       Document 0058
 DOCN  M9630058
 TI    [The social geography of AIDS in Brazil]
 DT    9603
 AU    Bastos FI; Barcellos C; Departamento de Informacoes, Ciencia e
       Tecnologia da; Fundacao Oswaldo Cruz, Rio de Janeiro, Brasil.
 SO    Rev Saude Publica. 1995 Feb;29(1):52-62. Unique Identifier : AIDSLINE
       MED/96041659
 AB    The first of a series of papers concerning the evaluation of the
       dynamics of the AIDS epidemic in Brazil employing techniques of
       geographical analysis, is here presented. Results of research undertaken
       in the US (especially in New York City) are compared with those of a
       recent investigation carried out in the city of S.Paulo, Brazil
       (Grangeiro, 1994). In both, geographical patterns of socio-demographic
       variables correlate with different patterns of the spread of the AIDS
       epidemic through the transmission groups. Recent trends of the AIDS
       epidemic in Brazil: the displacement toward medium sized cities and
       expansion frontiers, increasing report of AIDS cases among the poor and
       underprivileged, changes in the pattern of transmission with
       proportional augmentation of heterosexual transmission and IDUs as
       transmission groups, are described and analysed. The geographical
       distribution of the AIDS cases registered between 1987-1993 in Brazil
       throughout the Brazilian States is evaluated by means of worksheets,
       maps, and non-parametric statistics. Results show that Gravimetric
       Centers (obtained by the use of the calculus spatial means) of AIDS in
       Brazil are situated within a triangle the sides of which are formed
       lines joining the three main metropolitan areas of the wealthiest region
       of Brazil--the southeast, i.e. Sao Paulo, Rio de Janeiro and Belo
       Horizonte. These especially S. Paulo, function as points of attraction
       for these Gravimetric Centers (GCs) towards the south as compared with
       the GCs of the general population calculated ia accordance with data
       from the 1980 and 1991 censuses. It is possible to observe a
       displacement of the GCs toward the northwest over this period in
       accordance with the migration patterns of the Brazilian population in
       general, though with a dynamic of its own. These changes in the
       geographical, socio-demographic and transmission group patterns show the
       complex nature of the epidemic in Brazil and pose additional
       difficulties for the development of prevention strategies.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION
       Brazil/EPIDEMIOLOGY  English Abstract  Female  Human  Incidence  Male
       New York City/EPIDEMIOLOGY  Sex Factors  Socioeconomic Factors
       Transients and Migrants  JOURNAL ARTICLE  REVIEW  REVIEW, TUTORIAL

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

