Trends in AIDS-related mortality among people aged 60 years and older in Brazil: a nationwide population-based study

被引:4
作者
Lima, Mauricelia da Silveira [1 ,2 ]
Maia Firmo, Andrea Acioly [3 ]
Martins-Melo, Francisco Rogerlandio [2 ,3 ]
机构
[1] Sao Jose Hosp Infect Dis, Fortaleza, Ceara, Brazil
[2] Univ Fed Ceara, Sch Med, Dept Community Hlth, Fortaleza, Ceara, Brazil
[3] Fed Inst Educ Sci & Technol Ceara, Caucaia, Brazil
来源
AIDS CARE-PSYCHOLOGICAL AND SOCIO-MEDICAL ASPECTS OF AIDS/HIV | 2016年 / 28卷 / 12期
关键词
Older adults; HIV; AIDS; mortality; Brazil; HIV; PATTERNS; PROFILE;
D O I
10.1080/09540121.2016.1191608
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
The success of antiretroviral therapy has led to an increase in the number of older people living with human immunodeficiency virus worldwide. This study analyzed the epidemiological patterns and time trends of acquired immunodeficiency syndrome (AIDS) related mortality in people aged 60 and older in Brazil from 2000 to 2011. Secondary mortality data from the Brazilian Mortality Information System was used to perform a nationwide population-based study, which included all AIDS-related deaths among people aged 60 years and older in Brazil from 2000 to 2011. Crude and age-adjusted mortality rates (per 100,000 inhabitants) were calculated by sex, age group and place of residence. Trends over time were assessed using joinpoint regression analysis. In the 12-year study period, 12,491,280 deaths were recorded in Brazil, of which 144,175 were AIDS-related deaths. A total of 8194 AIDS-related deaths was identified in people aged 60 years and older (0.12% of all deaths and 5.7% of AIDS-related deaths). The overall age-adjusted mortality rate for the period was 4.30 deaths/100,000 inhabitants (95% confidence interval: 3.99-4.64). Males (6.45 deaths/100,000 inhabitants), aged 60-64 years (6.63 deaths/100,000 inhabitants) and residing in the South region (5.94 deaths/100,000 inhabitants) had the highest mortality rates. We observed a significant increase in mortality at the national level and in all the Brazilian regions, with a sharper increase in the most socioeconomically disadvantaged regions of the country, such as the North and Northeast. The findings show that AIDS in older people is an increasing public health problem in Brazil, and reinforce the need to establish public policies for the prevention, early diagnosis and appropriate clinical treatment of this age group.
引用
收藏
页码:1533 / 1540
页数:8
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