Spatial analysis of AIDS in the state of Maranhão: an ecological study 2011-2018

Author:

Sousa Livia Cristina1ORCID,Silva Tereza Cristina2ORCID,Ferreira Thaís Furtado1ORCID,Caldas Arlene de Jesus Mendes1ORCID

Affiliation:

1. Universidade Federal do Maranhão., Brazil

2. Instituto Federal de Educação, Ciência e Tecnologia, Brazil

Abstract

ABSTRACT Objective: Analyze the spatio-temporal distribution of AIDS cases in Maranhão. Methods: Ecological study of AIDS cases in the Notifiable Diseases Information System, 2011-2018. Gross and adjusted incidences were calculated using the Baysean method; then, the Moran Global and Local Indices to observe the existence of spatial autocorrelation of the cases and for the delimitation of high and low risk clusters. Results: 6,349 cases were reported, which were distributed heterogeneously. There was an advance of cases to new areas and persistence in old areas, such as in the capital São Luís and its surroundings. The dissemination did not occur at random, with positive spatial autocorrelation, with evidence of the formation of clusters in the municipalities of São Luís, São José de Ribamar and Paço do Lumiar. Conclusion: High-risk areas have been identified and should be considered a priority for investment in health, management, and organization of health services.

Publisher

FapUNIFESP (SciELO)

Subject

General Nursing

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