Abstract
The influences of public policies fighting HIV among women who have sex with women is scarcely studied. This study aimed to analyse the time series of human immunodeficiency virus (HIV) epidemic, between 2007 and 2020, among Brazilian women who have sex with women, in order to evaluate the eect of Brazilian policies for fighting HIV in this subpopulation compared to women who have sex with men (WSM). This ecological study employed HIV and acquired immunodeficiency syndrome (AIDS) new cases among women who have sex strictly with women (WSW), women who have sex with men and women (WSMW), and WSM reported to the Sistema de Informação de Agravos de Notificação from 2007 to 2020. Crude Brazilian and regional annual age-adjusted HIV/AIDS population-level incidence rates were calculated for WSW, WSMW and WSM. The rates were then analyzed using the Joinpoint regression model. A total of 102,890, 757, and 1,699 notifications of WSW, WSMW, and WSM living with HIV/AIDS were reported during the study period, respectively. South Brazilian region had the greatest HIV/AIDS incidence rates among WSM and bisexual women while the North region had the greatest incidence among WSW. In the WSM population, the temporal trends showed at least one stable or an increasing trend period from 2007 to 2013 or 2014, followed by one decreasing trend in all Brazilian regions. While among the WSMW most of the regions had a stable trend period from 2007 to 2020, in WSW group most of the trends had only one decreasing period. The decreasing trends were faster in WSM than in WSW. These results suggest a low efficiency of Brazilian policies for fighting HIV among WSW and WSMW and show the necessity of implementing new policies specific to this population
Description
Copyright: © 2022 Bezerra, Sorensen, Rodrigues, Sousa, Carneiro, Polaro, Ramos, Ferreira, Gir, Reis and Botelho. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
Publisher
Frontiers in Public Health
Date of publication
Fall 8-3-2022
Language
english
Persistent identifier
http://hdl.handle.net/10950/4330
Document Type
Article
Recommended Citation
Lemos Bezerra, Ana Luisa; Sorensen, William; Rodrigues, Taymara Barbosa; Lago Sousa, Sara Melissa; Carneiro, Marcia Simao; Isse Polaro, Sandra Helena; Pereira Cruz Ramos, Aline Maria; Oliveira Naiff Ferreira, Glenda Roberta; Gir, Elucir; Reis, Renata Karina; and Botelho, Elia Pinheiro, "HIV epidemic among Brazilian women who have sex with women: An ecological study" (2022). Health and Kinesiology Faculty Publications and Presentations. Paper 28.
http://hdl.handle.net/10950/4330