Dinâmica Espaço-Temporal da Coinfecção TB-HIV em Regiões de Saúde da Amazônia Brasileira

Graziele Padilha Macedo; Jeandson Mateus Ribeiro Coelho; Maiara Hildegard Maia Amaral; Maria Alice da Silva Santos; Diego Simeone

doi:10.36489/saudecoletiva.2026v18i111p20540-20553

Autores/as

Graziele Padilha Macedo Acadêmica de medicina na Afya Faculdade de Ciências Médicas, Bragança, Pará, Brasil. https://orcid.org/0009-0009-3242-3861
Jeandson Mateus Ribeiro Coelho Acadêmico de medicina na Afya Faculdade de Ciências Médicas, Bragança, Pará, Brasil. https://orcid.org/0009-0001-1662-4569
Maiara Hildegard Maia Amaral Acadêmica de medicina na Afya Faculdade de Ciências Médicas, Bragança, Pará, Brasil https://orcid.org/0009-0001-6016-7924
Maria Alice da Silva Santos Acadêmica de medicina na Afya Faculdade de Ciências Médicas, Bragança, Pará, Brasil. https://orcid.org/0009-0002-2266-2219
Diego Simeone Doutor, Professor na Afya Faculdade de Ciências Médicas, Bragança, Pará, Brasil. https://orcid.org/0000-0003-0190-6659

DOI:

https://doi.org/10.36489/saudecoletiva.2026v18i111p20540-20553

Palabras clave:

Tuberculosis, VIH, Análisis Espacial

Resumen

La coinfección tuberculosis-VIH (TB-VIH) continúa siendo un importante problema de salud pública en la Amazonia brasileña, especialmente en áreas con vulnerabilidad socioeconómica y limitaciones en el acceso a los servicios de salud. Este estudio ecológico retrospectivo analizó casos notificados entre 2010 y 2024, agregados por regiones de salud. La incidencia anual fue calculada por 100.000 habitantes y la tendencia temporal fue evaluada mediante regresión binomial negativa y mínimos cuadrados generalizados. El análisis espacial incluyó índice de Moran global, autocorrelación espacial local y modelo autorregresivo espacial. Se observó una tendencia creciente de la incidencia durante el período analizado, con intensificación después de 2018, reducción en 2020 y posterior recuperación. El análisis espacial mostró autocorrelación significativa, con concentración de áreas de mayor riesgo en las regiones occidental y central de la Amazonia y menor riesgo en la porción oriental. Los hallazgos evidencian crecimiento sostenido y distribución heterogénea de la coinfección, reforzando la necesidad de estrategias integradas de vigilancia y control.

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