| dc.description.abstract | The epidemiological profile of HIV / AIDS infection in Brazil has undergone
changes in recent years, the phenomenon known as feminization of the epidemic,
characterized by the increase in the number of cases in women of childbearing age
and consequent increase in the risk of vertical transmission. The study describes the
epidemiological profile of HIV + / AIDS pregnant women in Rio Grande do Norte (RN)
and Brazil and analyzes the quality of the data available in the National Information
System for Notification Diseases (SINAN). The quality of the available data was
evaluated according to the completeness of the records, being classified as excellent,
fair and poor. In the state of the RN, it also evaluated the presence of dissonance in
the notification of pregnant women and HIV + / AIDS women between the services of
Epidemiological Surveillance of the RN and the data available in SINAN / DATASUS.
In addition, it analyzed the behavior of the historical series of HIV + / AIDS pregnant
women, from 2000 to 2013, in Brazil, regions and federative units, according to race /
color, prenatal, age and schooling. For the analysis of the tendency of the coefficient
of HIV + / AIDS pregnant women, the polynomial regression method was used. We
selected contextual factors related to the epidemic and after multiple linear regression,
we selected those capable of explaining the percentage of variation of the coefficient
of HIV + / AIDS pregnant women. In the state of the RN, between 2007 and 2014, the
data showed a completeness considered excellent in the socio-demographic variables.
As for the variables related to prenatal care and delivery, it ranged from poor to regular.
Dissonance was identified in the notification of pregnant women and HIV + / AIDS
women between the services of Epidemiological Surveillance of the NB and the data
available in SINAN / DATASUS. HIV + / HIV pregnant women were characterized by
being in the reproductive age group, black, schooling less than eight years old and
living in the urban area. In Brazil, from 2000 to 2014, most socio-demographic variables
obtained excellent completeness, being regular for most variables related to prenatal
and childbirth. It was also observed that the epidemic has a heterogeneous behavior,
following a growing tendency in most states. In relation to the race / color, prenatal,
age and schooling variables, it can be observed that adolescents who did not have
prenatal, black and illiterate had a greater average annual increase in the coefficient
of HIV / AIDS infection. Among the contextual factors, the higher the number of men
infected with HIV, the greater the percentage of variation in the infection coefficient of
HIV + / AIDS pregnant women. The increase in the HDI and the White / Black Rate
corresponded to a decrease in the percentage of variation in the infection coefficient of HIV + / AIDS pregnant women. It is concluded that information systems, although
they allow a knowledge about HIV + / AIDS pregnant women, it is necessary to optimize
the notification of cases, increase the completeness and consequently the quality of
the information produced, be it at the national, state or municipal level, reducing the
dissonance Between the data produced at these three levels. The epidemiological
profile of HIV / AIDS pregnant women reflects the social vulnerability of these women,
reflected in the increase observed throughout the historical series and in contextual
factors correlated to it. | |
