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2013 - 2022年中国HIV感染患者的死亡率变化及死亡原因模式

Changing Mortality and Patterns of Death Causes in HIV Infected Patients - China, 2013-2022.

作者信息

Zhao Yan, Wei Lai, Dou Zhihui, Zhao Decai, Gan Xiumin, Wu Yasong, Han Mengjie

机构信息

National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing, China.

出版信息

China CDC Wkly. 2023 Dec 1;5(48):1073-1078. doi: 10.46234/ccdcw2023.201.


DOI:10.46234/ccdcw2023.201
PMID:38058989
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10696223/
Abstract

WHAT IS ALREADY KNOWN ABOUT THIS TOPIC?: The advent of antiretroviral therapy (ART) has markedly decreased mortality rates among patients infected with human immunodeficiency virus (HIV). Globally, there has been a 43% reduction in acquired immunodeficiency syndrome (AIDS)-related deaths from 2010 to 2022. Additionally, prior research indicates that the initiation of ART at an early stage within China has substantially lowered mortality rates. WHAT IS ADDED BY THIS REPORT?: Over the previous decade, following the implementation of China's universal ART access strategy, the patterns of mortality causes among HIV-infected individuals across the country have undergone significant alterations. In 2022, the all-cause mortality rate among this population was reported at 2.7%, with the non-AIDS-related mortality rate at 1.8%. However, it is important to consider that the accuracy of death reporting could contribute to potential misclassification of the underlying causes of death. WHAT ARE THE IMPLICATIONS FOR PUBLIC HEALTH PRACTICE?: Efforts to enhance health outcomes should persist in emphasizing the advancement of ART strategies, with a particular focus on mitigating non-AIDS-related mortality in the future.

摘要

关于该主题已知的信息有哪些?:抗逆转录病毒疗法(ART)的出现显著降低了感染人类免疫缺陷病毒(HIV)患者的死亡率。在全球范围内,2010年至2022年期间,与获得性免疫缺陷综合征(AIDS)相关的死亡人数减少了43%。此外,先前的研究表明,在中国早期开始ART治疗可大幅降低死亡率。 本报告新增了哪些内容?:在过去十年中,随着中国普及ART治疗策略的实施,全国HIV感染者的死亡原因模式发生了显著变化。2022年,该人群的全因死亡率报告为2.7%,非艾滋病相关死亡率为1.8%。然而,需要考虑的是,死亡报告的准确性可能导致潜在的死亡根本原因误分类。 对公共卫生实践有哪些启示?:改善健康结果的努力应继续强调推进ART策略,尤其要关注未来降低非艾滋病相关死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c8a/10696223/e37f8aefeb29/ccdcw-5-48-1073-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c8a/10696223/120c28cb2e8e/ccdcw-5-48-1073-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c8a/10696223/e37f8aefeb29/ccdcw-5-48-1073-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c8a/10696223/120c28cb2e8e/ccdcw-5-48-1073-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2c8a/10696223/e37f8aefeb29/ccdcw-5-48-1073-2.jpg

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[1]
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[3]
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[4]
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[5]
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[6]
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[7]
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BMC Public Health. 2024-12-20

[8]
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[9]
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[10]
Trends in HIV/AIDS-Related Mortality and the Impact of Antiretroviral Treatment Strategies in Lu'an City: A Comprehensive Analysis.

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本文引用的文献

[1]
HIV Late Presenters in Asia: Management and Public Health Challenges.

AIDS Res Treat. 2023-6-14

[2]
How health systems can adapt to a population ageing with HIV and comorbid disease.

Lancet HIV. 2022-4

[3]
Vital Signs: Deaths Among Persons with Diagnosed HIV Infection, United States, 2010-2018.

MMWR Morb Mortal Wkly Rep. 2020-11-20

[4]
Deaths Attributable to Cancer in the US Human Immunodeficiency Virus Population During 2001-2015.

Clin Infect Dis. 2021-5-4

[5]
Immediate Antiretroviral Therapy Decreases Mortality Among Patients With High CD4 Counts in China: A Nationwide, Retrospective Cohort Study.

Clin Infect Dis. 2018-2-10

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Cause-Specific Mortality in HIV-Positive Patients Who Survived Ten Years after Starting Antiretroviral Therapy.

PLoS One. 2016-8-15

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Trends in AIDS Deaths, New Infections and ART Coverage in the Top 30 Countries with the Highest AIDS Mortality Burden; 1990-2013.

PLoS One. 2015-7-6

[8]
Decreasing mortality and changing patterns of causes of death in the Swiss HIV Cohort Study.

HIV Med. 2012-9-24

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