil. The study considered all AIDS cases diagnosed in individuals over 18 years of age and living in Brazil, as well as AIDS deaths recorded in 1998-2008. Three-year moving average rates were estimated, and a spatial analysis was conducted using a local empirical Bayesian method. The epidemic was only found to be expanding in the North and Northeast regions, while declining in the rest of the country, especially in the Southeast. According to the findings, the apparent stabilization of AIDS mortality tends to mask regional disparities. Social determinants of health and regional disparities should be taken into account in program development and policymaking.
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spelling doaj.art-a98e44394d25405bb747273fcfe450742022-12-21T19:46:07ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642014-02-0130225927110.1590/0102-311X00051313S0102-311X2014000200259Social geography of AIDS in Brazil: identifying patterns of regional inequalitiesTatiana Rodrigues de Araujo TeixeiraRenata GracieMonica Siqueira MaltaFrancisco I. BastosThe trend towards decline and stabilization of the AIDS epidemic in Brazil should be analyzed carefully, since aggregate data can mask regional or local inequalities in such a large and diverse country. The current study reevaluates the epidemic’s spatial dissemination and the AIDS-related mortality pattern in Brazil. The study considered all AIDS cases diagnosed in individuals over 18 years of age and living in Brazil, as well as AIDS deaths recorded in 1998-2008. Three-year moving average rates were estimated, and a spatial analysis was conducted using a local empirical Bayesian method. The epidemic was only found to be expanding in the North and Northeast regions, while declining in the rest of the country, especially in the Southeast. According to the findings, the apparent stabilization of AIDS mortality tends to mask regional disparities. Social determinants of health and regional disparities should be taken into account in program development and policymaking.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000200259&lng=en&tlng=enSindrome de Imunodeficiencia AdquiridaAnalisis EspacialEstudios Ecologicos
spellingShingle Tatiana Rodrigues de Araujo Teixeira
Renata Gracie
Monica Siqueira Malta
Francisco I. Bastos
Social geography of AIDS in Brazil: identifying patterns of regional inequalities
Cadernos de Saúde Pública
Sindrome de Imunodeficiencia Adquirida
Analisis Espacial
Estudios Ecologicos
title Social geography of AIDS in Brazil: identifying patterns of regional inequalities
title_full Social geography of AIDS in Brazil: identifying patterns of regional inequalities
title_fullStr Social geography of AIDS in Brazil: identifying patterns of regional inequalities
title_full_unstemmed Social geography of AIDS in Brazil: identifying patterns of regional inequalities
title_short Social geography of AIDS in Brazil: identifying patterns of regional inequalities
title_sort social geography of aids in brazil identifying patterns of regional inequalities
topic Sindrome de Imunodeficiencia Adquirida
Analisis Espacial
Estudios Ecologicos
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-311X2014000200259&lng=en&tlng=en
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AT monicasiqueiramalta socialgeographyofaidsinbrazilidentifyingpatternsofregionalinequalities
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