Trend of HIV/AIDS infections: aspects of occurrence in older adults between 2008 and 2018

Vieira, Chrystiany Plácido de Brito; Costa, Ana Clara dos Santos e Silva; Dias, Maria do Carmo Lopes; Araújo, Telma Maria Evangelista de; Galiza, Francisca Tereza de

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RESEARCH • Esc. Anna. Nery 25 (2) • 2021 • https://doi.org/10.1590/2177-9465-EAN-2020-0051 copy

Trend of HIV/AIDS infections: aspects of occurrence in older adults between 2008 and 2018

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective

this study aimed to analyze the sociodemographic, clinical and epidemiological profile of HIV/AIDS cases in older adults in the state of Piauí, Brazil.

Method

this is a descriptive study with retrospective collection, using secondary data from the Brazilian Information System for Notifiable Diseases, from 2008 to 2018. Data collection occurred from August to September 2019, with data processing and mapping performed using the TabWin software, version 3.6. Absolute and relative frequencies were calculated, as well as the incidence, using Microsoft Excel, version 7.0.

Results

from 2008 to 2018, there were 262 new cases of HIV/AIDS reported among older adults in the state, representing 4.5% of the total number of cases, with a growth trend in the period, in which 76.0% were aged 60-69 years old, 64.9% were male, 64.8% brown-skinned, 54.5% had low schooling, 53.4% lived in the city of Teresina, and 70.9% with transmission through heterosexual relationships.

Conclusion and implications for the practice

a growth trend in HIV/AIDS cases in older adults in the state of Piauí over the past 10 years was identified. The results of this study contribute to knowing the epidemiological dynamics of this condition in the state and to developing prevention and control strategies for this infection.

Keywords:
Aged; Notification; HIV; Acquired Immunodeficiency Syndrome; Sexually Transmitted Diseases; Epidemiology

Variables	2008	2009	2010	2011	2012	2013	2014	2015	2016	2017	2018	Abs. ^* * Abs.=Absolute. total	Total (%)
Age
60-69	8	8	13	12	16	24	14	23	27	33	21	199	76.0
70-79	3	2	7	2	6	1	5	8	3	10	5	52	19.8
≥80	-	1	-	1	-	-	3	1	2	1	2	11	4.2
*Abs. total**	11	11	20	15	22	25	22	32	32	44	28	262	100.0
Total (%)	4.2	4.2	7.6	5.7	8.4	9.5	8.4	12.2	12.2	16.8	10.8	100.0	-
Gender
Male	7	7	16	10	11	14	14	24	19	30	18	170	64.9
Female	4	4	4	5	11	11	8	8	13	14	10	92	35.1
*Abs. total**	11	11	20	15	22	25	22	32	32	44	28	262	100.0
Total (%)	4.2	4.2	7.6	5.7	8.4	9.5	8.4	12.2	12.2	16.8	10.8	100.0	-
Race
White	1	4	6	1	4	5	1	5	6	12	3	48	18.3
Black	4	1	1	1	3	6	3	2	5	5	5	36	13.7
Asian	-	-	-	-	-	-	-	-	-	-	-	-	0.0
Brown	6	5	13	12	15	13	18	25	19	24	20	170	64.9
Indigenous	-	-	-	1	-	-	-	-	-	-	-	1	0.4
Unknown	-	1	-	-	-	1	-	-	2	3	-	7	2.7
*Abs. total**	11	11	20	15	22	25	22	32	32	44	28	262	100.0
Total (%)	4.2	4.2	7.6	5.7	8.4	9.5	8.4	12.2	12.2	16.8	10.8	100.0	-
Schooling^ IES=Incomplete Elementary School; CES=Complete Elementary School; IHS=Incomplete High School; CHS=Complete High School; IHE=Incomplete Higher Education; CHE=Complete Higher Education.
None	3	2	7	2	1	5	3	2	2	6	4	37	14.1
IES	5	4	6	6	7	7	6	7	10	13	4	75	28.6
CES	-	1	7	3	5	7	6	12	5	13	9	68	26.0
HIS	-	-	-	2	3	3	-	1	4	1	4	18	6.9
CHS	1	1	-	1	4	1	3	-	2	1	2	16	6.1
IHE	-	-	-	-	-	-	-	1	-	1	-	2	0.8
CHE	-	-	-	-	-	1	-	1	1	3	1	7	2.7
Unknown	2	3	-	1	2	1	4	8	8	6	4	39	14.8
*Abs. total**	11	11	20	15	22	25	22	32	32	44	28	262	100.0
Total (%)	4.2	4.2	7.6	5.7	8.4	9.5	8.4	12.2	12.2	16.8	10.8	100.0	-
Municipality of residence^* ***** =219 cases per municipality of residence, not notifiable. Source: SINAN/SESAPI (2019)
Teresina	3	3	6	3	10	13	11	12	18	25	13	117	53.4
Coast Macro-Region	1	1	1	3	3	2	2	5	3	2	2	25	11.4
Mid-North Macro-region	3	-	3	3	5	3	2	2	5	1	2	29	13.2
Semiarid Macro-region	1	-	3	2	2	2	2	7	2	7	5	33	15.1
Closed Macro-Region	-		4	1	4	1	-	-	2	2	1	15	6.9
*Abs. total**	8	4	17	12	24	21	17	26	30	37	23	219	100.0
Total (%)	3.1	1.5	6.5	4.6	9.2	8.0	6.5	9.9	11.5	14.1	8.8	100.0	-

Diagnosis Year	<60 years old	>60 years old	Total
Diagnosis Year	n(%)	n(%)	N
2008	264(96.0)	11(4.0)	275
2009	311(96.6)	11(3.4)	322
2010	362(94.8)	20(5.2)	382
2011	302(95.3)	15(4.7)	317
2012	436(95.2)	22(4.8)	458
2013	493(95.2)	25(4.8)	518
2014	590(96.4)	22(3.6)	612
2015	569(94.7)	32(5.3)	601
2016	594(94.9)	32(5.1)	626
2017	801(94.8)	44(5.2)	845
2018	865(96.9)	28(3.1)	893
Total	5,587(95.5)	262(4.5)	5,849

Variables	2008-2018 ^* * Each column corresponds to one year, in sequence: 2008, 2009, 2010, 2011, 2012, 2013, 2014, 2015, 2016, 2017, and 2018.											Abs. total**	Total (%)
Definition criteria^* ***** =n 190. Source: SINAN/SESAPI (2019).
Adapted CDC	5	9	11	7	16	16	11	13	11	14	6	119	62.6
RJ/Caracas	5	-	8	6	6	8	7	9	12	6	4	71	37.4
Abs. ^ Abs.=Absolute. total	10	9	19	13	22	24	18	22	23	20	10	190	100
Total (%)	5.3	4.7	10	6.8	11.6	12.6	9.5	11.6	12.1	10.5	5.3	100	-
Transmission mode
Homosexual	1	-	1	-	-	2	1	2	1	-	1	9	3.4
Bisexual	-	-	1	-	1	-	-	1	-	3	-	6	2.3
Heterosexual	8	10	15	11	17	17	16	21	21	25	25	186	70.9
Drugs	-	-	-	-	-	-	-	-	-	1	-	1	0.4
Perinatal	-	-	-	-	-	1	1	-	-	1	-	3	1.1
Unknown	2	1	3	4	4	5	4	8	10	14	2	57	21.9
Abs. total**	11	11	20	15	22	25	22	32	32	44	28	262	100
Total (%)	4.2	4.2	7.6	5.7	8.4	9.6	8.4	12.2	12.2	16.8	10.7	100	-
Evolution
Alive	8	11	15	11	17	20	18	24	24	31	25	204	77.9
Death due to AIDS	3	-	4	3	4	5	4	6	8	7	3	47	17.9
Death due to other causes	-	-	-	-	1	-	-	2	-	-	-	3	1.1
Unknown	-	-	1	1	-	-	-	-	-	6	-	8	3.1
Abs. total**	11	11	20	15	22	25	22	32	32	44	28	262	100
Total (%)	4.2	4.2	7.6	5.7	8.4	9.6	8.4	12.2	12.2	16.8	10.7	100	-

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[1] Corresponding author: Chrystiany Plácido de Brito Vieira. E-mail: chrystianyplacido@yahoo.com