Surveillance of HIV transmission: Socioeconomic indicators and health care coverage

Laboratório de Informações em Saúde, Instituto de Comunicação e Informação Científica e Tecnológica em Saúde, Fundação Oswaldo Cruz, Avenida Brasil 4365-Manguinhos, Rio de Janeiro, RJ, Brazil. xris@fi
Revista de saude publica (Impact Factor: 0.73). 12/2009; 43(6):1006-14. DOI: 10.1590/S0034-89102009005000070
Source: PubMed


To identify clustering areas of infants exposed to HIV during pregnancy and their association with indicators of primary care coverage and socioeconomic condition.
Ecological study where the unit of analysis was primary care coverage areas in the city of Porto Alegre, Southern Brazil, in 2003. Geographical Information System and spatial analysis tools were used to describe indicators of primary care coverage areas and socioeconomic condition, and estimate the prevalence of liveborn infants exposed to HIV during pregnancy and delivery. Data was obtained from Brazilian national databases. The association between different indicators was assessed using Spearman's nonparametric test.
There was found an association between HIV infection and high birth rates (r=0.22, p<0.01) and lack of prenatal care (r=0.15, p<0.05). The highest HIV infection rates were seen in areas with poor socioeconomic conditions and difficult access to health services (r=0.28, p<0.01). The association found between higher rate of prenatal care among HIV-infected women and adequate immunization coverage (r=0.35, p<0.01) indicates that early detection of HIV infection is effective in those areas with better primary care services.
Urban poverty is a strong determinant of mother-to-child HIV transmission but this trend can be fought with health surveillance at the primary care level.

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Available from: Lisiane Acosta, Jun 05, 2014
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    • "b) social and economic issues: unemployment, poverty, difficult access to health services and education, and the number of people living in the house are factors that may contribute to characterize economic difficulties. Barcellos et al., (2009) [37] mention that urban poverty represents a strong conditioning factor for vertical transmission of HIV. However, the action of health surveillance services in association with the basic attention can overcome this tendency. "
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