Reconstructing the AIDS epidemic among injection drug users in Brazil
The HIV/AIDS epidemic among injection drug users (IDUs) in Brazil has been unique in terms of temporal and geographical contrasts. This analysis explores these contrasts through the use of multilevel modeling. Standardized AIDS incidence rates among IDUs for Brazilian municipalities (1986-2000) were...
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Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz
2006-04-01
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doaj-33f856b105864380a554a4ca8af19c4a2020-11-24T22:53:33ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública0102-311X2006-04-0122475176010.1590/s0102-311x2006000400014S0102-311X2006000400014Reconstructing the AIDS epidemic among injection drug users in BrazilMariana A. Hacker0Iuri C. Leite1Adrian Renton2Tania Guillén de Torres3Renata Gracie4Francisco I. Bastos5Fundação Oswaldo CruzFundação Oswaldo CruzImperial CollegeUniversidade Federal do Rio de JaneiroFundação Oswaldo CruzFundação Oswaldo CruzThe HIV/AIDS epidemic among injection drug users (IDUs) in Brazil has been unique in terms of temporal and geographical contrasts. This analysis explores these contrasts through the use of multilevel modeling. Standardized AIDS incidence rates among IDUs for Brazilian municipalities (1986-2000) were used as the dependent variable, with a set of social indicators as independent variables (covariates). In some States of the North/Northeast, the epidemic among IDUs has been incipient. The São Paulo epidemic extended to reach a network of municipalities, most of which located far from the capital. More recently, on a smaller scale, a similar extension has been observed in the southernmost States of the country. Both "number of physicians per inhabitant" and "standard distance to the State capital" were found to be associated with AIDS incidence. AIDS cases among IDUs appeared to cluster in wealthier, more developed municipalities. The relative weight of such extensive dissemination in key, heavily populated States prevails in the Brazilian IDU epidemic, defining a central-western-southeastern strip of wealthier middle-sized municipalities and more recently a southern strip of municipalities deeply affected by the epidemic in this population.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2006000400014&lng=en&tlng=enUso Indevido de Drogas ParenteraisSíndrome de Imunodeficiência AdquiridaDistribuição EspacialIncidência |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mariana A. Hacker Iuri C. Leite Adrian Renton Tania Guillén de Torres Renata Gracie Francisco I. Bastos |
spellingShingle |
Mariana A. Hacker Iuri C. Leite Adrian Renton Tania Guillén de Torres Renata Gracie Francisco I. Bastos Reconstructing the AIDS epidemic among injection drug users in Brazil Cadernos de Saúde Pública Uso Indevido de Drogas Parenterais Síndrome de Imunodeficiência Adquirida Distribuição Espacial Incidência |
author_facet |
Mariana A. Hacker Iuri C. Leite Adrian Renton Tania Guillén de Torres Renata Gracie Francisco I. Bastos |
author_sort |
Mariana A. Hacker |
title |
Reconstructing the AIDS epidemic among injection drug users in Brazil |
title_short |
Reconstructing the AIDS epidemic among injection drug users in Brazil |
title_full |
Reconstructing the AIDS epidemic among injection drug users in Brazil |
title_fullStr |
Reconstructing the AIDS epidemic among injection drug users in Brazil |
title_full_unstemmed |
Reconstructing the AIDS epidemic among injection drug users in Brazil |
title_sort |
reconstructing the aids epidemic among injection drug users in brazil |
publisher |
Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz |
series |
Cadernos de Saúde Pública |
issn |
0102-311X |
publishDate |
2006-04-01 |
description |
The HIV/AIDS epidemic among injection drug users (IDUs) in Brazil has been unique in terms of temporal and geographical contrasts. This analysis explores these contrasts through the use of multilevel modeling. Standardized AIDS incidence rates among IDUs for Brazilian municipalities (1986-2000) were used as the dependent variable, with a set of social indicators as independent variables (covariates). In some States of the North/Northeast, the epidemic among IDUs has been incipient. The São Paulo epidemic extended to reach a network of municipalities, most of which located far from the capital. More recently, on a smaller scale, a similar extension has been observed in the southernmost States of the country. Both "number of physicians per inhabitant" and "standard distance to the State capital" were found to be associated with AIDS incidence. AIDS cases among IDUs appeared to cluster in wealthier, more developed municipalities. The relative weight of such extensive dissemination in key, heavily populated States prevails in the Brazilian IDU epidemic, defining a central-western-southeastern strip of wealthier middle-sized municipalities and more recently a southern strip of municipalities deeply affected by the epidemic in this population. |
topic |
Uso Indevido de Drogas Parenterais Síndrome de Imunodeficiência Adquirida Distribuição Espacial Incidência |
url |
http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2006000400014&lng=en&tlng=en |
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