HIV/AIDS and the social determinants of health: a time series study
Josiel Elisandro Werlea b, Élen Ferraz Testona b, Robson Marcelo Rossic d, Sônia Silva Marconc d, Jennyfer Soares de Sáa b, Oleci Pereira Frotaa b, Marcos Antônio Ferreira Júniora b, Gleice Kelli Santana de Andradea b
- aUniversidade Federal de Mato Grosso do Sul, Brazil
- bUniversidade Federal de Mato Grosso do Sul. Campo Grande, Mato Grosso do Sul, Brazil
- cUniversidade Estatual de Maringá, Brazil
- dUniversidade Estatual de Maringa. Maringa, Parana, Brazil
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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. 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. 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. CONCLUSION: Social determinants have a relationship with the time trend and the spatial distribution of cases and can direct strategies for prevention and care.