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Previous issue date: 2016-11-28 / O perfil epidemiol?gico da infec??o pelo HIV/aids no Brasil passou por
mudan?as nos ?ltimos anos, sendo o fen?meno conhecido como feminiza??o da
epidemia, caracterizado pelo aumento do n?mero de casos em mulheres em idade
f?rtil e consequente aumento do risco de transmiss?o vertical. O estudo descreve o
perfil epidemiol?gico das gestantes HIV+/aids no Rio Grande do Norte (RN) e no Brasil
e analisa a qualidade dos dados dispon?veis no Sistema Nacional de Informa??o de
Agravos de Notifica??o (SINAN). A qualidade dos dados dispon?veis foi avaliada
segundo a completude dos registros, sendo classificada em excelente, regular e ruim.
No estado do RN, avaliou ainda a presen?a de disson?ncia na notifica??o de
gestantes e mulheres HIV+/aids entre os servi?os de Vigil?ncia Epidemiol?gica do RN
e os dados dispon?veis no SINAN/DATASUS. Ademais, analisou o comportamento da
s?rie hist?rica das gestantes HIV+/aids, no per?odo de 2000 a 2013, no Brasil, regi?es
e unidades federativas, segundo ra?a/cor, realiza??o do pr?-natal, faixa et?ria e
escolaridade. Para a an?lise da tend?ncia do coeficiente de gestantes HIV+/aids foi
usado o m?todo de regress?o polinomial. Foram selecionados fatores contextuais
relacionados com a epidemia e ap?s a realiza??o de uma regress?o linear m?ltipla,
foram selecionados aqueles capazes de explicar o percentual de varia??o do
coeficiente de gestantes HIV+/aids. No estado do RN, entre 2007 e 2014, os dados
evidenciaram uma completude considerada excelente nas vari?veis s?cio
demogr?ficas. J? para as vari?veis referentes ao pr?-natal e ao parto, variou de ruim
a regular. Foi identificada disson?ncia na notifica??o de gestantes e mulheres
HIV+/aids entre os servi?os de Vigil?ncia Epidemiol?gica do RN e os dados
dispon?veis no SINAN/DATASUS. As gestantes HIV+/aids se caracterizaram por
estarem na faixa et?ria reprodutiva, negras, escolaridade inferior a oito anos e
residentes na zona urbana. No Brasil, no per?odo de 2000 a 2014, a maioria das
vari?veis s?cio demogr?ficas obteve uma completude excelente, sendo regular para
a maioria das vari?veis relacionadas ao pr?-natal e ao parto. Observou-se ainda que
a epidemia tem um comportamento heterog?neo, seguindo uma tend?ncia crescente
na maioria dos estados. Em rela??o ?s vari?veis ra?a/cor, realiza??o do pr?-natal,
faixa et?ria e escolaridade, pode-se observar que as adolescentes que n?o fizeram
pr?-natal, pretas e analfabetas tiveram um maior incremento m?dio anual no
coeficiente de infec??o por HIV/aids. Entre os fatores contextuais quanto maior o
n?mero de homens infectados por HIV maior foi o aumento no percentual de varia??o
do coeficiente de infec??o de gestantes HIV+/aids. O incremento no IDHM e na Taxa de brancos/negros correspondeu a uma diminui??o no percentual de varia??o do
coeficiente de infec??o de gestantes HIV+/aids. Conclui-se que os sistemas de
informa??o embora permitam um conhecimento acerca das gestantes HIV+/aids, ?
necess?rio otimizar a notifica??o dos casos, aumentar a completude e
consequentemente a qualidade da informa??o produzida, seja em n?vel nacional,
estadual ou municipal, diminuindo a disson?ncia entre os dados produzidos nesses
tr?s n?veis. O perfil epidemiol?gico das gestantes HIV/aids reflete a vulnerabilidade
social dessas mulheres, traduzido no incremento observado ao longo da s?rie
hist?rica e nos fatores contextuais a ele correlacionados. / The epidemiological profile of HIV / AIDS infection in Brazil has undergone
changes in recent years, the phenomenon known as feminization of the epidemic,
characterized by the increase in the number of cases in women of childbearing age
and consequent increase in the risk of vertical transmission. The study describes the
epidemiological profile of HIV + / AIDS pregnant women in Rio Grande do Norte (RN)
and Brazil and analyzes the quality of the data available in the National Information
System for Notification Diseases (SINAN). The quality of the available data was
evaluated according to the completeness of the records, being classified as excellent,
fair and poor. In the state of the RN, it also evaluated the presence of dissonance in
the notification of pregnant women and HIV + / AIDS women between the services of
Epidemiological Surveillance of the RN and the data available in SINAN / DATASUS.
In addition, it analyzed the behavior of the historical series of HIV + / AIDS pregnant
women, from 2000 to 2013, in Brazil, regions and federative units, according to race /
color, prenatal, age and schooling. For the analysis of the tendency of the coefficient
of HIV + / AIDS pregnant women, the polynomial regression method was used. We
selected contextual factors related to the epidemic and after multiple linear regression,
we selected those capable of explaining the percentage of variation of the coefficient
of HIV + / AIDS pregnant women. In the state of the RN, between 2007 and 2014, the
data showed a completeness considered excellent in the socio-demographic variables.
As for the variables related to prenatal care and delivery, it ranged from poor to regular.
Dissonance was identified in the notification of pregnant women and HIV + / AIDS
women between the services of Epidemiological Surveillance of the NB and the data
available in SINAN / DATASUS. HIV + / HIV pregnant women were characterized by
being in the reproductive age group, black, schooling less than eight years old and
living in the urban area. In Brazil, from 2000 to 2014, most socio-demographic variables
obtained excellent completeness, being regular for most variables related to prenatal
and childbirth. It was also observed that the epidemic has a heterogeneous behavior,
following a growing tendency in most states. In relation to the race / color, prenatal,
age and schooling variables, it can be observed that adolescents who did not have
prenatal, black and illiterate had a greater average annual increase in the coefficient
of HIV / AIDS infection. Among the contextual factors, the higher the number of men
infected with HIV, the greater the percentage of variation in the infection coefficient of
HIV + / AIDS pregnant women. The increase in the HDI and the White / Black Rate
corresponded to a decrease in the percentage of variation in the infection coefficient of HIV + / AIDS pregnant women. It is concluded that information systems, although
they allow a knowledge about HIV + / AIDS pregnant women, it is necessary to optimize
the notification of cases, increase the completeness and consequently the quality of
the information produced, be it at the national, state or municipal level, reducing the
dissonance Between the data produced at these three levels. The epidemiological
profile of HIV / AIDS pregnant women reflects the social vulnerability of these women,
reflected in the increase observed throughout the historical series and in contextual
factors correlated to it.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/22552 |
| Date | 28 November 2016 |
| Creators | Meirelles, Maria Quit?ria Batista |
| Contributors | 50337157472, http://lattes.cnpq.br/5835673385014578, Oliveira, Ana Katherine da Silveira Gon?alves de, 42252725400, Brito, Ana Maria de, 08558450404, http://lattes.cnpq.br/0105337613337822, Lima, K?nio Costa de |
| Publisher | PROGRAMA DE P?S-GRADUA??O EM CI?NCIAS DA SA?DE, UFRN, Brasil |
| Source Sets | IBICT Brazilian ETDs |
| Language | Portuguese |
| Detected Language | English |
| Type | info:eu-repo/semantics/publishedVersion, info:eu-repo/semantics/masterThesis |
| Source | reponame:Repositório Institucional da UFRN, instname:Universidade Federal do Rio Grande do Norte, instacron:UFRN |
| Rights | info:eu-repo/semantics/openAccess |
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