Temporal Patterns and Variations in HIV/AIDS detection: Notifications in Brazil (2013-2022)
DOI:
https://doi.org/10.5327/DST-2177-8264-2024361404Keywords:
HIV, Detection, Acquired immunodeficiency syndromeAbstract
Introduction: Acquired Immunodeficiency Syndrome (AIDS) is the advanced stage of Human Immunodeficiency Virus (HIV) infection, compromising the immune system and rendering the body vulnerable to various opportunistic infections. Since the 1970s, AIDS has posed a global challenge, impacting Brazil since 1982. Despite advancements, the disease’s persistence necessitates comprehensive strategies and a deep understanding of transmission methods for effective management. Objective: This study aims to comprehend HIV/AIDS detection in Brazil (2013–2022). Analyzing temporal patterns, it guides future prevention and control strategies, emphasizing the need for effective approaches in the dynamic epidemic scenario. Methods: This cross-sectional study analyzes HIV case notifications in Brazil (2013-2022) utilizing data from the Unified Health System’s Department of Information and Informatics (DATASUS), covering macro-regions, Federative Units, and capitals. Detection rate data are sourced from the Notifiable Diseases Information System (Sinan), Mortality Information System (SIM), Laboratory Exams Control System (Siscel), and Medication Logistic Control System (Siclom), considering sociodemographic variables and exposure categories. The analysis aims to understand the dynamics of HIV/AIDS in the country. Results: Between 2013 and 2022, AIDS cases in Brazil predominantly affect men, with an increase after 2020. The HIV detection rate by region reveals significant variations, highlighting fluctuations in the North and South. Educational data suggest a reduction in cases, indicating the impact of preventive programs. The analysis by race/color shows a consistent decline in cases among whites, blacks, and browns, while yellows and indigenous populations exhibit variations. Conclusion: The conducted analysis highlights the complexity of AIDS dissemination in Brazil, underscoring the need for regionally adapted strategies. Variations by
region, education levels, and race/color emphasize the importance of multifaceted approaches, continuous prevention programs, and addressing social inequalities.
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References
Sousa MA, Lyra A, Araújo CCF, Pontes JL, Freire RC, Pontes TL. A
política de AIDS no Brasil: uma revisão de literatura. J Manag Prim
Health Care. 2012; 3(1):62-6.
Dartora WJ, Ânflor EP, Silveira LRP. Prevalência do HIV no Brasil 2005-
: dados do Sistema Único de Saúde. Rev Cuid. 2017;8(3), 1919-28.
https://doi.org/10.15649/cuidarte.v8i3.462
Brasil. Ministério da Saude. Secretaria de Vigilância em Saúde. Manual
de Prevenção das DST/HIV/Aids em Comunidades Populares. Brasilia;
Brasil. Ministério da Saúde [Internet]. 2008 [cited on Dec 26, 2023].
Available from: https://bvsms.saude.gov.br/bvs/publicacoes/manual_
prevencao_hiv_aids_comunidades.pdf
Dias JO, Sousa SGC, Furtado DRL, Oliveira AVS, Martins GS. Principais
sintomas e alterações imunológicas decorrentes da infecção pelo vírus
HIV: uma revisão bibliográfica. REAS. 2020;40:e2715. https://doi.
org/10.25248/reas.e2715.2020
Galvão-Castro B, Grassi MFR, Castilho EA, Greco DB. HIV/Aids and
COVID-19 in Brazil: in four decades, two antithetical approaches to face
serious pandemics. Mem Inst Oswaldo Cruz. 2021;116:e210071. https://
doi.org/10.1590/0074-02760210071
Aguiar TS, Fonseca MC, Santos MC, Nicoletti GP, Alcoforado DSG,
Santos SCD, et al. Perfil epidemiológico de HIV/AIDS no Brasil com
base nos dados provenientes do DataSUS no ano de 2021. Res Soc Dev.
;11(3):e4311326402. https://doi.org/10.33448/rsd-v11i3.26402
Gomes LB, Oliveira SX, Nunes RMV, Oliveira MB, Henrique
OMF. Conhecimento científico sobre HIV/AIDS entre estudantes
universitários. Rev Recien. 2021;11(34):119-27. https://doi.org/10.24276/
rrecien2021.11.34.119-127
Grangeiro A, Castanheira ER, Nemes MIB. The reemergence of the Aids
epidemic in Brazil: challenges and perspectives to tackle the disease.
Interface (Botucatu). 2015;19(52):7-8. https://doi.org/10.1590/1807-
0038
Brasil, Ministério da Saúde. Secretaria de Vigilância em Saúde.
Departamento Nacional de DST, Aids e Hepatites Virais. Boletim
Epidemiológico Aids/DST. Brasília: Ministério da Saúde; 2016.
Andrade LA, Amorim TF, Paz WS, Souza MR, Camargo ELS, Tavares
DS, et al. Reduced HIV/AIDS diagnosis rates and increased AIDS
mortality due to late diagnosis in Brazil during the COVID-19 pandemic.
Sci Rep. 2023;13(1):23003. https://doi.org/10.1038/s41598-023-50359-y
MARCONATO et al.
DST - J bras Doenças Sex Transm 2024;36:e24361404
© 2024 Sociedade Brasileira de Doenças Sexualmente Transmissíveis
This is an open access article distributed under the terms of the Creative Commons license.
UNAIDS. Programa Conjunto das Nações Unidas sobre HIV/Aids.
Estatísticas. Número de novos casos de HIV no Brasil em 2022 [Internet].
[cited on Dec. 26, 2023]. Available from: https://unaids.org.br/
estatisticas/
Bedert M, Davidovich U, Bree G, van Bilsen W, van Sighem A, Zuilhof
W, et al. Understanding reasons for HIV late diagnosis: a qualitative
study among HIV-positive individuals in Amsterdam, The Netherlands.
AIDS Behav. 2021;25(9):2898-906. https://doi.org/10.1007/s10461-021-
-3
Olufadewa I, Oduguwa I, Adesina M, Ibiang K, Eke N, Adewumi B, et al.
COVID-19: Learning from the HIV/AIDS pandemic response in Africa.
Int J Health Plann Manage. 2021;363):610-7. https://doi.org/10.1002/
hpm.3133
Andrade LA, Paz WS, Fontes Lima AGC, Araújo DC, Duque AM, Peixoto
MVS, et al. Spatiotemporal pattern of COVID-19–related mortality during
the first year of the pandemic in Brazil: a population-based study in a
region of high social vulnerability. Am J Trop Med Hyg. 2021;106(1):132-
https://doi.org/10.4269/ajtmh.21-0744
Carmo RF, Nunes BEBR, Machado MF, Armstrong AC Souza CDF.
Expansion of COVID-19 within Brazil: the importance of highways. J
Travel Med. 2020;27(5):taaa106. https://doi.org/10.1093/jtm/taaa106
Buunk BP, Bakker AB, Siero FW, van den Eijnden RJ, Yzer MC. Predictors
of AIDS-preventive behavioral intentions among adult heterosexuals at
risk for HIV-infection: extending current models and measures. AIDS
Educ Prev. 1998;10(2):149-72. PMID: 9573436.
Nieto-Andrade B, Izazola-Licea JA. Uso del condón en hombres
com parejas no estables en la Ciudad de México. Salud Publica Mex.
;41:85-94.
Guerriero I, Ayres JRCM, Hearst N. Masculinity and vulnerability to
HIV among heterosexual men in São Paulo, Brazil. Rev Saude Publica.
;36(4 Suppl):50-60. PMID: 12364900.
Leite DS. A AIDS no Brasil: mudanças no perfil da epidemia e perspectivas
/ AIDS in Brazil: changes in the epidemic profile and perspectives. Braz J
Dev. 2020;6(8):57382-95. https://doi.org/10.34117/bjdv6n8-228
Alves IN, Pires Filho LAS, Salviano ACS, Santos CA, Gastaldello
GH, Pinheiro GN, et al. Perfil epidemiológico de adultos jovens (20 a
anos) com HIV/AIDS em uma cidade do interior paulista. REAS.
;57:e4164. https://doi.org/10.25248/reas.eXX.2019
Lu Z, Ji W, Yin Y, Jin X, Wang L, Li Z, et al. Analysis on the trend of
AIDS incidence in Zhejiang, China based on the age-period-cohort
model (2004–2018). BMC Public Health. 2021;21(1):1077. https://doi.
org/10.1186/s12889-021-11050-x
Batista JFC, Oliveira MR, Pereira DLM, Matos MLSS, Souza IT, Menezes
MO. Distribuição espacial e tendência temporal da AIDS no Brasil e
regiões entre 2005 e 2020. Rev Bras Epidemiol. 2023;26:e230002. https://
doi.org/10.1590/1980-549720230002.2
Silva HR, Marreiros MOC, Figueiredo TS, Figueiredo MLF.
Características clínico-epidemiológicas de pacientes idosos com
aids em hospital de referência, Teresina-PI, 1996 a 2009. Epidemiol
Serv Saúde. 2011;20(4):499-507. http://dx.doi.org/10.5123/S1679-
Prejean J, Song R, Hernandez A, Ziebell R, Green T, Walker F, et al.
Estimated HIV incidence in the United States, 2006-2009. PLoS One.
;6(8):17502. https://doi.org/10.1371/journal.pone.0017502
Brasil. Ministério da Saúde. Secretaria de Vigilância em Saúde e
Ambiente. Saúde da população negra. Boletim epidemiológico [Internet].
[cited on Dec. 26, 2023]. Available from: https://www.gov.br/
saude/pt-br/centrais-de-conteudo/publicacoes/boletins/epidemiologicos/
especiais/2023/boletim-epidemiologico-saude-da-populacao-negranumero-
especial-vol-2-out.2023
Lorena AG, Couto F, Ákira L, Pimenta F, Teixeira RR. “A Ballroom é um
arquivo de pessoas negras que viveram a epidemia de aids”: narrativas
sobre o arquivo negro da prevenção. Physis: Revista de Saúde Coletiva.
;33:e33088. https://doi.org/10.1590/S0103-7331202333088
Luccas DS, Brandão ML, Limas FM, Chaves MMN, Albuquerque
GSC. Campanhas oficiais sobre HIV/AIDS no Brasil: divergências
entre conteúdos e o perfil epidemiológico do agravo. Cogitare Enferm.
;26:e70729. https://doi.org/10.5380/ce.v26i0.70729
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