Sociodemographic and spatiotemporal distribution of tuberculosis and human immunodeficiency virus co-infection in three cantons of Guayas, Ecuador: A cross-sectional study.
TB/HIV co-infection shows a clear association with social determinants, especially poverty and educational level. The heterogeneous spatial distribution among the three cantons and the high case fatality rate suggests the need to strengthen epidemiological surveillance and implement targeted interventions addressing social determinants in the most vulnerable areas.
Authors
- Jaen Carlos Cagua-Ordoñez (ORCID: https://orcid.org/0000-0002-1684-5206)
- Daniel Simancas‐Racines (ORCID: https://orcid.org/0000-0002-3641-1501)
- Juan Marcos Parise-Vasco (ORCID: https://orcid.org/0000-0002-5223-3370)
- Inti Kory Quevedo Bastidas (ORCID: https://orcid.org/0000-0002-5410-4687)
- Jaime Angamarca-Iguago (ORCID: https://orcid.org/0000-0003-1907-3632)
Institutions
- Pontificia Universidad Católica del Ecuador (EC)
- Centro de Investigación Biomédica en Red de Epidemiología y Salud Pública (ES)
Publication Details
- Journal
- Medwave
- Published
- 2025-04-16
- DOI
- https://doi.org/10.5867/medwave.2025.03.3042
- Primary Topic
- Chronic Disease Management Strategies
- Type
- article
- Field-Weighted Citation Impact
- 0.00