Mortality related to tuberculosis-HIV/AIDS co-infection in Brazil, 2000-2011: epidemiological patterns and time trends

Lima, Mauricélia de la Silveira, Martins-Melo, Francisco Rogerlandio, Heukelbach, Jorg, Alencar, Carlos Henrique, Boigny, Reagan Nzundu, and Ramos, Alberto Novaes (2016) Mortality related to tuberculosis-HIV/AIDS co-infection in Brazil, 2000-2011: epidemiological patterns and time trends. Cadernos de Saude Publica, 32 (10). pp. 1-11.

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Abstract

Co-infection of tuberculosis (TB)-HIV/AIDS is a persistent public health problem in Brazil. This study describes epidemiological patterns and time trends of mortality related to TB-HIV/AIDS co-infection. Based on mortality data from 2000-2011 (almost 12.5 million deaths), 19,815 deaths related to co-infection were analyzed. The average age-adjusted mortality rate was 0.97 deaths/100,000 inhabitants. The highest mortality rates were found among males, those in economically productive age groups, black race/color and residents of the South region. There was a significant reduction in the mortality coefficient at the national level (annual average percent change: -1.7%; 95% CI: -2.4; -1.0), with different patterns among regions: increases in the North, Northeast and Central regions, a reduction in the Southeast and a stabilization in the South. The strategic integration of TB-HIV/AIDS control programmes is fundamental to reduce the burden of mortality related to co-infection in Brazil.

Item ID: 47081
Item Type: Article (Research - C1)
ISSN: 1678-4464
Keywords: tuberculosis, HIV, Acquired Immunodeficiency Syndrome, time series studies
Additional Information:

This is an open access article published under a CC-BY 4.0 license.

Funders: CAPES, Brazil, CNPq, Brazil
Date Deposited: 21 Dec 2016 07:32
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified @ 50%
42 HEALTH SCIENCES > 4202 Epidemiology > 420202 Disease surveillance @ 50%
SEO Codes: 92 HEALTH > 9204 Public Health (excl. Specific Population Health) > 920404 Disease Distribution and Transmission (incl. Surveillance and Response) @ 30%
92 HEALTH > 9201 Clinical Health (Organs, Diseases and Abnormal Conditions) > 920109 Infectious Diseases @ 70%
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