0
views
0
recommends
+1 Recommend
0 collections
    0
    shares
      • Record: found
      • Abstract: found
      • Article: found
      Is Open Access

      AIDS-related mortality in Pará Province, Brazilian Amazon region: Spatial and temporal analysis

      research-article

      Read this article at

      Bookmark
          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Despite considerable therapeutic advances in the care of people living with human immunodeficiency virus (HIV) and with the acquired immunodeficiency syndrome (AIDS) and an overall reduction of 47% in the AIDS mortality rate in the last decade, the AIDS-mortality rates remains high. The social determinants of health (SDH) have a direct influence on the dynamics of this phenomenon. However, changes in SDH caused by the implemented policies against HIV have been poorly investigated. Moreover, the Brazilian rainforest has had the highest and continuously increasing AIDS mortality rate in Brazil since the 1980s. In this study, AIDS mortality in a province of the Brazilian rainforest was examined by using temporal and spatial analyses. Methods. In this ecological study, data from 2007 to 2018 were extracted from the Mortality Information System provided by the State Department of Public Health of Pará. For the temporal analysis, the integrated autoregressive model of moving average (ARIMA) and locally weighted polynomial regression (STLF) were used to forecast AIDS mortality from 2019 to 2022. For the spatial analysis, spatial autocorrelation and geographically weighted regression (GWR) analyses were employed. Results. The samples consisted of 6,498 notifications for AIDS-related deaths. From 2007 to 2013, the AIDS mortality rates showed an upward trend, followed by a stabilization until 2018 and an upward forecasted trend from 2019 to 2022. High mortality rates and high-high clusters were found in economic pole municipalities. Furthermore, AIDS mortality risk was directly associated with per capita income and demographic density, except in the southwestern region of Pará, which exhibited an inverse association with population density. Conclusion. Although the policies against HIV may have contributed to the stabilization of AIDS mortality rates from 2013 in Pará, the upward forecasted trend until 2022 raises an alert and concern to health authorities to provide reinforcement of the policies. The geographic variability of AIDS mortality promoted by SDH provides subsidies to health authorities to implement SDH-focused strategies for AIDS mortality reduction.

          Related collections

          Most cited references39

          • Record: found
          • Abstract: not found
          • Article: not found

          Computation and analysis of multiple structural change models

            Bookmark
            • Record: found
            • Abstract: not found
            • Article: not found

            Automatic Time Series Forecasting: TheforecastPackage forR

              Bookmark
              • Record: found
              • Abstract: found
              • Article: found
              Is Open Access

              A saúde e seus determinantes sociais

              Este artigo busca analisar as relações entre saúde e seus determinantes sociais, apresentando inicialmente o conceito de determinantes sociais de saúde (DSS) e uma breve evolução histórica dos diversos paradigmas explicativos do processo saúde/doença no âmbito das sociedades, desde meados do século XIX. Em seguida são discutidos os principais avanços e desafios no estudo dos DSS, com ênfase em novos enfoques e marcos de referência explicativos das relações ente os diversos níveis de DSS e a situação de saúde. Com base nesses estudos e marcos explicativos, discute-se, em seguida, uma série de possibilidades de intervenções de políticas e programas voltados para o combate às iniqüidades de saúde geradas pelos DSS. Finalmente, são apresentados os objetivos, linhas de atuação e principais atividades da Comissão Nacional sobre Determinantes Sociais da Saúde, criada em março de 2006, com o objetivo de promover estudos sobre os DSS, recomendar políticas para a promoção da eqüidade em saúde e mobilizar setores da sociedade para o debate e posicionamento em torno dos DSS e do enfrentamento das iniqüidades de saúde.
                Bookmark

                Author and article information

                Contributors
                Role: ConceptualizationRole: Data curationRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SoftwareRole: SupervisionRole: VisualizationRole: Writing – original draft
                Role: Data curationRole: Formal analysisRole: MethodologyRole: SoftwareRole: Writing – original draft
                Role: Formal analysisRole: MethodologyRole: SoftwareRole: ValidationRole: Writing – review & editing
                Role: ConceptualizationRole: Formal analysisRole: MethodologyRole: SoftwareRole: ValidationRole: Writing – review & editing
                Role: Data curationRole: InvestigationRole: MethodologyRole: Validation
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: SoftwareRole: ValidationRole: Writing – review & editing
                Role: Formal analysisRole: Funding acquisitionRole: MethodologyRole: Writing – review & editing
                Role: ConceptualizationRole: Data curationRole: Formal analysisRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: ResourcesRole: SoftwareRole: SupervisionRole: ValidationRole: VisualizationRole: Writing – review & editing
                Role: Editor
                Journal
                PLoS One
                PLoS One
                plos
                PLOS ONE
                Public Library of Science (San Francisco, CA USA )
                1932-6203
                20 January 2023
                2023
                : 18
                : 1
                : e0279483
                Affiliations
                [1 ] Faculty of Nursing, Institute of Health Sciences, Federal University of Pará, Pará, Brazil
                [2 ] Department of Mathematics, University of Évora, Évora, Portugal
                [3 ] Department of Maternal-Infant Nursing and Public Health, University of São Paulo at Ribeirão Preto College of Nursing, Ribeirão Preto, Brazil
                [4 ] Department of Epidemiology and Health Surveillance, Evandro Chagas Institute, Pará, Brazil
                National Taiwan University, TAIWAN
                Author notes

                Competing Interests: The authors have declared that no competing interests exist.

                ‡ These authors also contributed equally to this work

                Author information
                https://orcid.org/0000-0002-9205-5409
                https://orcid.org/0000-0001-5172-7814
                https://orcid.org/0000-0002-9682-6530
                Article
                PONE-D-21-39997
                10.1371/journal.pone.0279483
                9858710
                36662846
                9e341784-a83f-4250-bb60-1b5df2c73f50
                © 2023 Rodrigues et al

                This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

                History
                : 19 December 2021
                : 8 December 2022
                Page count
                Figures: 4, Tables: 4, Pages: 15
                Funding
                Funded by: Coordenação de Aperfeiçoamente de Pessoal de Nível Superior - CAPES
                Award ID: 88881.200527/2018-01
                Award Recipient :
                This study was funded by the Coordenação de Aperfeiçoamente de Pessoal de Nível Superior - CAPES ( https://www.gov.br/capes/pt-br) through the Edital PROCAD-AM, grant number 88881.200527/2018-01, and administered by EPB. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
                Categories
                Research Article
                Biology and Life Sciences
                Population Biology
                Population Metrics
                Death Rates
                Medicine and Health Sciences
                Medical Conditions
                Infectious Diseases
                Viral Diseases
                AIDS
                People and places
                Geographical locations
                South America
                Brazil
                Biology and Life Sciences
                Microbiology
                Medical Microbiology
                Microbial Pathogens
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
                Pathogens
                Microbial Pathogens
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Viral Pathogens
                Immunodeficiency Viruses
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Immunodeficiency Viruses
                HIV
                Biology and life sciences
                Organisms
                Viruses
                RNA viruses
                Retroviruses
                Lentivirus
                HIV
                Biology and Life Sciences
                Microbiology
                Medical Microbiology
                Microbial Pathogens
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Medicine and Health Sciences
                Pathology and Laboratory Medicine
                Pathogens
                Microbial Pathogens
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Biology and Life Sciences
                Organisms
                Viruses
                Viral Pathogens
                Retroviruses
                Lentivirus
                HIV
                Computer and Information Sciences
                Geoinformatics
                Spatial Analysis
                Earth Sciences
                Geography
                Geoinformatics
                Spatial Analysis
                Medicine and Health Sciences
                Diagnostic Medicine
                Virus Testing
                Biology and Life Sciences
                Population Biology
                Population Metrics
                Population Density
                Earth Sciences
                Geography
                Custom metadata
                All relevant data are within the paper and its Supporting Information file.

                Uncategorized
                Uncategorized

                Comments

                Comment on this article