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Instituto Nacional de Salud Pública

2002, Number 3

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salud publica mex 2002; 44 (3)

AIDS mortality trends in Mexico, 1988-1997

Hernández-Girón C, Tovar-Guzmán V, Río C

Language: English
References: 21
Page: 207-212-
PDF size: 51.16 Kb.


ABSTRACT

Objective. To assess the geographic distribution and trends of AIDS deaths for the 1988-1997 period in Mexico. Material and Methods. Crude and adjusted mortality rates were estimated for the 1988-1997 period. A trend test was performed using the simple linear regression method. Standardized mortality ratios (SMR) and years of potential life lost (YPLL) were calculated for each Mexican state. Results. During the study period (1988-1997), there were 26,999 AIDS deaths in Mexico; 86.5% (23,354) of them were among men. The mean age at the time of death was 38.4 years for men and 37.7 years for women (p› 0.05). The crude AIDS mortality rate for the period of study was 3.02 cases (95% CI: 2.94, 3.06) per 100,000 inhabitants. The adjusted rate was 3.13 (95% CI: 3.09, 3.17), with 5.22 (95% CI: 5.16 - 5.29) for men and 0.82 (95% CI: 0.79-0.84) for women. The states with the highest SMR were: Baja California (SMR: 248.69; 95% CI: 234.02-263.36), Mexico City (SMR: 220.74; 95% CI: 215.57-225.91), and Jalisco (SMR: 169.16; 95% CI: 162.88-175.44). Similarly, a Potential Lost Life Years Index (PLLYI) analysis by state showed a greater risk of premature AIDS mortality in the same states [Baja California (PLLYI index: 236.33; 95% CI: 233.97-238.68), Mexico City (PLLYI: 194.68; 95% CI: 193.88 - 195.48), and Jalisco (PLLYI: 170.69; 95% CI: 169.60-171.79)]. Conclusions. Mortality trends indicate that AIDS mortality in Mexico increased by an annual rate of 23% between 1988 and 1997. The adjusted AIDS mortality rate increased from 0.75 per 100 000 in 1988, to 4.20 per 100 000 in 1997, with the largest burden of mortality in men (male to female ratio of 6:1). We therefore expect that a decreasing effect on AIDS mortality trends will be observed in the next years.


REFERENCES

  1. World Health Organization. Annual report on AIDS, Ginebra: WHO, 1997.

  2. Consejo Nacional de Prevención y Control del SIDA. Boletín Epidemiológico. SIDA/ETS. Revista SIDA/ETS 1997;4(4).

  3. Consejo Nacional de Prevención y Control del SIDA. Boletín Epidemiológico. SIDA/ETS. Revista SIDA/ETS 1998;4(1-4).

  4. Organización Panamericana de la Salud. Clasificación Internacional de Enfermedades. IX revisión. Washington, D.C.: OPS, 1978.

  5. Dever A. Epidemiología y administración de servicios de salud. Washington, D.C.: OPS, 1991.

  6. Lilinfield D, Stolley P. Foundations of epidemiology. Third edition. Nueva York: Oxford University Press, 1994.

  7. Hamilton L. Statistics with Stata 3.0, Belmont (CA): Duxbury Press, 1993.

  8. Organización Panamericana de la Salud. La epidemia del SIDA: situación en diciembre 1998. Washington, D.C.: OPS, December 1998.

  9. Pinner R, Teustsch S, Simonsen L, Kulg L, Graber J, Clarke M et al. Trends in infectious diseases mortality in the United States. JAMA 1996;275(3): 189-193.

  10. Center for Disease Control and Prevention. National HIV Prevention Conference. Atlanta (GA): CDC, 1999.

  11. Valdespino JL, García ML, Del Río A, Loo-Méndez E, Magis C, Salcedo RA. Epidemiología del SIDA/VIH en México: 1983-1995. Salud Publica Mex 1995;37(6):556-571.

  12. Heath K, Frank O, Montaner J, O´Shaughnessy, Schechter M, Hogg R. Human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) mortality in industrialized nations, 1987-1991. Int J Epidemiol 1998;27:685-690.

  13. Magis C, Del Río A, Valdespino JL, García ML. Casos de SIDA en el área rural en México. Salud Publica Mex 1995;37(6):615-623.

  14. Del Río A, Ligouri AL, Magis C, Valdespino JL, García ML, Sepúlveda J. La epidemia del VIH/SIDA y la mujer en México. Salud Publica Mex 1995;37(6): 581-591.

  15. Sepúlveda J, Del Río A, Valdespino JL, García ML, Velásquez L, Volkow P. La estrategia de prevención de la transmisión del VIH/SIDA a través de la sangre y sus derivados en México. Salud Publica Mex 1995;37(6):624-635.

  16. Consejo Nacional de Prevención y Control del SIDA. El SIDA en México en el año 2000. Junio 2001. Reporte preliminar.

  17. Izazola JA, Valdez-García MC, Sánchez-Pérez H, Del Río-Chiriboga C. La mortalidad por SIDA en México 1983-1992. Tendencias y años de vida potencialmente perdidos. Salud Publica Mex 1995;37(2):140-148.

  18. Anaya-López L. Subestimación de la incidencia de SIDA en México, debida al retraso en la notificación. Revista SIDA/ETS 1997;2(3):35-38.

  19. Surasiengsunk S, Kiranandana S, Wongboonsin K, Van Griensven G. Demographic impact of the HIV epidemic in Thailand. AIDS 1998;12: 775-784.

  20. Laurichesse H, Mortimer J, Evans B, Farrington P. Pre-AIDS mortality in HIV-infected individuals in England, Wales and Nothern Ireland, 1982- 1996. AIDS 1998;12:651-658.

  21. Kristal A. The impact of the AIDS on patterns of premature death in New York City. JAMA 1986;255(17):2306-2310.




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