Perfil e Tendência de Mortalidade por HIV/AIDS em município de porte médio do estado do Paraná, 2008-2018

Abstract

The HIV/AIDS epidemic is dynamic, with changes in its incidence, prevalence and mortality. Risk behaviors, comorbidities and opportunistic diseases are related to this infection, as well as the lack of adherence to the treatment, which contribute to the increase of the mortality. The objective is to identify the epidemiological profile and mortality trend in people living with HIV/AIDS, in the city of Ponta Grossa/PR, from 2008 to 2018. This is an epidemiological study of the time series type, whose data from The mortality data were obtained from the Mortality Information System (SIM) and the epidemiological profile was collected from the notification forms of the Notifiable Diseases Information System (SINAN) and from the physical records of the Specialized Assistance Service of the Testing and Counseling Center (SAE). /CTA), population data were obtained from the Paraná Institute for Economic Development (IPARDES). Linear regression was used to analyze the mortality trend and the sociodemographic profile was described using frequency measures. It was observed: higher incidence of deaths for males (64%), with age between 31 to 50 years (58%), caucasian race (76%) and incomplete elementary education (25%). Most of the transmission was through sexual contact. It is noteworthy that in only 22% of the cases there was regular use of antiretroviral therapy and that in 65% of the cases the infected lived less than 5 years. The main professional groups found were Housewives (17.34%), followed by Extractive Industry and Civil Construction Workers (7.74%) and Transport and Tourism Services Workers (7.74%). The mortality trend was variable over the years of study, but when stratifying the period in 2008 - 2011 and 2012 - 2018, due to the change in the Death Certificate forms for the year 2011, it was possible to verify a significant growth trend for the first period (p = 0.0411) and an apparent downward trend in the final years (p = 0.1681). The main underlying diseases that led to death were in fact HIV-related diseases and among the main causes of death reported are the Human Immunodeficiency Virus Disease - HIV (ICD-10: B24, 49% of cases), the septicemia (ICD-10: A419, 23.53%) and pneumonia (ICD-10: J189, 15.17%). It is concluded that the HIV/AIDS mortality profile in Ponta Grossa is similar to the national records with regard to sex, age group, schooling, treatment and transmission, however, it differs in the tendency, sometimes increasing, sometimes decreasing of mortality from this disease. cause.