AIDS epidemic in the triple frontier: subsidies for professional practice

A total of 1427 cases of AIDS were registered, and 82.1% were aged 20-49 years and 56% in males. The relationship man/woman went from 9/1 to 1/1 and increased the number of cases among individuals with more years of education, also, people aged more than 50 years old the age group from 20 to 34 years old. The most common exposure category was heterosexual, significantly higher among women; on the other hand, drug injection use was associated with male gender.

Conclusion:

seeking to embrace the changes in the epidemiological scenario of AIDS, nursing professionals should implement intervention strategies for people identified as the most vulnerable to HIV infection.

Descriptors:
Acquired Immune Deficiency Syndrome; Nursing; Epidemiological Profile

	Male			Female			Dif Coef^ Diff Coef: Difference among coefficients.	Gender Ratio
Period	n	%	Coef^* * Coef: Coefficient;	n	%	Coef
1988 -1992	29	3.6	6.3	3	0.5	0.6	5.7	9.6/1
1993 -1997	106	13.2	19.7	68	10.8	12.5	7.2	1.5/1
1998 -2002	241	30.1	37.2	177	28.2	26.7	10.5	1.3/1
2003 -2007	197	24.6	26.7	158	25.1	20.8	5.9	1.2/1
2008 -2012	226	28.3	32.8	222	35.3	30.7	1.9	1/1
Total	799	100	26.0	628	100	19.9	-	-

Variables	1988 - 1992		1993 -1997		1998 - 2002		2003 - 2007		2008 - 2012
Variables	Male
Exposure Category	n	%	n	%	n	%	n	%	n	%
Homossexual	02	6.9	10	9.4	21	8.7	12	6.1	20	8.8
Bissexual	02	6.9	06	5.6	14	5.8	06	3.0	03	1.3
Heterossexual	02	6.9	49	46.2	126	52.3	112	56.8	129	57.1
UID^* * Use of Injected Drugs.	22	75.8	34	32.1	53	22	18	9.1	14	6.2
Hemophiliac	01	3.5	-	-	-	-	-	-	-	-
Vertical Transmission	-	-	05	4.7	11	4.5	10	5.1	01	0.4
Ignored	-	-	02	1.9	16	6.6	39	19.8	59	26.1
Total	29	100	106	100	241	100	197	100	226	100
	Female
Exposure category	n	%	n	%	n	%	n	%	n	%
Homossexual	-	-	-	-	-	-	-	-	-	-
Bissexual	-	-	-	-	-	-	-	-	-	-
Heterossexual	01	33.3	43	63.2	149	84.2	109	69.0	135	60.8
UID^* * Use of Injected Drugs.	02	66.6	17	25	15	8.4	05	3.1	04	1.8
Hemophiliac	-	-	-	-	-	-	-	-	-	-
Vertical Transmission	-	-	08	11.7	05	2.8	10	6.3	04	1.8
Ignored	-	-	-	-	08	4.5	34	21.5	79	35.6
Total	03	100	68	100	177	100	158	100	222	100

Variables	1988 - 1992		1993 - 1997		1998 - 2002		2003 - 2007		2008 - 2012
Variables	Male
Age group	n	%	n	%	n	%	n	%	n	%
< 1 - 14	-	-	05	4.7	12	4.9	18	9.1	7	2.6
15 - 19	01	3.4	05	4.7	05	2.1	-	-	01	0.4
20 - 34	20	69.0	58	54.7	138	57.2	71	36.0	60	26.5
35 - 49	06	20.7	33	31.1	72	29.9	80	40.6	123	54.4
50 - 64	02	6.9	04	3.8	10	4.1	27	13.7	32	14.1
65 - 79	-	-	01	0.9	04	1.6	01	0.5	04	1.7
Total	29	100	106	100	241	100	197	100	226	100
	Female
Age group	n	%	n	%	n	%	n	%	n	%
< 1 - 14	01	33.3	08	11.8	08	4.4	16	10.1	09	4.2
15 - 19	-	-	09	13.2	12	6.8	02	1.2	07	3.1
20 - 34	01	33.3	38	55.9	110	62.1	69	43.6	91	41.0
35 - 49	01	33.3	11	16.2	41	23.1	59	37.3	90	40.5
50 - 64	-	-	02	2.9	05	2.8	10	6.3	24	10.8
65 - 79	-	-	-	-	01	0.5	02	1.2	01	0.4
Total	03	100	68	100	177	100	158	100	222	100

Variables	1988 - 1992		1993 - 1997		1998 - 2002		2003 - 2007		2008 - 2012
Variables	Male
*Education^ * In years of study.**	n	%	n	%	n	%	n	%	n	%
None	-	-	04	3.8	18	7.5	05	2.5	19	8.4
From 1 to 3	16	55.2	35	33.0	80	33.2	28	14.2	43	19.0
From 4 to 7	10	34.5	44	41.5	83	34.4	89	45.2	65	28.8
From 8 to 11	01	3.4	15	14.1	34	14.1	49	24.9	41	18.1
12 or more	02	6.9	04	3.8	13	5.4	16	8.1	46	20.4
Ignored	-	-	04	3.8	13	5.4	10	5.1	12	5.3
Total	29	100.0	106	100.0	241	100.0	197	100.0	226	100.0
	Female
*Education^ * In years of study.**	n	%	n	%	n	%	n	%	n	%
None	-	-	02	2.9	08	4.5	10	6.3	20	9.0
From 1 to 3	01	33.3	23	33.9	65	36.8	33	20.9	42	18.9
From 4 to 7	02	66.7	29	42.7	64	36.1	65	41.2	64	28.8
From 8 to 11	-	-	06	8.8	24	13.6	32	20.3	41	18.5
12 or more	-	-	02	2.9	08	4.5	08	5.0	44	19.8
Ignored	-	-	06	8.8	08	4.5	10	6.3	11	5.0
Total	03	100.0	68	100.0	177	100.0	158	100.0	222	100.0

Variables	Male		Female		*p value^ * Teste de Qui-quadrado.**	OR
Age group	n	%	n	%	*p value^ * Teste de Qui-quadrado.**	OR
< 1 to 14	41	5.1	42	6.7	0.21	0.8
15 to 19	12	1.5	30	4.8	<0.001^ Correção de Yates.	0.3
20 to 34	347	43.4	309	49.3	0.03	0.8
35 to 49	314	39.3	202	32.1	0.005	1.4
50 or more	85	10.6	45	7.1	0.02	1.5
Exposure category
Heterossexual	418	71.4	437	86.2	<0.001	0.5
IDU	141	24.0	43	8.5	<0.001	2.9
Vertical transmission	27	4.6	27	5.3	0.44^ Correção de Yates.	0.8
Education
None	46	5.8	40	6.4	0.629	0.9
From 1 to 3	202	25.6	164	26.1	0.720	0.9
From 4 to 7	291	36.4	224	35.7	0.769	1.0
From 8 to 11	140	17.5	103	16.4	0.576	1.1
12 or more	81	10.1	62	9.9	0.868	1.0
Ignored	39	4.9	35	5.6	0.558	0.9
Period
1988-1992	29	3.6	3	0.5	<0.001^ Correção de Yates.	7.8
1993-1997	106	13.2	68	10.8	0.16	1.3
1992-2002	241	30.1	177	28.2	0.41	1.1
2003-2007	197	24.6	158	25.1	0.82	1.0
2008-2012	226	28.3	222	35.3	0.004	0.7

Associação Brasileira de Enfermagem SGA Norte Quadra 603 Conj. "B" - Av. L2 Norte 70830-102 Brasília, DF, Brasil, Tel.: (55 61) 3226-0653, Fax: (55 61) 3225-4473 - Brasília - DF - Brazil
E-mail: reben@abennacional.org.br

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[1] CORRESPONDING AUTHOR: Guilherme Oliveira de Arruda. E-mail: enfgoa@gmail.com