OBJECTIVE: To identify areas of vulnerability to new cases of HIV/tuberculosis (TB) co-infection. METHODS: An ecological descriptive study was conducted by georeferencing new HIV/TB cases reported in the city of Ribeirão Preto, Southeastern Brazil, in 2006. Data were obtained from the São Paulo state information system for TB notification (TB-WEB) database. New cases of HIV/TB co-infection were analyzed according to sociodemographic and clinical characteristics and, subsequently, georeferenced in the city's cartographic basis, based on home addresses. City sectors were categorized into three socioeconomic levels: lower, average and upper levels, based on the analysis of the main components of the 2000 Demographic Census variables (income, level of education and percentage of households with five or more residents). The incidence of HIV/TB co-infection was calculated for each socioeconomic level. RESULTS: HIV/TB co-infection affected a higher number of economically active adult males and the pulmonary form of TB was the most frequent. Spatial distribution showed that the incidences in areas with average and lower socioeconomic levels (8.3 and 11.5 cases per 100,000 inhabitants, respectively) were higher than that with a higher socioeconomic level (4.8 cases per 100,000 inhabitants). CONCLUSIONS: The incidence rate of HIV/TB co-infection, analyzed according to socioeconomic levels, showed a non-homogeneous spatial pattern of distribution and higher values in more socially vulnerable areas. The present study identified priority geographical areas to control co-infection and revealed that the geographical information system technology can be used by city managers to plan health actions.
OBJECTIVE: To identify areas of vulnerability to new cases of HIV/tuberculosis (TB) co-infection. METHODS: An ecological descriptive study was conducted by georeferencing new HIV/TB cases reported in the city of Ribeirão Preto, Southeastern Brazil, in 2006. Data were obtained from the São Paulo state information system for TB notification (TB-WEB) database. New cases of HIV/TB co-infection were analyzed according to sociodemographic and clinical characteristics and, subsequently, georeferenced in the city's cartographic basis, based on home addresses. City sectors were categorized into three socioeconomic levels: lower, average and upper levels, based on the analysis of the main components of the 2000 Demographic Census variables (income, level of education and percentage of households with five or more residents). The incidence of HIV/TB co-infection was calculated for each socioeconomic level. RESULTS:HIV/TB co-infection affected a higher number of economically active adult males and the pulmonary form of TB was the most frequent. Spatial distribution showed that the incidences in areas with average and lower socioeconomic levels (8.3 and 11.5 cases per 100,000 inhabitants, respectively) were higher than that with a higher socioeconomic level (4.8 cases per 100,000 inhabitants). CONCLUSIONS: The incidence rate of HIV/TB co-infection, analyzed according to socioeconomic levels, showed a non-homogeneous spatial pattern of distribution and higher values in more socially vulnerable areas. The present study identified priority geographical areas to control co-infection and revealed that the geographical information system technology can be used by city managers to plan health actions.
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Authors: Mellina Yamamura; Marcelino Santos-Neto; Rebeca Augusto Neman dos Santos; Maria Concebida da Cunha Garcia; Jordana de Almeida Nogueira; Ricardo Alexandre Arcêncio Journal: Rev Lat Am Enfermagem Date: 2015 Sep-Oct
Authors: Gabriela Tavares Magnabosco; Lívia Maria Lopes; Rubia Laine de Paula Andrade; Maria Eugênia Firmino Brunello; Aline Aparecida Monroe; Tereza Cristina Scatena Villa Journal: Rev Lat Am Enfermagem Date: 2016-09-09
Authors: Mellina Yamamura; Marcelino Santos Neto; Francisco Chiaravalloti Neto; Luiz Henrique Arroyo; Antônio Carlos Vieira Ramos; Ana Angélica Rêgo de Queiroz; Aylana de Souza Belchior; Danielle Talita Dos Santos; Juliane de Almeida Crispim; Ione Carvalho Pinto; Severina Alice da Costa Uchôa; Regina Célia Fiorati; Ricardo Alexandre Arcêncio Journal: Infect Dis Poverty Date: 2017-10-12 Impact factor: 4.520