Mortality from HIV/AIDS in adolescents and young adults: a temporal time series
DOI:
https://doi.org/10.15253/2175-6783.20232485064Keywords:
Mortality; HIV; Acquired Immunodeficiency Syndrome; Adolescent; Young Adult.Abstract
Objective: to analyze the trends of mortality from HIV/AIDS in adolescents and young adults. Methods: ecological, time series investigation of deaths by HIV/AIDS in adolescents and young adults, from 2009-2019 in Brazil, in populated areas included in records from the System of Information on Mortality. We applied correcting factors to the mortality rates and carried out analysis using polynomial regression modeling. Results: we analyzed 6,344 deaths by HIV/AIDS in adolescents and young adults. We found high mortality rates in young adults when compared to adolescents. There was a growing trend in the north of the country, in the age group from 10 to 14. Mortality rates were higher among males in all regions, with a reduction in the mean rate for white persons and an increase for black/brown persons. Conclusion: there was an increasing trend, followed by a decrease in the last few years, with relevant differences between regions. The age group from 20 to 24 and males presented the highest mean rates of deaths from this disease. Contributions to practice: most of all, our findings give support to health planning, considering the specificities of the public and the regions with the most growing trends, thus helping improve public policies.
References
Suto CSS, Porcino CA, Almeida Junior JA, Silva DO, Oliveira DS, Teles MVAO. Social representations of basic care workers about the rapid test. Rev Min Enferm. 2019;23:e-1173. doi: http://www.dx.doi.org/10.5935/1415-2762.20190021
Joint United Nations Programme on HIV/AIDS (UNAIDS). Confronting inequalities [Internet]. 2022 [cited Feb 28, 2023]. Available from: https://unaids.org.br/estatisticas/
Organização Pan-Americana da Saúde (OPAS). HIV/Aids [Internet]. 2021 [cited Feb 28, 2023]. Available from: https://www.paho.org/pt/topicos/hivaids
Ministério da Saúde (BR). Secretaria de Vigilância em Saúde. Boletim Epidemiológico de HIV e Aids [Internet]. 2022 [cited Feb 28, 2023]. Available from:https://www.gov.br/aids/pt-br/centrais-de-conteudo/boletins-epidemiologicos/2022/hiv-aids
Bossonário PA, Ferreira MRL, Andrade RLDP, Sousa KDL, Bonfim RO, et al. Risk factors for HIV infection among adolescents and the youth: a systematic review. Rev Latino-Am Enfermagem. 2022;30 (spe):e3697. doi: http://doi.org/10.1590/1518-8345.6264.3697
Simões RMP, Santos JC, Façanha J, Erse M, Loureiro C, Marques LA, et al. Promoção do bem-estar em adolescentes: contributos do projeto+ Contigo. Port J Public Health. 2018;36(1):41-9. doi: https://doi.org/10.1159/000486468
Maia DAC, Costa IS, Almeida HS, Lopes DL, Souza CS. Perfil de adolescentes e jovens adultos portadores de HIV/AIDS na região nordeste brasileira entre os anos de 2004 e 2016. Adolesc Saúde [Internet]. 2019 [cited Feb 28, 2023];16(2):72-81. Available from: https://s3-sa-east-1.amazonaws.com/publisher.gn1.com.br/adolescenciaesaude.com/pdf/v16n2a09.pdf
Ramos GF, Silva AC. Mortality in adolescents and young adults with chronic diseases during 16 years: a study in a Latin American tertiary hospital. J Pediatr. 2019;95(6):667-73. doi: https://doi.org/10.1016/j.jped.2018.06.006
Instituto Brasileiro de Geografia e Estatística (IBGE). IBGE cidades [Internet]. 2019 [cited Feb 28, 2023]. Available from: https://cidades.ibge.gov.br/brasil/panorama
Almeida MSC, Sousa Filho LF, Rabello PM, Santiago BM. Classificação Internacional das Doenças - 11a revisão: da concepção à implementação. Rev Saúde Pública. 2020;54:104. doi: https://doi.org/10.11606/s1518-8787.2020054002120
World Health Organization (WHO). Adolescent Heath [Internet]. 2023 [cited Feb 28, 2023]. Available from: https://www.who.int/health-topics/adolescent-health/#tab=tab_1
Szwarcwald CL, Morais Neto OL, Frias PG, Souza Junior PRB, Escalante JJC, Lima RB, et al. Busca ativa de óbitos e nascimentos no Nordeste e na Amazônia Legal: estimação das coberturas do SIM e do Sinasc nos municípios brasileiros [Internet]. 2011 [cited Feb 28, 2023]. Available from: https://www.researchgate.net/publication/312580026_Busca_ativa_de_obitos_e_nascimentos_no_Nordeste_e_na_Amazonia_Legal_Estimacao_da_mortalidade_infantil_nos_municipios_brasileiros
Alves IN, Pires Filho LAS, Salviano ACS, Santos CA, Gastaldello GH, Pinheiro GN, et al. Perfil epidemiológico de adultos jovens (20 a 24 anos) com HIV/AIDS em uma cidade do interior paulista. Rev Eletr Acervo Saúde. 2020;57:e4164. doi: https://doi.org/10.25248/reas.e4164.2020
Reis MCO, Martins ALL, Carvalho RC, Moreira RCR, Peixoto MT, Souza SEB. Adolescents and young adults infected by the Human Papillomavirus (HPV): vulnerabilities and feelings experienced. Rev Gaúcha Enferm 2022;43:e20210228. doi:https://dx.doi.org/10.1590/1983-1447.2022.20210228.en
Costa MIF, Viana TRF, Pinheiro PNC, Cardoso MVLML, Barbosa LP, Luna IT. Social determinants of health and vulnerabilities to sexually transmitted infections in adolescents. Rev Bras Enferm. 2020;72(6):1595-601. doi: https://doi.org/10.1590/0034-7167-2018-0726
Moura LR, Torres LM, Cadete MMM, Cunha CF. Factors associated with health risk behaviors among Brazilian adolescents: an integrative review. Rev Esc Enferm USP. 2018;52:e03304. doi: https://doi.org/10.1590/S1980-220X2017020403304
Dallo L, Martins RA. Associação entre as condutas de risco do uso de álcool e sexo desprotegido em adolescentes numa cidade do Sul do Brasil. Ciênc Saúde Coletiva. 2018;23(1):303-14. doi: https://doi.org/10.1590/1413-81232018231.14282015
Santos MJO, Ferreira MMC, Ferreira EMS. Sexual and reproductive health risk behaviours: higher education students’ perceptions. Rev Bras Enferm. 2022;75:e20210712. doi: https://doi.org/10.1590/0034-7167-2021-0712
Rodrigues VCC, Lopes GF, Silveira GEL, Sousa IB, Sena MM, Lopes TSS, et al. Factors associated with the knowledge and attitude of adolescents regarding male condom use. Rev Bras Enferm. 2021;73(Suppl 4):e20190452. doi: https://doi.org/10.1590/0034-7167-2019-0452
Melo MC, Ferraz RO, Nascimento JL, Donalisio MR. Incidência e mortalidade por AIDS em crianças e adolescentes: desafios na região Sul do Brasil. Ciênc Saúde Coletiva. 2016;21(12):3889-98. doi: https://fx.doi.org/10.1590/1413-812320152112.11262015
Araújo EC, Monte PCB, Haber ANCA. Avaliação do pré-natal quanto à detecção de sífilis e HIV em gestantes atendidas em uma área rural do estado do Pará, Brasil. Rev Pan-Amaz Saúde. 2018;9(1):33-9. doi: http://dx.doi.org/10.5123/s2176-62232018000100005
Bekele T, Globerman J, Watson J, Hwang SW, Hambly K, Koornstra J, et al. Elevated mortality and associated social determinants of health in a community-based sample of people living with HIV in ontariocanada: Findings from the positive spaces, healthy places (PSHP) study. AIDS Behav. 2018;22(7):2214-23. doi: https://dx.doi.org/10.1007/s10461-018-2040-6
Brojan LE, Marca LM, Dias FA, Rattmann YD. Uso de antirretrovirais por pessoas vivendo com HIV/AIDS e sua conformidade com o Protocolo Clínico e Diretrizes Terapêuticas. Einstein (São Paulo). 2020;18:eAO4995. doi: http://dx.doi.org/10.31744/einstein_journal/2020AO4995
Paiva SS, Pedrosa NL, Galvão MTG. Spatial analysis of AIDS and the social determinants of health. Rev Bras Epidemiol. 2019;22:e190032. doi: https://dx.doi.org/10.1590/1980-549720190032
Pontes KG, Matsumura ESS, Cunha KC. Mortalidade em portadores de HIV/AIDS no Pará. Rev Bra Edu Saúde. 2020;10(4):146-53. doi: https://dx.doi.org/10.18378/rebes.v10i4.8144
