Epidemiological situation of acquired immunodeficiency syndrome (AIDS)-related mortality in a municipality in northeastern Brazil. A retrospective cross-sectional study.

Autor:	Silva LRD; RN. Nurse, Undergraduate Nursing Department, Centro Universitário UNINOVAFAPI, Teresina (PI), Brazil., Araújo ETH; RN. Master's Student, Department of Business Sciences, Fundação Sousândrade, Universidade Atlântica, São Luís (MA), Brazil., Carvalho ML; RN. Doctoral Student, Department of Biochemistry and Photodynamic Therapy Applied to Biomedical Engineering, Universidade do Vale do Paraíba (UNIVAP), São José dos Campos (SP), Brazil., Almeida CAPL; RN, MSc, PhD. Titular Professor, Master's Program on Family Health, Centro Universitário UNINOVAFAPI, Teresina (PI), Brazil., Oliveira ADDS; RN, MSc, PhD. Coordinator, Undergraduate Nursing Department, Centro Universitário UNINOVAFAPI, Teresina (PI), Brazil., Carvalho PMG; RN, MSc, PhD. Coordinator, Undergraduate Nursing Department, Universidade Federal do Piauí (UFPI), Teresina (PI), Brazil., Rodrigues TS; RN. Master's Student, Postgraduate Program on Nursing, Universidade Federal do Piauí (UFPI), Teresina (PI), Brazil., Campelo V; MD, MSc, PhD. Coordinator, Master's Program on Science and Health, Universidade Federal do Piauí (UFPI), and Physician at the Court of Justice of the State of Piauí (TJ/PI), Teresina (PI), Brazil.
Jazyk:	angličtina
Zdroj:	Sao Paulo medical journal = Revista paulista de medicina [Sao Paulo Med J] 2018 Jan-Feb; Vol. 136 (1), pp. 37-43. Date of Electronic Publication: 2018 Jan 15.
DOI:	10.1590/1516-3180.2017.0130100917
Abstrakt:	Context and Objective: The number of acquired immunodeficiency syndrome (AIDS)-related deaths covers different segments of the population differently, making monitoring of this mortality essential. The aim of this study was to describe the epidemiological situation of AIDS-related mortality in a municipality in the northeastern region of Brazil. Design and Setting: Retrospective cross-sectional study based on data from death certificates in the mortality information system of the Health Information Center, Municipal Health Foundation, Brazil. Methods: Between 2003 and 2013, we investigated death certificates on which AIDS-related mortality was reported. Sociodemographic data, year, place, type of establishment where death occurred and underlying and associated causes that led to AIDS-related death were described. The Mann-Kendall test was used to verify the growth trend of the standardized mortality rate over the period studied. Results: Among the 1,066 AIDS-related deaths, 69.7% were among men; 47.2% of the individuals were 28-41 years of age, 32.7% had had 4-7 years of schooling, 66.9% were pardos (mixed race), 55.7% were unmarried and 15.3% were housekeepers. Hospitals were the site of 97% of the deaths, and 91% occurred at public hospitals. Respiratory failure was the main cause of death. The prevalence of infectious and parasitic diseases was 99.0%. AIDS-related mortality increased by 160% over the period studied, from 5.5/100,000 inhabitants in 2003 to 14.3/100,000 in 2013. Conclusion: In the Brazilian municipality studied here, AIDS-related mortality was most prevalent among men and young adults of lower socioeconomic level. Over the period studied, the mortality rate increased.
Databáze:	MEDLINE
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