Trend incidence of HIV-aids according to different diagnostic criteria in Campinas-SP, Brazil from 1980 to 2016

Abstract

The objective of this study was to an-alyze the temporal trend of the incidence coefficients of HIV-AIDS infection via a retrospective ecological study and segmented regression in individuals older than 13 year reported at SINAN between 1980 and 2016. Of the 14,204 reported cas-es, 70.9% were male and 39.5% were white. The AIDS criterion presented growing incidence from 1986 to 1996 with Annual Percentual Change (APC) of 108.5% per year between 1983 and 1989 (CI: 90.3 – 128.4), between 1989 and 1998 the APC was 13.2% (CI: 8.2 – 18.3) and APC reduc-tion in the period from 1998 to 2016,-6.2% (CI:-7.4 –-4.9). High coefficients of the death criteria between 1988 and 2002 (4.7/100,000 inhabi-tants), with a noticeable decrease after 1995. The growth of the HIV+ criteria from 2000 onward was observed, reaching 30.2 cases per 100,000 in-habitants in 2016. Although incidence rates still remain high in the municipality, these trends are consistent with the positive impact of early detec-tion policies and access to clinical and therapeutic follow-up of individuals with HIV and AIDS in Campinas.