Underlying causes of death among people living with HIV/AIDS in Brazil, 2000 to 2007
É. Fazito1, A.M. Nogales Vasconcelos2
1Ministry of Health, Brazil, Secretariat for Health Surveillance, Brasília, Brazil, 2Universidade de Brasília, Departamento de Estatística / Centro de Estudos Avançados Multidisciplinares, Brasília, Brazil
Background: The monitoring of the underlying causes of death in people living with HIV/AIDS is important so that actions to improve the quality of life and reduce morbidity and mortality be taken. The objective of this study is to describe the tendency of the causes of deaths among people living with HIV/AIDS death from 2000 to 2007 in Brazil and to identify factors associated with it.
Methods: Data from all deaths occurred in Brazil between 2000 and 2007 containing in any of the fields of the death certificate reference to HIV/AIDS was analyzed. Temporal evolution of the underlying cause of death was studied. Differences in the underlying cause of death according to gender, age, region of residence, education, certifying officer, race and year of death was accessed. A logistic regression model was adjusted to verify the association and measure the effect of these variables and the underlying cause of death.
Results: Between 2000 and 2007 the percentage of deaths among people living with HIV/AIDS whose underlying cause was not related to HIV/AIDS increased from 2.5% to 7.0%. The main causes of death unrelated to HIV/AIDS were neoplasms, circulatory diseases and liver disease. People with more education, living in the Southeast and who are under 13 years old or over 60 were more likely to have their underlying cause of death not related to HIV/AIDS.
Conclusions: The results suggest the importance of implementation of actions aimed at improving quality of life of PLWHA and could include behavior modification, such as smoking and alcohol screening for early detection of cancer and monitoring of chronic conditions such as diabetes.Thus there is need to integrate the actions of programs for HIV and AIDS to other public health programs.
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