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Previous issue date: 2015-02-27 / O perfil epidemiol?gico dos indiv?duos que desenvolvem aids no Brasil mudou no decorrer do tempo. Dentre estas modifica??es, um dado preocupante ? o aumento da incid?ncia de aids em idosos em todo pa?s. Mas, no entanto, ainda n?o est? claro se o aumento dos casos de aids ? suficiente para produzir uma mudan?a nas medidas de tend?ncia nos ?ltimos anos nos estados brasileiros, e se esse aumento possui um efeito a partir dos indicadores socioecon?mico-demogr?ficos. Neste sentido, o objetivo do presente estudo ? analisar as taxas de incid?ncia de aids em idosos no Brasil e o seu efeito nas desigualdades socioecon?mico-demogr?ficas, no per?odo de 2000 a 2012. Trata-se de um estudo ecol?gico de s?ries temporais para conhecer o comportamento da s?rie hist?rica das taxas de incid?ncia de aids em idosos no per?odo de 2000 a 2012. As taxas foram calculadas utilizando os dados secund?rios do Sistema de Informa??o de Agravos de Notifica??o e do Instituto Brasileiro de Geografia e Estat?stica. Os dados foram submetidos a tratamento estat?stico para conhecer as tend?ncias das taxas de incid?ncia, atrav?s do modelo de regress?o polinomial e do modelo de regress?o log-linear joinpoint, como tamb?m, a an?lise de regress?o linear simples para conhecer a rela??o das tend?ncias com as vari?veis socioecon?mico-demogr?ficas. Foram utilizados os programas SPSS 20.0? e Joinpoint 4.1.1. Todos os testes foram realizados considerando uma signific?ncia estat?stica de 5%. Ap?s a an?lise, no Brasil foram notificados 62.052 casos novos de aids em idosos no per?odo de 2000 a 2012. Neste per?odo, foi encontrado um crescimento significativo para o sexo masculino, tanto na faixa et?ria de 50 a 59 anos (APPC: 3,46%; p<0,001), como acima de 59 anos de (AAPC: 4,38%; p<0,001). Para o sexo feminino, o crescimento foi significativo e possui os maiores incrementos da s?rie hist?rica, quando comparado ao sexo masculino, nas duas faixas et?rias, (AAPC: 4,62%; p<0,001 e AAPC: 6,53%; p<0,001) respectivamente. Os maiores incrementos s?o observados em mulheres e nos estados das Regi?es Norte e Nordeste. Nos estados da Regi?o Sudeste observa-se estabiliza??o das taxas em toda s?rie hist?rica. As tend?ncias da raz?o entre os sexos tiveram uma redu??o significativa, como tamb?m, uma aproxima??o nas duas faixas et?rias do estudo, chegando a uma propor??o de 1,7 homens para cada mulher na faixa et?ria mais jovem. As tend?ncias estiveram relacionadas com as taxas de analfabetismo, com o aumento da desigualdade social e com o menor desenvolvimento humano nos estados brasileiros. Conclui-se que no Brasil a incid?ncia de aids em idosos segue uma tend?ncia de aumento em indiv?duos maiores de 50 anos. Destacam-se os maiores ?ndices do estudo em mulheres e nos estados das Regi?es Norte e Nordeste. Nesse sentido, o pa?s precisa aprimorar as pol?ticas voltadas aos idosos com DST/aids, capacitando profissionais de sa?de e desenvolvendo medidas eficazes para a preven??o e diagn?stico precoce das pessoas contaminadas, principalmente em locais com recursos limitados e com alta desigualdade social. Em longo prazo, cabe desenvolver novos estudos para compreender se as medidas tomadas foram eficazes para reduzir as tend?ncias apontadas neste estudo. / The characteristics profile of individuals who develop AIDS in Brazil has changed over time. Among these modifications, a worrying finding is the increased incidence of AIDS in the elderly across the country. But, however, is not yet clear whether the increase in AIDS cases is sufficient to produce a change in the trend of measures in recent years in the Brazilian states, and this increase has an effect from the socioeconomic and demographic indicators. In this sense, the objective of this study is to analyze the AIDS incidence rates among the elderly in Brazil and its effect on socioeconomic and demographic inequalities in the period 2000 to 2012. This is an ecological time-series study to meet behavior of the time series of the incidence rates of AIDS in the elderly from 2000 to 2012. the rates were calculated using the secondary data from Diseases Information System Notification and the Brazilian Institute of Geography and Statistics. Data were analyzed statistically to know the trends in incidence rates, by polynomial regression model and joinpoint log-linear regression model, but also the simple linear regression analysis to find the relationship of trends with variables socioeconomic and demographic. SPSS 20.0? and Joinpoint 4.1.1 programs were used. All tests were carried out considering a significance of 5%. After the analysis, in Brazil were reported 62,052 new cases of AIDS in the elderly from 2000 to 2012. During this period, a significant increase was found for males, both aged 50-59 years (APPC: 3.46 %, p <0.001), such as above 59 years (AAPC: 4.38%; p <0.001). For females, the increase was significant and has the largest increments in the time series, when compared to males in both age groups (AAPC: 4.62%, p <0.001 and AAPC: 6.53%; p <0.001) respectively. The largest increases are observed in women and in the states of North and Northeast. In the Southeast Region is observed stabilization of rates throughout the series. The reason of trends between the sexes had a significant reduction, but also an approach in both age groups of the study, reaching a ratio of 1.7 males for every female in the youngest age group. The trends were related to illiteracy rates, with increasing social inequality and the lowest human development in the Brazilian states. We conclude that in Brazil the incidence of AIDS in the elderly follows an increasing trend in individuals over 50 years. Noteworthy are the highest rates of study in women and in the states of North and Northeast. In this sense, the country needs to enhance policies towards older people with STD / AIDS, training health professionals and developing effective measures for the prevention and early diagnosis of infected people, especially in places with limited resources and high social inequality. In the long term, it is developing new studies to understand whether the measures taken were effective in reducing the trends identified in this study.
| Identifer | oai:union.ndltd.org:IBICT/oai:repositorio.ufrn.br:123456789/21214 |
| Date | 27 February 2015 |
| Creators | Santos, Marquiony Marques dos |
| Contributors | 50337157472, http://lattes.cnpq.br/5835673385014578, Brito, Ana Maria de, 08558450404, http://lattes.cnpq.br/0105337613337822, Ferreira, Maria Angela Fernandes, 39817270459, http://lattes.cnpq.br/4036539286429296, Lima, Kenio Costa de |
| Publisher | Universidade Federal do Rio Grande do Norte, PROGRAMA DE P?S-GRADUA??O EM SA?DE COLETIVA, 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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