Aids and aging: characteristics of cases aged 50 years or more in the State of Pernambuco, from 1999 to 2000

Revista Brasileira de Epidemiologia

Carneiro, Rosa Maria¹  Pottes, Fábia Alexandra¹  Gouveia, Giselle Campozana²  Araújo, Ednaldo Cavalcante de¹  Brito, Ana Maria de² 

[1] Universidade Federal de Pernambuco;Fundação Oswaldo Cruz

关键词: Aids;    Aging;    Epidemiology;    Prevention;   

DOI  :  10.1590/S1415-790X2007000300005

学科分类：过敏症与临床免疫学

来源: SciELO

【 摘 要 】

There is no consensusin the literature on the clinical-epidemiological trend of individuals withAIDS in different age groups. Some authors say that AIDS equally affects individualswho above 50 years of age and younger individuals. This study compares socio-demographicand clinical-epidemiologic characteristics of individuals 50 years old and olderwith the 20-39-year-old group. The individuals are residents of Pernambuco andwere diagnosed with AIDS between January 1st, 1990 and December 31st, 2000.An observational, cross-sectional, population-based study was developed withsecondary data from cases reported to the health department of the state ofPernambuco and through chart review. The sample comprised 3,565 cases, 10.8%50 years or more, and 89.2% between 20-39 years of age. The annual incidencewas similar in both groups, except in the last two years when there was a slightdecrease in the younger group. Prevalence (RP) was estimated for the variablesincluded. Differences were not found in relation to gender, lymphocyte T (CD4)count, and co-morbidities. On the other hand, a significant difference was observedbetween groups in relation to site of residence (RP=1.23, c² =4.45, p= 0.03), educational level (RP=1.48, c² =4.49, p= 0.03), HIV exposure RP=1.81, c² =27.77, p< 0.001), and vital status (RP=1.32, c² =7.69, p< 0.001). Results showed a gradually slow increase in the AIDS epidemicin the 50-70-year-old group, with predominance of a lower educational leveland heterosexual choice. Questions related to AIDS and aging need to be deepened,mainly due to the increase in life expectancy of the Brazilian population, inorder to reorient HIV prevention and infection control actions.

【 授权许可】

CC BY