人口统计学特征与艾滋病患者的生存情况：1993 - 2001年芝加哥的健康差异
Demographic characteristics and survival with AIDS: health disparities in Chicago, 1993-2001.
作者信息
Woldemichael Girma, Christiansen Demian, Thomas Sandra, Benbow Nanette
机构信息
Epidemiology Program, Department of Public Health, DePaul Center, Rm 2136, 333 S State St, Chicago, IL 60604, USA.
出版信息
Am J Public Health. 2009 Apr;99 Suppl 1(Suppl 1):S118-23. doi: 10.2105/AJPH.2007.124750. Epub 2009 Feb 12.
OBJECTIVES
We examined correlations between survival and race/ethnicity, age, and gender among persons who died from AIDS-related causes.
METHODS
We estimated survival among 11 022 persons at 12, 36, and 60 months after diagnosis with AIDS in 1993 through 2001 and reported through 2003 to the Chicago Department of Public Health. We estimated hazard ratios (HRs) by demographic and risk characteristics.
RESULTS
All demographic groups had higher 5-year survival rates after the introduction of highly active retroviral therapy (1996-2001) than before (1993-1995). The HR for non-Hispanic Blacks to Whites was 1.18 in 1993 to 1995 and 1.51 (P < .01) in 1996 to 2001. The HR for persons 50 years or older to those younger than 30 years was 1.63 in 1993-1995 and 2.28 (P < .01) in 1996-2001. The female-to-male HR was 0.90 in 1993-1995 and 1.20 (P < .02) in 1996-2001.
CONCLUSIONS
The risk of death was higher for non-Hispanic Blacks and Hispanics than for non-Hispanic Whites. Interventions are needed to increase early access to care for disadvantaged groups.
目的
我们研究了因艾滋病相关原因死亡者的生存情况与种族/民族、年龄和性别的相关性。
方法
我们对1993年至2001年诊断为艾滋病且截至2003年向芝加哥公共卫生部报告的11022人在诊断后12个月、36个月和60个月时的生存情况进行了估计。我们根据人口统计学和风险特征估计了风险比（HRs）。
结果
在引入高效抗逆转录病毒治疗后（1996 - 2001年），所有人口统计学组的5年生存率均高于之前（1993 - 1995年）。1993年至1995年非西班牙裔黑人与白人的HR为1.18，1996年至2001年为1.51（P <.01）。1993 - 1995年50岁及以上人群与30岁以下人群的HR为1.63，1996 - 2001年为2.28（P <.01）。1993 - 1995年女性与男性的HR为0.90，1996 - 2001年为1.20（P <.02）。
结论
非西班牙裔黑人和西班牙裔的死亡风险高于非西班牙裔白人。需要采取干预措施，以增加弱势群体获得早期护理的机会。
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