{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T13:18:22Z","timestamp":1761311902996,"version":"build-2065373602"},"reference-count":56,"publisher":"MDPI AG","issue":"7","license":[{"start":{"date-parts":[[2022,7,16]],"date-time":"2022-07-16T00:00:00Z","timestamp":1657929600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior (CAPES)","doi-asserted-by":"publisher","award":["88881.200527\/2018-01"],"award-info":[{"award-number":["88881.200527\/2018-01"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["TropicalMed"],"abstract":"<jats:p>Background: The main goal of this study was to analyze the HIV epidemic temporally and spatially among young people living in Par\u00e1, Brazil, from 2007 to 2018. Methods: For the temporal analysis, we employed an integrated autoregression of moving averages model associated with the seasonal trend using the LOESS decomposition method, which allowed for predictions to be made. In the spatial analysis, the techniques of autocorrelation, spatial and spatio-temporal risk analysis, and geographically weighted regression were used. Results: During the study period, there were 8143 notifications of HIV\/AIDS cases. The temporal prediction indicated a trend of growth in the incidence rate in the 20\u201324-year-old group from January 2019 to December 2022 and a trend of stability in the 15- to 19-year-old and 25- to 29-year-old groups. There was a territorial expansion of the HIV epidemic in Par\u00e1. Novo Progresso and the Metropolitan Region of Bel\u00e9m (RMB) were the zones with the highest spatial and spatio-temporal risk for HIV. Social determinants including the Basic Education Development Index, the number of physicians per 10,000 inhabitants, and the municipal high school abandonment rate in the municipalities were associated with the risk of HIV\/AIDS among young people in Par\u00e1. Conclusions: To eliminate HIV among young people in Par\u00e1, the access to treatment, diagnosis, and preventive healthcare services should be expanded. Sexual and reproductive health education should be reinforced in schools and communities. Furthermore, it is necessary to promote social equity and fight HIV stigma.<\/jats:p>","DOI":"10.3390\/tropicalmed7070137","type":"journal-article","created":{"date-parts":[[2022,7,18]],"date-time":"2022-07-18T01:53:22Z","timestamp":1658109202000},"page":"137","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Temporal and Spatial Analysis Techniques as Potential Tools for Combating the HIV Epidemic among Young Brazilian Amazonian People: An Ecological Study"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4773-1666","authenticated-orcid":false,"given":"Andrey Oeiras","family":"Pedroso","sequence":"first","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Enfermagem, Federal University of Par\u00e1, Bel\u00e9m 66075-110, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8085-1945","authenticated-orcid":false,"given":"Dulce","family":"Gomes","sequence":"additional","affiliation":[{"name":"Departamento de Matem\u00e1tica, Col\u00e9gio Lu\u00eds Ant\u00f3nio Verney, University of \u00c9vora, 7000-671 \u00c9vora, Portugal"}]},{"given":"Sara Melissa Lago","family":"Sousa","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Enfermagem, Federal University of Par\u00e1, Bel\u00e9m 66075-110, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8206-4950","authenticated-orcid":false,"given":"Glenda Roberta Oliveira Naiff","family":"Ferreira","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Enfermagem, Federal University of Par\u00e1, Bel\u00e9m 66075-110, Brazil"}]},{"given":"Aline Maria Pereira Cruz","family":"Ramos","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Enfermagem, Federal University of Par\u00e1, Bel\u00e9m 66075-110, Brazil"}]},{"given":"Sandra Helena Isse","family":"Polaro","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Enfermagem, Federal University of Par\u00e1, Bel\u00e9m 66075-110, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0065-4509","authenticated-orcid":false,"given":"Laura Maria Vidal","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Departamento de Enfermagem Comunit\u00e1ria, State University of Par\u00e1, Bel\u00e9m 66050-540, Brazil"}]},{"given":"Eli\u00e3 Pinheiro","family":"Botelho","sequence":"additional","affiliation":[{"name":"Programa de P\u00f3s-Gradua\u00e7\u00e3o em Enfermagem, Federal University of Par\u00e1, Bel\u00e9m 66075-110, Brazil"}]}],"member":"1968","published-online":{"date-parts":[[2022,7,16]]},"reference":[{"key":"ref_1","unstructured":"UNAIDS (2021). 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