Trends in Mortality by HIV/AIDS in Children in Mexico: Towards the Elimination of Mother-To-Child Transmission.

Autor: Palacio-Mejía LS; Catedrática CONACYT, Instituto Nacional de Salud Pública, Cuernavaca, México., Hernández-Ávila JE; Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, México. Electronic address: juan_eugenio@insp.mx., Molina-Vélez D; Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, México., González-González L; Dirección de Planeación, Instituto Nacional de Salud Pública, Cuernavaca, México., Quezada-Sánchez AD; Centro de Investigación en Evaluación y Encuestas, Instituto Nacional de Salud Pública, Cuernavaca, México., Hernández-Ávila M; Dirección de Prestaciones Sociales y Económicas, Instituto Mexicano del Seguro Popular, Ciudad de México, México., Magis-Rodriguez C; Facultad de Medicina, Universidad Nacional Autónoma de México, Ciudad de México, México.
Jazyk: angličtina
Zdroj: Archives of medical research [Arch Med Res] 2021 Oct; Vol. 52 (7), pp. 746-754. Date of Electronic Publication: 2021 May 03.
DOI: 10.1016/j.arcmed.2021.04.008
Abstrakt: Aim of the Study: To examine mortality trends in children under 15 years of age due to HIV/AIDS in Mexico and describe their differences by insurance coverage.
Methods: Time series analysis of deaths from 1990-2019 through a Bayesian poisson regression model with linear splines and knots in 1994, 1997, and 2003.
Results: Overall, we observed a reduction in the mortality rate due to HIV from 2003 onwards, except in the group of 10-14 years. In the population covered with Social Security, mortality rates decreased in all age groups. However, in the group without Social Security or with Popular Security (subsidized system), mortality rates significantly decreased only for children below 5 years. of age.
Conclusions: Health insurance through the contributory system is associated with faster and larger reductions in HIV related infant mortality. Universal access to health insurance was not sufficient to close the gap in HIV-mortality among children under 15 years of age in Mexico.
Competing Interests: Declaration of Competing Interest All the authors certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript
(Copyright © 2021. Published by Elsevier Inc.)
Databáze: MEDLINE
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