Survival of AIDS patients in the Southeast and South of Brazil: analysis of the 1998-1999 cohort

The aim of this study was to evaluate survival time for AIDS patients 13 years and older in the South and Southeast regions of Brazil, according to socio-demographic, clinical, and epidemiological characteristics. The sample was selected from all cases diagnosed in 1998 and 1999 and notified to the...

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Detalhes bibliográficos
Autores: Guibu, Ione Aquemi, Barros, Marilisa Berti de Azevedo, Donalísio, Maria Rita, Tayra, Ângela, Alves, Maria Cecília Goi Porto
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2011
País:Brasil
Recursos:Fundação Oswaldo Cruz (FIOCRUZ)
Repositorio:Cadernos de Saúde Pública
Idioma:inglés
OAI Identifier:oai:ojs.teste-cadernos.ensp.fiocruz.br:article/4786
Acesso em linha:https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4786
Access Level:acceso abierto
Palavra-chave:Acquired Immunodeficiency Syndrome
Survivorship (Public Health)
Anti-Retroviral Agents
Mortality
Descrição
Resumo:The aim of this study was to evaluate survival time for AIDS patients 13 years and older in the South and Southeast regions of Brazil, according to socio-demographic, clinical, and epidemiological characteristics. The sample was selected from all cases diagnosed in 1998 and 1999 and notified to the Epidemiological Surveillance System of the National STD/AIDS Program. Use of a questionnaire allowed analyzing 2,091 patient charts. Based on the Kaplan-Meier method, estimated survival was at least 108 months after diagnosis in 59.5% of patients in the Southeast and 59.3% in the South. Cox regression models showed, in both regions, an increase in survival in patients on antiretroviral therapy, those classified as AIDS cases according to the CD4 T-cell criterion, females, and those with more schooling. Other factors associated with longer survival in the Southeast were: white skin color, no history of tuberculosis since the AIDS diagnosis, negative hepatitis B serology, and access to a multidisciplinary health team. In the South, age below 40 years was associated with longer survival.