AIDS mortality trends in Mexico, 1988-1997

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Main Author: Carlos Hernández
Format: Artículo científico
Language:en
Published: Instituto Nacional de Salud Pública 2002
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_version_ 1876422805336096768
author Carlos Hernández
author_facet Carlos Hernández
contents AIDS mortality trends in Mexico, 1988-1997 Carlos Hernández Carlos del Río Víctor Tovar Salud Mexico Key words: AIDS mortality trends Objective. To assess the geographic distribution and trendsof AIDS deaths for the 1988-1997 period in Mexico. Materialand Methods. Crude and adjusted mortality rates wereestimated for the 1988-1997 period. A trend test was performedusing the simple linear regression method. Standardizedmortality ratios (SMR) and years of potential lifelost (YPLL) were calculated for each Mexican state. Results.During the study period (1988-1997), there were26,999 AIDS deaths in Mexico; 86.5% (23,354) of them wereamong men. The mean age at the time of death was 38.4years for men and 37.7 years for women (p> 0.05). Thecrude AIDS mortality rate for the period of study was 3.02cases (95% CI: 2.94, 3.06) per 100,000 inhabitants. The adjustedrate 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) forwomen. 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 YearsIndex (PLLYI) analysis by state showed a greater risk of prematureAIDS 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. Mortalitytrends indicate that AIDS mortality in Mexico increased byan annual rate of 23% between 1988 and 1997. The adjustedAIDS mortality rate increased from 0.75 per 100 000 in1988, to 4.20 per 100 000 in 1997, with the largest burdenof mortality in men (male to female ratio of 6:1). Wetherefore expect that a decreasing effect on AIDS mortalitytrends will be observed in the next years. The English versionof this paper is available too at: http://www.insp.mx/salud/index.html 2002 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10644303 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.44
format Artículo científico
id redalyc_10644303
institution Redalyc
language en
publishDate 2002
publisher Instituto Nacional de Salud Pública
spellingShingle AIDS mortality trends in Mexico, 1988-1997
Carlos Hernández
Salud
Mexico
Key words: AIDS
mortality trends
AIDS mortality trends in Mexico, 1988-1997 Carlos Hernández Carlos del Río Víctor Tovar Salud Mexico Key words: AIDS mortality trends Objective. To assess the geographic distribution and trendsof AIDS deaths for the 1988-1997 period in Mexico. Materialand Methods. Crude and adjusted mortality rates wereestimated for the 1988-1997 period. A trend test was performedusing the simple linear regression method. Standardizedmortality ratios (SMR) and years of potential lifelost (YPLL) were calculated for each Mexican state. Results.During the study period (1988-1997), there were26,999 AIDS deaths in Mexico; 86.5% (23,354) of them wereamong men. The mean age at the time of death was 38.4years for men and 37.7 years for women (p> 0.05). Thecrude AIDS mortality rate for the period of study was 3.02cases (95% CI: 2.94, 3.06) per 100,000 inhabitants. The adjustedrate 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) forwomen. 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 YearsIndex (PLLYI) analysis by state showed a greater risk of prematureAIDS 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. Mortalitytrends indicate that AIDS mortality in Mexico increased byan annual rate of 23% between 1988 and 1997. The adjustedAIDS mortality rate increased from 0.75 per 100 000 in1988, to 4.20 per 100 000 in 1997, with the largest burdenof mortality in men (male to female ratio of 6:1). Wetherefore expect that a decreasing effect on AIDS mortalitytrends will be observed in the next years. The English versionof this paper is available too at: http://www.insp.mx/salud/index.html 2002 artículo científico 0036-3634 https://www.redalyc.org/articulo.oa?id=10644303 en http://www.redalyc.org/revista.oa?id=106 Salud Pública de México application/pdf Instituto Nacional de Salud Pública Salud Pública de México (México) Num.3 Vol.44
title AIDS mortality trends in Mexico, 1988-1997
topic Salud
Mexico
Key words: AIDS
mortality trends
url https://www.redalyc.org/articulo.oa?id=10644303