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Trends in Aids-related mortality among people aged 60 years and older in Brazil

A nationwide population-based study

Bibliographic Data

ID19439639
AuthorsManuel Dos Santos Lima (0000-0002-0868-2494, Universidade Federal do Ceará), Mauricélia Da Silveira Lima, Andréa Acioly Maia Firmo (Instituto Federal de Educação, Ciência e Tecnologia do Ceará), Francisco Rogerlândio Martins-Melo, Francisco Rogerlândio Martins‐Melo (0000-0003-3690-5023, Instituto Federal de Educação, Ciência e Tecnologia do Ceará, corresponding author)
Year2016
Volume28
Issue12
Pages1533-1540
Publication date2016-12-01
Open AccessNo
TypeARTICLE
VenueAIDS Care (JOURNAL)
Journal identifiersISSN: 0954-0121 • E-ISSN: 1360-0451
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/09540121.2016.1191608
PMID27251592
OpenAlexW2409196472
LanguageEN
Citations received2
References cited25

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

Confidence interval · Environmental health · Mortality rate · Population · Residence · Demography · HIV-related health complications and treatments · HIV/AIDS Impact and Responses · HIV/AIDS Research and Interventions · Medicine · Epidemiology · Gerontology · Surgery

  • Análise da tendência da mortalidade por HIV/Aids segundo características sociodemográficas no Brasil, 2000 a 2018

    Open Access•Ana Paula Da Cunha, Marly Marques Da Cruz et al.•Ciência & Saúde Coletiva•2022

  • Inequalities in Haart uptake and differential survival according to exposure category in Rio de Janeiro, Brazil

    Open Access•Tatiana De Araujo Lima, Chris Beyrer et al.•Cadernos de Saude Publica•2018

  • Permutation tests for joinpoint regression with applications to cancer rates

    Open Access•Hyune-Ju Kim, Michael P Fay et al.•Statistics in Medicine•2000

  • People fifty years or older now account for the majority of Aids cases in San Francisco, California, 2010

    Kara J O’Keefe, Kara J O'Keefe et al.•AIDS Care•2013

  • Social geography of Aids in Brazil

    Open Access•Tatiana Rodrigues De Araujo Teixeira, Renata Gracie et al.•Cadernos de Saude Publica•2014

Citations per year0.25
Citation span2018 - 2022 (5)
Highly citedNo

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