HIV / AIDS in a triple border region: subsidies for reflections on public policies

Werle, Josiel Elisandro; Teston, Elen Ferraz; Marcon, Sonia Silva; Cunha, Gilmara Holanda da; Mandu, Juliete Bispo dos Santos; Ferreira Junior, Marcos Antônio

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• Esc. Anna. Nery 25 (3) • 2021 • https://doi.org/10.1590/2177-9465-EAN-2020-0320 copy

HIV / AIDS in a triple border region: subsidies for reflections on public policies^a a Article extracted from the master's thesis entitled: HIV / AIDS IN MATO GROSSO DO SUL: TREND ANALYSIS, SPATIAL DISTRIBUTION AND CASE SURVIVAL.

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

Analyze the trend of HIV/AIDS cases by sex and age in the twin cities of Mato Grosso do Sul.

Method

ecological study of historical series. The HIV/AIDS notification forms, from 2009 to 2018, made available by the Secretary of State for Health and analyzed according to descriptive statistics, polynomial regression and geospatialization of the cases were used.

Results

734 notifications were registered, 57.9% of them in men, and with a higher incidence in the biennium 2017-2018 in both sexes. The trend of growth of notifications shows a positive acceleration in twin cities (r2=0.91; p<0.001). The highest coefficients of determination were observed in women, in the age group 35 to 49 years (r2=0.98; p<0.001), and in men from 15 to 19 years (r2=0.96; p<0.002).

Conclusion

The results challenge professionals and managers in the fight against the HIV/AIDS pandemic, requiring continuous reflection on the strategies/public policies adopted so far, especially in the border region. Implications for the practice: the nurse professional, by knowing the profile of its population and the distribution of cases, is able to draw strategies capable of reaching the public effectively and efficiently.

Keywords:
HIV; Acquired Immunodeficiency Syndrome; Border Health; Nursing; Health Profile

	2009-2010		2011-2012		2013-2014		2015-2016		2017-2018
	Male (n=425)
Age group	n	inc ^* * inc= Coeficiente incidência.	n	inc	n	inc	n	inc	n	inc
10-14	-	-	1	7.04	1	7.04	-	-	-	-
15-19	-	-	-	-	-	-	4	29.77	8	59.55
20-34	14	43.34	24	74.30	35	108.36	36	111.45	84	260.05
35-49	7	28.19	35	140.94	22	88.59	28	112.75	52	209.40
50-64	5	34.07	8	54.51	9	61.32	15	102.20	28	190.77
>65	-	-	-	-	1	12.41	3	37.24	5	62.07
Total	26	24.18	68	63.25	68	63.25	86	79.99	177	164.63
	Female (n=309)
Age group	n	inc	n	inc	n	inc	n	inc	n	inc
10-14	-	-	-	-	1	7.50	-	-	2	15.00
15-19	1	7.80	4	31.20	2	15.60	9	70.20	10	78.00
20-34	20	62.15	24	74.58	23	71.47	37	114.97	42	130.51
35-49	7	28.32	17	68.78	23	93.05	21	84.96	43	173.97
50-64	3	20.02	4	26.70	6	40.04	1	6.67	4	26.70
>65	-	-	1	11.48	2	22.96	-	-	2	22.96
Total	31	29.04	50	46.84	57	53.4	68	63.7	103	96.49

Age group	Sex	β₀	β₁	β₂	β₃	p-value	r ² ^* * r2= Coefficient of determination. p-value = 0.05	Tendency
10-14	Male	3.22	-0.39	-0.65		0.07	0.42	Stable
10-14	Female	1.48	0.09	0.01	0.04	0.39	0.49	Stable
15-19	Male	2.40	0.87	0.44		0.002	0.96	Growing
15-19	Female	20.80	5.01			<0.001	0.86	Growing
20-34	Male	46.03	0.80	0.24		0.04	0.58	Growing
20-34	Female	44.92	2.94			0.005	0.71	Growing
35-49	Male	57.03	-0.60	0.06	1.48	0.015	0.84	Growing
35-49	Female	43.65	2.07	0.03	0.46	<0.001	0.98	Growing
50-64	Male	42.59	0.91			0.002	0.80	Growing
50-64	Female	15.98	-0.53	-0.60		0.07	0.63	Stable
>65	Male	9.82	0.96			<0.001	0.92	Growing
>65	Female	6.45	-2.59	-0.13	0.27	0.33	0.53	Stable
Total	Both	3.95	0.96			<0.001	0.91	Growing

Universidade Federal do Rio de Janeiro Rua Afonso Cavalcanti, 275, Cidade Nova, 20211-110 - Rio de Janeiro - RJ - Brasil, Tel: +55 21 3398-0952 e 3398-0941 - Rio de Janeiro - RJ - Brazil
E-mail: annaneryrevista@gmail.com

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[1] Corresponding author: Elen Ferraz Teston. E-mail: elen.ferraz@ufms.br.

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HIV / AIDS in a triple border region: subsidies for reflections on public policiesa a Article extracted from the master's thesis entitled: HIV / AIDS IN MATO GROSSO DO SUL: TREND ANALYSIS, SPATIAL DISTRIBUTION AND CASE SURVIVAL.

ABSTRACT

Objective

Method

Results

Conclusion

HIV / AIDS in a triple border region: subsidies for reflections on public policies^a a Article extracted from the master's thesis entitled: HIV / AIDS IN MATO GROSSO DO SUL: TREND ANALYSIS, SPATIAL DISTRIBUTION AND CASE SURVIVAL.