AEGiS-14IAC: Aids mortality in Sao Paulo city: The roles of geographic area and socioeconomic conditions.

14th International AIDS Conference


Barcelona, Spain - July 7-12, 2002

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Aids mortality in Sao Paulo city: The roles of geographic area and socioeconomic conditions.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. C10718)

Farias N, Cesar CL
Coordenacao dos Institutos de Pesquisa/Secretaria de Estado da Saude-SP, Sao Paulo, Brazil

BACKGROUND: This study examined the trends of aids mortality of persons aged 15-49 years old in Sao Paulo city between 1994 and 1999, by socioeconomic conditions of geographic areas.

METHODS: Using 1990 population census and the city mortality information sistem "PRO-AIM". We calculated the AIDS mortality rates by year, sex and districts. The districts were aggregated according to a social indicator index (measures social exclusion). We analyzed the aids mortality trend in the five areas classified in level 1 to 5, better to worse conditions.

RESULTS: There were 11.932 adults aids deaths in Sao Paulo in the period 94-99: 76% men and 24% woman. Trends on aids mortality are higher in social economic deprived areas. Reduction of mortality after the implementation of HAART (1996-1999) was greater in the area of higher socioeconomic status ( level 1) for both males (61.7%) and females (54.4%). Whereas less decrease was observed in areas of lower socioeconomic conditions (social exclusion level five) for both males (49.6%) and females (48.2%). Mortality decrease more slowly for woman in all areas.

CONCLUSIONS: Despite free antiretroviral therapy, differences in aids mortality are observed in relation to neighborhood-level socio economic conditions. Inequalities in health- care access or poor adherence to treatment could explain the differences. Additional efforts and further researches are needed in order to reduce inequalities in health among social class and sex in Sao Paulo.

Keywords: AEGIS, Socioeconomic Factors, Acquired Immunodeficiency Syndrome, Social Class, Residence Characteristics, Cities, Censuses, Antiretroviral Therapy, Highly Active, Human, Female, Male, Adult, mortality, methodsKWDaegis,socioeconomicfactors,acquiredimmunodeficiencysyndrome,socialclass,residencecharacteristics,cities,censuses,antiretroviraltherapy,highlyactive,human,female,male,adult,mortality,methods

020707
C10718

Copyright © 2002 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.