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Population-level adult mortality following the expansion of antiretroviral therapy in Rakai, Uganda

Bibliographic Data

ID4268995
AuthorsDorean Nabukalu (0000-0002-2680-0669, Rakai Health Sciences Program), Georges Reniers (0000-0001-6582-1692, London School of Hygiene & Tropical Medicine), Kathryn A Risher (0000-0002-9588-1693, London School of Hygiene & Tropical Medicine), Sylvia Blom (0000-0002-2426-5375, London School of Hygiene & Tropical Medicine), Emma Slaymaker (0000-0002-4941-5739, London School of Hygiene & Tropical Medicine), Chodziwadziwa Kabudula (0000-0002-5867-0336, University of the Witwatersrand), Basia Zaba (0000-0003-2449-0983, London School of Hygiene & Tropical Medicine), Fred Nalugoda (0000-0001-6119-9293, Rakai Health Sciences Program), Godfrey Kigozi (0009-0008-9142-6870, Rakai Health Sciences Program), Fred Makumbi (Rakai Health Sciences Program), David Serwadda (0000-0001-6532-6587, Rakai Health Sciences Program), Steven J Reynolds (0000-0002-5403-2759, National Institutes of Health), Milly Marston (0000-0001-8970-2081, London School of Hygiene & Tropical Medicine), John W Eaton (0000-0001-7728-728X, Imperial College London), Jeffrey W Eaton (Imperial College London), Ron Gray (Rakai Health Sciences Program), Maria J Wawer (0000-0002-3601-4469, Johns Hopkins University), Maria Wawer (Rakai Health Sciences Program), Nelson Sewankambo (Rakai Health Sciences Program), Nelson K Sewankambo (0000-0001-9362-053X, Rakai Health Sciences Program), Tom Lutalo (0000-0003-3380-1720, Rakai Health Sciences Program)
Year2020
Volume74
Issue1
Pages93-102
Publication date2020-01-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePopulation Studies (JOURNAL)
Journal identifiersISSN: 0032-4728 • E-ISSN: 1477-4747
PublisherInforma UK Limited (PUBLISHER • GB)
DOI10.1080/00324728.2019.1595099
PMID31117928
OpenAlexW2946069665
LanguageEN
Citations received4
References cited30

There are limited data on the impact of antiretroviral therapy (ART) on population-level adult mortality in sub-Saharan Africa. We analysed data for 2000-14 from the Rakai Community Cohort Study (RCCS) in Uganda, where free ART was scaled up after 2004. Using non-parametric and parametric (Weibull) survival analysis, we estimated trends in average person-years lived between exact ages 15 and 50, per capita life-years lost to HIV, and the mortality hazards of people living with HIV (PLHIV). Between 2000 and 2014, average adult life-years lived before age 50 increased significantly, from 26.4 to 33.5 years for all women and from 28.6 to 33.8 years for all men. As of 2014, life-years lost to HIV had declined significantly, to 1.3 years among women and 0.4 years among men. Following the roll-out of ART, mortality reductions among PLHIV were initially larger in women than men, but this is no longer the case

Antiretroviral therapy · Cohort · Cohort study · Environmental health · Human immunodeficiency virus (HIV) · Mortality rate · Population · Proportional hazards model · Survival analysis · Viral load · Adolescent Sexual and Reproductive Health · Demography · Global Maternal and Child Health · HIV/AIDS Research and Interventions · Internal Medicine · Medicine · Virology · Gerontology

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Unique citing works4
Citations per year0,8
Citation span2021 - 2026 (6)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 4
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