title: Spatial dynamics of AIDS incidence in the elderly in Rio de Janeiro, Brazil, 1997-2011.
abstract: The dynamics of the spread of the AIDS epidemic ranges according to the characteristics of each geographical region in different population groups. The aim of this study was to evaluate spatial and temporal trends of the AIDS epidemic among the elderly in the State of Rio de Janeiro, Brazil. A retrospective study using spatial analysis techniques was conducted among AIDS cases (≥ 60 years) diagnosed from 1997-2011. The Poisson regression model was used to assess the relationship between year of diagnosis and incidence of AIDS, adjusted by sex. The AIDS epidemic began in the south coast of the state and gradually reached neighboring cities. The highest rates were found in regions around Rio de Janeiro and Niterói cities. The highest smoothed rates of the period were observed in Niterói in 2002-2006: 11.87/100,000 (men) and 8,5/100,000 (women). AIDS incidence rates among the elderly have stabilized in recent decades. To prevent HIV from spreading further among the general population, greater attention should be given to the older population.
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Nádia Cristina Pinheiro
authors.initials: NC
authors.lastname: Rodrigues
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Andrea Sobral de
authors.initials: AS
authors.lastname: Almeida
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: José Ueleres
authors.initials: JU
authors.lastname: Braga
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Gisele
authors.initials: G
authors.lastname: O'Dwyer
authors.affiliation: Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, BR.
authors.forename: Paulo Cavalcante
authors.initials: PC
authors.lastname: Apratto Junior
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Regina Paiva
authors.initials: RP
authors.lastname: Daumas
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Valéria Teresa Saraiva
authors.initials: VT
authors.lastname: Lino
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Mônica Kramer de Noronha
authors.initials: MK
authors.lastname: Andrade
authors.affiliation: Faculdade de Ciências Médicas, Universidade do Estado do Rio de Janeiro, Rio de Janeiro, BR.
authors.forename: Denise Leite Maia
authors.initials: DL
authors.lastname: Monteiro
authors.affiliation: Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz, Rio de Janeiro, BR.
authors.forename: Mônica Bastos de Lima
authors.initials: MB
authors.lastname: Barros
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000453:epidemiology*; D000367:Age Factors; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012737:Sex Factors; D012959:Socioeconomic Factors; D062211:Spatio-Temporal Analysis