Income determines the impact of cash transfers on HIV/AIDS: cohort study of 22.7 million Brazilians

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dc.contributor.authorSilva, Andréa F.
dc.contributor.authorDourado, Inês
dc.contributor.authorLua, Iracema
dc.contributor.authorJesus, Gabriela S.
dc.contributor.authorGuimarães, Nathalia S.
dc.contributor.authorMorais, Gabriel A.S.
dc.contributor.authorAnderle, Rodrigo V. R.
dc.contributor.authorPescarini, Julia M.
dc.contributor.authorMachado, Daiane B.
dc.contributor.authorSantos, Carlos A.S. T.
dc.contributor.authorIchihara, Maria Y.
dc.contributor.authorBarreto, Mauricio L.
dc.contributor.authorMagno, Laio
dc.contributor.authorSouza, Luis E.
dc.contributor.authorMacinko, James
dc.contributor.authorRasella, Davide
dc.date.accessioned2024-09-09T12:18:48Z
dc.date.available2024-09-09T12:18:48Z
dc.date.issued2024
dc.description.abstract
dc.description.abstract2Living with extremely low-income is an important risk factor for HIV/AIDS and can be mitigated by conditional cash transfers. Using a cohort of 22.7 million low-income individuals during 9 years, we evaluated the effects of the world’s largest conditional cash transfer, the Programa Bolsa Família, on HIV/AIDS-related outcomes. Exposure to Programa Bolsa Família was associated with reduced AIDS incidence by 41% (RR:0.59; 95%CI:0.57-0.61), mortality by 39% (RR:0.61; 95%CI:0.57-0.64), and case fatality rates by 25% (RR:0.75; 95%CI:0.66-0.85) in the cohort, and Programa Bolsa Família effects were considerably stronger among individuals of extremely low-income [reduction of 55% for incidence (RR:0.45, 95% CI:0.42-0.47), 54% mortality (RR:0.46, 95% CI:0.42-0.49), and 37% case-fatality (RR:0.63, 95% CI:0.51 −0.76)], decreasing gradually until having no effect in individuals with higher incomes. Similar effects were observed on HIV notification. Programa Bolsa Família impact was also stronger among women and adolescents. Several sensitivity and triangulation analyses demonstrated the robustness of the results. Conditional cash transfers can significantly reduce AIDS morbidity and mortality in extremely vulnerable populations and should be considered an essential intervention to achieve AIDS-related sustainable development goals by 2030.
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dc.identifier.citationSILVA , Andrea F. et al. Income determines the impact of cash transfers on HIV/AIDS: cohort study of 22.7 million Brazilians. Nature Communications, [s. l.], v. 15, p. 1-13, 2024. DOI https://doi.org/10.1038/s41467-024-44975-z. Disponível em: https://www.nature.com/articles/s41467-024-44975-z.
dc.identifier.issn2041-1723
dc.identifier.urihttps://saberaberto.uneb.br/handle/20.500.11896/6173
dc.language.isoeng
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/
dc.rights2Attribution 3.0 Brazilen
dc.subject.keywordsConditional cash transfer
dc.subject.keywordsHIV/AIDS
dc.titleIncome determines the impact of cash transfers on HIV/AIDS: cohort study of 22.7 million Brazilians
dc.typeinfo:eu-repo/semantics/article
oaire.citation.issue1
oaire.citation.volume15
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