TY - JOUR
T1 - Magnitude of visceral leishmaniasis and HIV coinfection and association with social determinants of health in the Northeast region of Brazil
T2 - a retrospective, spatiotemporal model (2010–2018)
AU - dos Reis, Erica Santos
AU - Ribeiro, Caíque Jordan Nunes
AU - dos Santos, Allan Dantas
AU - da Conceição Araújo, Damião
AU - Bezerra-Santos, Márcio
AU - da Silva, Eliete Rodrigues
AU - Santos, Rogério Silva
AU - Paz, Wandklebson Silva
AU - Ramos, Rosália Elen Santos
AU - dos Santos, Priscila Lima
AU - Lipscomb, Michael Wheeler
AU - de Araújo, Karina Conceição Gomes M.
AU - de Moura, Tatiana Rodrigues
N1 - Funding Information:
This work was supported by the Fundação de Apoio a Pesquisa e à Inovação Tecnológica do Estado de Sergipe (FAPITC/SE) (EDITAL FAPITEC/SE/FUNTEC/CAPES N° 07/2018). The funding helped in the conception of the study and collection and analysis of the data.
Publisher Copyright:
© 2022, The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
PY - 2022/3
Y1 - 2022/3
N2 - The Northeast region of Brazil (NRB) includes the states with the highest prevalence of visceral leishmaniasis (VL), as well as those with significant increases in HIV cases. This study aims to analyze the spatiotemporal patterns of VL-HIV coinfection and its association with the social determinants of health (SDH) in the NRB. Time trend analysis and Bayesian spatial statistical inferences, Moran’s autocorrelation, and retrospective space–time scanning were performed. Spatial regression modelling was used to build an explanatory model for the occurrence of VL-HIV coinfection within NRB. A total of 1550 cases of VL-HIV coinfection were confirmed. We observed a higher prevalence among males (1232; 83%), individuals aged from 20 to 59 years (850; 54.8%), non-white skin color (1,422; 91.7%), and with low education (550; 35.48%). NRB showed an increasing and significant trend in the detection rate of coinfection (APC, 5.3; 95% CI, 1.4 to 9.4). The states of Maranhão and Piauí comprised the high-risk cluster. The SDH that most correlated with the occurrence of coinfection were poor housing, low income, and low education. VL-HIV is dispersed in the NRB but chiefly affects states with greater social vulnerability. Taken together, these findings reinforce the necessity to implement surveillance strategies that will contribute to the reduction of cases in these populations.
AB - The Northeast region of Brazil (NRB) includes the states with the highest prevalence of visceral leishmaniasis (VL), as well as those with significant increases in HIV cases. This study aims to analyze the spatiotemporal patterns of VL-HIV coinfection and its association with the social determinants of health (SDH) in the NRB. Time trend analysis and Bayesian spatial statistical inferences, Moran’s autocorrelation, and retrospective space–time scanning were performed. Spatial regression modelling was used to build an explanatory model for the occurrence of VL-HIV coinfection within NRB. A total of 1550 cases of VL-HIV coinfection were confirmed. We observed a higher prevalence among males (1232; 83%), individuals aged from 20 to 59 years (850; 54.8%), non-white skin color (1,422; 91.7%), and with low education (550; 35.48%). NRB showed an increasing and significant trend in the detection rate of coinfection (APC, 5.3; 95% CI, 1.4 to 9.4). The states of Maranhão and Piauí comprised the high-risk cluster. The SDH that most correlated with the occurrence of coinfection were poor housing, low income, and low education. VL-HIV is dispersed in the NRB but chiefly affects states with greater social vulnerability. Taken together, these findings reinforce the necessity to implement surveillance strategies that will contribute to the reduction of cases in these populations.
KW - Epidemiology
KW - Neglected diseases
KW - Spatial analysis
KW - Spatial regression
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U2 - 10.1007/s00436-022-07450-6
DO - 10.1007/s00436-022-07450-6
M3 - Article
C2 - 35142927
AN - SCOPUS:85124556441
SN - 0932-0113
VL - 121
SP - 1021
EP - 1031
JO - Parasitology Research
JF - Parasitology Research
IS - 3
ER -