AEGiS-14IAC: Mortality trends from AIDS in Sao Paulo (Brazil) and Andalusia (Spain), 1989 to 2000.

14th International AIDS Conference


Barcelona, Spain - July 7-12, 2002

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Mortality trends from AIDS in Sao Paulo (Brazil) and Andalusia (Spain), 1989 to 2000.

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. C10708)

Ruiz-Ramos M, Santo AH, Jordani MS, Galvez-Daza P
Andalusian Health Service Ministry, Seville, Spain

BACKGROUND: AIDS became an important cause of death among young people in both developing and developed countries. Highly active antiretroviral therapies may have had different effects on the decrease of mortality verified from mid-1990s in these countries. This study intends to compare mortality trends from AIDS in Sao Paulo (Brazil) and Andalusia (Spain).

METHODS: With mortality and population official data of Sao Paulo and Andalusia from 1989-2000, adjusted death rates were calculated by means of the direct method using European population as standard, and specific mortality rates by age groups from 1989 to 2000 period.

RESULTS: AIDS mortality increased until 1995 and 1996 and decreased from 1996 and 1997 respectively in Sao Paulo and Andalusia. The adjusted rates by age decreased in Sao Paulo from 17.5 and 35.3 to 11.9 by 100,000 men, and from 2.8 and 11,0 to 6.6 by 100,000 women in 1990, 1995 and 2000 respectively. In Andalusia the corresponding rates were 4.6, 23.4 and 9.5 by 100,000 men, and 0.9, 3.9 and 1.6 by 100,000 women in 1989, 1996 and 1999 respectively. The men/women mortality rate ratio has been decreasing from 6.2 to 2.7 in Sao Paulo (1990 to 2000) and in Andalusia this ratio remained over all the years under consideration always above five. The greatest values for specific mortality rates by age were found in 30 to 34 years old men and women both in Sao Paulo and Andalusia.

CONCLUSIONS: Higher death rates were observed in Sao Paulo than in Andalusia for all the years and both genders. The decrease of mortality rates began in 1996 in Sao Paulo and in 1997 in Andalusia. Differences in trends for men/women mortality rate ratios point toward differences in traits of AIDS epidemics in Brazil and Spain. The decrease of men/women mortality rate ratios in Sao Paulo reflects the increase of the severity of the epidemics among women in Brazil.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Antiretroviral Therapy, Highly Active, Spain, Urban Population, Population, Brazil, Human, Female, Male, mortality, methodsKWDaegis,acquiredimmunodeficiencysyndrome,antiretroviraltherapy,highlyactive,spain,urbanpopulation,population,brazil,human,female,male,mortality,methods

020707
C10708

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