AIDS mortality and socioeconomic indexes in the city of Sao Paulo, 1994-2002

Norma Farias Maria Regina A Cardoso About the authors

OBJECTIVE: To investigate the correlation between AIDS mortality rates and social inclusion/exclusion indexes among male and female populations aged between 25 to 49 years. METHODS: The study was carried out in 96 administrative districts of the municipality of São Paulo in the period 1994-2002. Mortality data were collected from the Program for Improving Local Mortality Data and from population estimates based on the 1991 and 2000 census of the State System Data Analysis (SEADE) Institute and the Municipal Department of Planning. The indicators were obtained from the city's map of exclusion (1996 and 2000). Statistical analysis was performed using Pearson's correlation test (at 5% level). RESULTS: A significant positive correlation was seen among men between AIDS mortality and the district life quality index from 1994 to 1998 (p<0.05). Among women, a significant negative correlation (p<0.05) was seen for the whole study period between AIDS mortality and the equity index, which measures the proportion of illiterate women who are family heads. From 2000, it was also observed a significant negative correlation (p<0.05) among women between AIDS mortality and the global social exclusion index. CONCLUSIONS: The study results suggest a shift of AIDS mortality to exclusion areas and might indicate a relationship between AIDS mortality and socioeconomic factors. Further epidemiological and social sciences studies are needed to investigate these associations.

Acquired immunodeficiency syndrome; Health surveys; Mortality rate; Socioeconomic factors; Residence characteristics; Sex distribution; Age distribution; Social inequity

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