Silva Luana Rodrigues da, Araújo Ellen Thallita Hill, Carvalho Moisés Lopes, Almeida Camila Aparecida Pinheiro Landim, Oliveira Adélia Dalva da Silva, Carvalho Patrícia Maria Gomes de, Rodrigues Tatyanne Silva, Campelo Viriato
RN. Nurse, Undergraduate Nursing Department, Centro Universitário UNINOVAFAPI, Teresina (PI), Brazil.
RN. Master's Student, Department of Business Sciences, Fundação Sousândrade, Universidade Atlântica, São Luís (MA), Brazil.
Sao Paulo Med J. 2018 Jan-Feb;136(1):37-43. doi: 10.1590/1516-3180.2017.0130100917. Epub 2018 Jan 15.
The number of acquired immunodeficiency syndrome (AIDS)-related deaths covers different segments of the population differently, making monitoring of this mortality essential. The aim of this study was to describe the epidemiological situation of AIDS-related mortality in a municipality in the northeastern region of Brazil.
Retrospective cross-sectional study based on data from death certificates in the mortality information system of the Health Information Center, Municipal Health Foundation, Brazil.
Between 2003 and 2013, we investigated death certificates on which AIDS-related mortality was reported. Sociodemographic data, year, place, type of establishment where death occurred and underlying and associated causes that led to AIDS-related death were described. The Mann-Kendall test was used to verify the growth trend of the standardized mortality rate over the period studied.
Among the 1,066 AIDS-related deaths, 69.7% were among men; 47.2% of the individuals were 28-41 years of age, 32.7% had had 4-7 years of schooling, 66.9% were pardos (mixed race), 55.7% were unmarried and 15.3% were housekeepers. Hospitals were the site of 97% of the deaths, and 91% occurred at public hospitals. Respiratory failure was the main cause of death. The prevalence of infectious and parasitic diseases was 99.0%. AIDS-related mortality increased by 160% over the period studied, from 5.5/100,000 inhabitants in 2003 to 14.3/100,000 in 2013.
In the Brazilian municipality studied here, AIDS-related mortality was most prevalent among men and young adults of lower socioeconomic level. Over the period studied, the mortality rate increased.
获得性免疫缺陷综合征（艾滋病）相关死亡人数在不同人群中的分布有所不同，因此对这一死亡率进行监测至关重要。本研究旨在描述巴西东北部一个城市艾滋病相关死亡率的流行病学情况。
基于巴西市立卫生基金会健康信息中心死亡率信息系统中死亡证明的数据进行回顾性横断面研究。
在2003年至2013年期间，我们调查了报告有艾滋病相关死亡的死亡证明。描述了社会人口学数据、年份、地点、死亡发生机构的类型以及导致艾滋病相关死亡的潜在和相关原因。使用曼-肯德尔检验来验证所研究期间标准化死亡率的增长趋势。
在1066例艾滋病相关死亡病例中，69.7%为男性；47.2%的个体年龄在28至41岁之间，32.7%的人接受过4至7年教育，66.9%为混血儿，55.7%未婚，15.3%为家庭佣工。97%的死亡发生在医院，其中91%发生在公立医院。呼吸衰竭是主要死因。感染性和寄生虫病的患病率为99.0%。在所研究的期间，艾滋病相关死亡率增加了160%，从2003年的5.5/10万居民增加到2013年的14.3/10万。
在本研究的巴西城市中，艾滋病相关死亡率在社会经济水平较低的男性和年轻人中最为普遍。在所研究的期间，死亡率有所上升。
