Spatial risk of death in patients with AIDS in Campinas, São Paulo, Brazil

Revista brasileira de epidemiologia = Brazilian journal of epidemiology
Thiago Santos MotaLiciana Vaz de Arruda Silveira

Abstract

To analyze the spatial risk of AIDS mortality in census tracts in a large Brazilian city. We studied three retrospective cohorts of individuals with AIDS, who were residents in the city of Campinas, in the State of São Paulo, Brazil. The occurrence of death was analyzed from 1980 to 1990 (cohort 1), 1996 to 2000 (cohort 2), and from 2001 to 2005 (cohort 3). We adjusted a Bayesian semi-parametric model, using the Integrated Nested Laplace Approximation (INLA) method, which allowed for the mapping of mortality risk for the three cohorts. The incidence of death in cohorts 1, 2 and 3 were, respectively, 72.73, 32.21 and 13.11%. The death risk maps showed a tendency of mortality decrease, and presented the sectors with the highest and lowest risk for each period. The model showed that, in the three cohorts, factors associated with the highest risk of death were: being male, and having an age at diagnosis greater than 49 years old. The homosexual/bisexual orientation was associated with lower risk of dying. Even considering the reduction in the risk of death from AIDS in recent years, after access to highly active antiretroviral therapy, the highest incidence was found among the poorest individuals in the three studied cohorts. The m...Continue Reading

References

Jun 6, 2002·Journal of Acquired Immune Deficiency Syndromes : JAIDS·E James FordyceSusan Forlenza
Dec 12, 2007·Cadernos de saúde pública·Maria Goretti P Fonseca, Francisco I Bastos
Apr 29, 2011·Cadernos de saúde pública·Ione Aquemi GuibuMaria Cecília Goi Porto Alves
Mar 15, 2014·Cadernos de saúde pública·Tatiana Rodrigues de Araujo TeixeiraFrancisco I Bastos
Nov 16, 2014·BMC Infectious Diseases·Mariza Vono Tancredi, Eliseu Alves Waldman
Nov 22, 2016·Epidemiologia E Serviços De Saúde : Revista Do Sistema Unico De Saúde Do Brasil·Artur Iuri Alves de Sousa, Vitor Laerte Pinto

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