Magnitude of visceral leishmaniasis and HIV coinfection and association with social determinants of health in the Northeast region of Brazil: a retrospective, spatiotemporal model (2010-2018)

被引:3
作者
dos Reis, Erica Santos [1 ,2 ]
Nunes Ribeiro, Caique Jordan [3 ]
dos Santos, Allan Dantas [3 ]
Araujo, Damiao da Conceicao [2 ]
Bezerra-Santos, Marcio [1 ,2 ]
da Silva, Eliete Rodrigues [4 ]
Santos, Rogerio Silva [5 ]
Paz, Wandklebson Silva [6 ]
Santos Ramos, Rosalia Elen [6 ]
dos Santos, Priscila Lima [2 ]
Lipscomb, Michael Wheeler [7 ]
de Araujo, Karina Conceicao Gomes M. [2 ]
de Moura, Tatiana Rodrigues [1 ,2 ]
机构
[1] Univ Fed Sergipe, Parasit Biol Grad Program, Marechal Rondon Ave, BR-49100000 Sao Cristovao, Sergipe, Brazil
[2] Univ Fed Sergipe, Hlth Sci Grad Program, Claudio Batista St 505, BR-49060108 Aracaju, Sergipe, Brazil
[3] Univ Fed Sergipe, Nursing Grad Program, Marechal Rondon Ave, BR-49100000 Sao Cristovao, Sergipe, Brazil
[4] Univ Sergipe, Dept Nursing, Claudio Batista St 505, BR-49060108 Aracaju, Sergipe, Brazil
[5] Univ Fed Sergipe, Dept Pharm, Marechal Rondon Ave, BR-49100000 Sao Cristovao, Sergipe, Brazil
[6] Univ Fed Pernambuco, Med Trop Grad Program, Prof Moraes Rego Ave,Cidade Univ, BR-50670901 Recife, PE, Brazil
[7] Howard Univ, Dept Biol, Washington, DC 20059 USA
关键词
Epidemiology; Spatial analysis; Spatial regression; Neglected diseases; NEGLECTED TROPICAL DISEASES; MINAS-GERAIS; STATE; REGRESSION;
D O I
10.1007/s00436-022-07450-6
中图分类号
R38 [医学寄生虫学]; Q [生物科学];
学科分类号
07 ; 0710 ; 09 ; 100103 ;
摘要
The Northeast region of Brazil (NRB) includes the states with the highest prevalence of visceral leishmaniasis (VL), as well as those with significant increases in HIV cases. This study aims to analyze the spatiotemporal patterns of VL-HIV coinfection and its association with the social determinants of health (SDH) in the NRB. Time trend analysis and Bayesian spatial statistical inferences, Moran's autocorrelation, and retrospective space-time scanning were performed. Spatial regression modelling was used to build an explanatory model for the occurrence of VL-HIV coinfection within NRB. A total of 1550 cases of VL-HIV coinfection were confirmed. We observed a higher prevalence among males (1232; 83%), individuals aged from 20 to 59 years (850; 54.8%), non-white skin color (1,422; 91.7%), and with low education (550; 35.48%). NRB showed an increasing and significant trend in the detection rate of coinfection (APC, 5.3; 95% CI, 1.4 to 9.4). The states of Maranhao and Piaui comprised the high-risk cluster. The SDH that most correlated with the occurrence of coinfection were poor housing, low income, and low education. VL-HIV is dispersed in the NRB but chiefly affects states with greater social vulnerability. Taken together, these findings reinforce the necessity to implement surveillance strategies that will contribute to the reduction of cases in these populations.
引用
收藏
页码:1021 / 1031
页数:11
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