Patterns, trends and sex differences in HIV/AIDS reported mortality in Latin American countries: 1996-2007

BMC Public Health

Research Article

Sergio Munoz¹  Jerry O Jacobson²  Monica Alonso Gonzalez³  Luise Martin⁴ 

[1] Facultad de Medicina, Universidad de La Frontera de Chile, Chile;Pan American Health Organization. HIV/STI project, Bogota, Colombia;Pan American Health Organization. HIV/STI project, Washington, DC, USA;Pan American Health Organization. HIV/STI project, Washington, DC, USA;DAAD (German Academic Exchange Service), Carlo Schmid Program, Bonn, Germany;

关键词: Latin American Country;    Public Provision;    Latin America;    Vital Registration Data;    Vital Statistic Registry;   

DOI  :  10.1186/1471-2458-11-605

 received in 2010-08-02, accepted in 2011-07-29,  发布年份 2011

来源: Springer

【 摘 要 】

BackgroundInternational cohort studies have shown that antiretroviral treatment (ART) has improved survival of HIV-infected individuals. National population based studies of HIV mortality exist in industrialized settings but few have been presented from developing countries. Our objective was to investigate on a population basis, the regional situation regarding HIV mortality and trends in Latin America (LA) in the context of adoption of public ART policies and gender differences.MethodsCause of death data from vital statistics registries from 1996 to 2007 with "good" or "average" quality of mortality data were examined. Standardized mortality rates and Poisson regression models by country were developed and differences among countries assessed to identify patterns of HIV mortality over time occurring in Latin America.ResultsStandardized HIV mortality following the adoption of public ART policies was highest in Panama and El Salvador and lowest in Chile. During the study period, three overall patterns were identified in HIV mortality trends- following the adoption of the free ART public policies; a remarkable decrement, a remarkable increment and a slight increment. HIV mortality was consistently higher in males compared to females. Mean age of death attributable to HIV increased in the majority of countries over the study period.ConclusionsVital statistics registries provide valuable information on HIV mortality in LA. While the introduction of national policies for free ART provision has coincided with declines in population-level HIV mortality and increasing age of death in some countries, in others HIV mortality has increased. Barriers to effective ART implementation and uptake in the context of free ART public provision policies should be further investigated.

【 授权许可】

Unknown   
© Alonso et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.