Women and TB/HIV coinfection in Brazil: regional inequalities and trends in a scenario of vulnerability

巴西妇女与结核病/艾滋病毒合并感染:脆弱性情境下的区域不平等和趋势

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Abstract

OBJECTIVES: to identify the clinical-epidemiological profile of women with TB/HIV coinfection and classify the temporal trend of coinfection in the regions of Brazil. METHODS: ecological study of time series of records from the Notifiable Diseases Information System carried out from 2012 to 2023. The analysis was performed using the Prais-Winsten autoregression method. RESULTS: a total of 31,171 cases were recorded in the country, with the highest concentration in the Southeast. Coinfection showed a steady trend, with higher rates in the South and North regions. Regional disparities are related to factors such as low education level, age between 20 and 39 years, and black race/skin color. In the South, drug resistance and substance use disorders also stood out. CONCLUSIONS: the need for regional, equitable and integrated public policies is evident, focusing on expanding access to diagnosis and treatment, considering the specific vulnerabilities of women affected by coinfection.

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