Aids em pessoas de 50 anos e mais no Brasil no período de 2007 ─ 2017 : tendência e características

Abstract

HIV / AIDS, even after advances in treatment, is still a public health problem. It is observed that the epidemiological profile of HIV / AIDS has undergone changes, one of which is a significant increase in the incidence of AIDS in adults aged 50 and over. Objective: to analyze the temporal trend in the incidence of AIDS in people aged 50 and over in Brazil, from 2007 to 2017. Method: ecological study, of time series, of the incidence rates in people aged 50 years and over in Brazil, in the period from 2007 to 2017. The study scenario was Brazil and its geographic regions. The study population consisted of 49,188 AIDS cases in people aged 50 and over. Data were collected in September and October 2019, using two secondary sources. AIDS cases were obtained from the Disease Information and Notification System and population data from the Brazilian Institute of Geography and Statistics. Descriptive analysis and generalized linear regression were performed using the Prais-Winsten method. Results: the trend in the incidence of AIDS was stable in Brazil (annual percentage change of 10.7; 95% CI -3.1; 26.4) and in the South (annual percentage variation of 8.4; 95% CI -7, 1; 26.5), Southeast (annual percentage change of 4.9; 95% CI - 5.3; 16.2) and Midwest (annual percentage change of 12.2; 95% CI -5.3; 33, 0) in people aged 50 and over. In the North (annual percentage change of 16.6; 95% CI 4.2; 30.5) and Northeast (annual percentage change of 20.6; 95% CI 5.1; 38.3) there was an increasing trend in the incidence AIDS in the cases analyzed. The largest number of cases was observed in the age group between 50 to 59 years (72.4%), in the male gender (62.2%), in the race / white color (47.7%), in the education from 5th to 8th incomplete series (22.5%) and in the heterosexual exposure category (66.4%). Conclusion: there was stability in the incidence of AIDS in people aged 50 years in Brazil in the period from 2007 to 2017, with a predominance of the age group of 50 to 59 years old, male, white, with low education and heterosexuals. In the same period there was an increase in the incidence of AIDS in this population in the North and Northeast regions. AIDS in older people is relevant in the epidemiological context, pointing to the need for health services to include this group in disease prevention actions in the country and in the regions.