Wood E, Low-Beer S, Bartholomew K, Landolt M, Oram D, O'Shaughnessy M V, Hogg R S
British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver.
Can J Public Health. 2000 Mar-Apr;91(2):125-8. doi: 10.1007/BF03404927.
This study was undertaken to evaluate the life expectancy of gay and bisexual men in the West End of Vancouver, British Columbia during two time periods. Mortality data for males were obtained for the periods 1990 to 1992 and 1995 to 1997 and population estimates were obtained from the 1991 and 1996 Census. The proportion of the male population over 20 years of age estimated to be gay and bisexual was derived from a random telephone survey. Mortality patterns were assessed by comparing changes in life expectancy at age 20 years between the periods, and by examining the life expectancy lost attributed to HIV/AIDS. Between the periods there was 3.8 +/- 3.4 years increase in life expectancy among gay and bisexual men. At exact age 20 years, life expectancy increased from 37.0 +/- 3.5 years during the period 1990 to 1992 to 40.8 +/- 2.4 years during the period 1995 to 1997. The loss of life expectancy attributed to HIV/AIDS at this age was 13.8 +/- 3.9 during the first period and 9.8 +/- 3.6 years during the second period. This gain is most likely the result of the improved efficacy of antiretroviral therapies.
本研究旨在评估不列颠哥伦比亚省温哥华西区男同性恋者和双性恋男性在两个时间段的预期寿命。获取了1990年至1992年以及1995年至1997年男性的死亡率数据,并从1991年和1996年人口普查中获取了人口估计数。20岁及以上男性人口中估计为男同性恋者和双性恋者的比例来自一项随机电话调查。通过比较两个时间段20岁时预期寿命的变化,以及检查归因于艾滋病毒/艾滋病的预期寿命损失,来评估死亡率模式。在这两个时间段之间,男同性恋者和双性恋男性的预期寿命增加了3.8±3.4岁。在确切的20岁时,预期寿命从1990年至1992年期间的37.0±3.5岁增加到1995年至1997年期间的40.8±2.4岁。在这个年龄段,归因于艾滋病毒/艾滋病的预期寿命损失在第一个时间段为13.8±3.9岁,在第二个时间段为9.8±3.6岁。这一增长很可能是抗逆转录病毒疗法疗效提高的结果。