Repository of Research and Investigative Information

Repository of Research and Investigative Information

Ilam University of Medical Sciences

Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems

Tue Jul 5 16:26:34 2022

(2021) Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems. Bmc Medicine. p. 25. ISSN 1741-7015

Full text not available from this repository.

Official URL: http://apps.webofknowledge.com/InboundService.do?F...

Abstract

BackgroundHuman immunodeficiency virus (HIV) remains a public health priority in Latin America. While the burden of HIV is historically concentrated in urban areas and high-risk groups, subnational estimates that cover multiple countries and years are missing. This paucity is partially due to incomplete vital registration (VR) systems and statistical challenges related to estimating mortality rates in areas with low numbers of HIV deaths. In this analysis, we address this gap and provide novel estimates of the HIV mortality rate and the number of HIV deaths by age group, sex, and municipality in Brazil, Colombia, Costa Rica, Ecuador, Guatemala, and Mexico.MethodsWe performed an ecological study using VR data ranging from 2000 to 2017, dependent on individual country data availability. We modeled HIV mortality using a Bayesian spatially explicit mixed-effects regression model that incorporates prior information on VR completeness. We calibrated our results to the Global Burden of Disease Study 2017.ResultsAll countries displayed over a 40-fold difference in HIV mortality between municipalities with the highest and lowest age-standardized HIV mortality rate in the last year of study for men, and over a 20-fold difference for women. Despite decreases in national HIV mortality in all countries-apart from Ecuador-across the period of study, we found broad variation in relative changes in HIV mortality at the municipality level and increasing relative inequality over time in all countries. In all six countries included in this analysis, 50 or more HIV deaths were concentrated in fewer than 10 of municipalities in the latest year of study. In addition, national age patterns reflected shifts in mortality to older age groups-the median age group among decedents ranged from 30 to 45years of age at the municipality level in Brazil, Colombia, and Mexico in 2017.ConclusionsOur subnational estimates of HIV mortality revealed significant spatial variation and diverging local trends in HIV mortality over time and by age. This analysis provides a framework for incorporating data and uncertainty from incomplete VR systems and can help guide more geographically precise public health intervention to support HIV-related care and reduce HIV-related deaths.

Item Type: Article
Creators:
CreatorsEmail
Graetz, N.UNSPECIFIED
Woyczynski, L.UNSPECIFIED
Wilson, K. F.UNSPECIFIED
Hall, J. B.UNSPECIFIED
Abate, K. H.UNSPECIFIED
Abd-Allah, F.UNSPECIFIED
Adebayo, O. M.UNSPECIFIED
Adekanmbi, V.UNSPECIFIED
Afshari, M.UNSPECIFIED
Ajumobi, O.UNSPECIFIED
Akinyemiju, T.UNSPECIFIED
Alahdab, F.UNSPECIFIED
Al-Aly, Z.UNSPECIFIED
Rabanal, J. E. A.UNSPECIFIED
Alijanzadeh, M.UNSPECIFIED
Alipour, V.UNSPECIFIED
Altirkawi, K.UNSPECIFIED
Amiresmaili, M.UNSPECIFIED
Anber, N. H.UNSPECIFIED
Andrei, C. L.UNSPECIFIED
Anjomshoa, M.UNSPECIFIED
Antonio, C. A. T.UNSPECIFIED
Arabloo, J.UNSPECIFIED
Aremu, O.UNSPECIFIED
Aryal, K. K.UNSPECIFIED
Asadi-Aliabadi, M.UNSPECIFIED
Atique, S.UNSPECIFIED
Ausloos, M.UNSPECIFIED
Awasthi, A.UNSPECIFIED
Quintanilla, B. P. A.UNSPECIFIED
Azari, S.UNSPECIFIED
Badawi, A.UNSPECIFIED
Banoub, J. A. M.UNSPECIFIED
Barker-Collo, S. L.UNSPECIFIED
Barnett, A.UNSPECIFIED
Bedi, N.UNSPECIFIED
Bennett, D. A.UNSPECIFIED
Bhattacharjee, N. V.UNSPECIFIED
Bhattacharyya, K.UNSPECIFIED
Bhattarai, S.UNSPECIFIED
Bhutta, Z. A.UNSPECIFIED
Bijani, A.UNSPECIFIED
Bikbov, B.UNSPECIFIED
Britton, G.UNSPECIFIED
Burstein, R.UNSPECIFIED
Butt, Z. A.UNSPECIFIED
Cardenas, R.UNSPECIFIED
Carvalho, F.UNSPECIFIED
Castaneda-Orjuela, C. A.UNSPECIFIED
Castro, F.UNSPECIFIED
Cerin, E.UNSPECIFIED
Chang, J. C.UNSPECIFIED
Collison, M. L.UNSPECIFIED
Cooper, C.UNSPECIFIED
Cork, M. A.UNSPECIFIED
Daoud, F.UNSPECIFIED
Das Gupta, R.UNSPECIFIED
Weaver, N. D.UNSPECIFIED
De Neve, J. W.UNSPECIFIED
Deribe, K.UNSPECIFIED
Desalegn, B. B.UNSPECIFIED
Deshpande, A.UNSPECIFIED
Desta, M.UNSPECIFIED
Dhimal, M.UNSPECIFIED
Diaz, D.UNSPECIFIED
Dinberu, M. T.UNSPECIFIED
Djalalinia, S.UNSPECIFIED
Dubey, M.UNSPECIFIED
Dubljanin, E.UNSPECIFIED
Duraes, A. R.UNSPECIFIED
Dwyer-Lindgren, L.UNSPECIFIED
Earl, L.UNSPECIFIED
Kalan, M. E.UNSPECIFIED
El-Khatib, Z.UNSPECIFIED
Eshrati, B.UNSPECIFIED
Faramarzi, M.UNSPECIFIED
Fareed, M.UNSPECIFIED
Faro, A.UNSPECIFIED
Fereshtehnejad, S. M.UNSPECIFIED
Fernandes, E.UNSPECIFIED
Filip, I.UNSPECIFIED
Fischer, F.UNSPECIFIED
Fukumoto, T.UNSPECIFIED
Garcia, J. A.UNSPECIFIED
Gill, P. S.UNSPECIFIED
Gill, T. K.UNSPECIFIED
Gona, P. N.UNSPECIFIED
Gopalani, S. V.UNSPECIFIED
Grada, A.UNSPECIFIED
Guo, Y. M.UNSPECIFIED
Gupta, R.UNSPECIFIED
Gupta, V.UNSPECIFIED
Haj-Mirzaian, A.UNSPECIFIED
Haj-Mirzaian, A.UNSPECIFIED
Hamadeh, R. R.UNSPECIFIED
Hamidi, S.UNSPECIFIED
Hasan, M.UNSPECIFIED
Hassen, H. Y.UNSPECIFIED
Hendrie, D.UNSPECIFIED
Henok, A.UNSPECIFIED
othersUNSPECIFIED
Keywords: HIV AIDS Latin America HIV mortality Vital registration Small area estimation Mapping Spatial statistics antiretroviral therapy global burden low-income trends hiv/aids sex health brazil death tuberculosis General & Internal Medicine
Divisions:
Page Range: p. 25
Journal or Publication Title: Bmc Medicine
Journal Index: ISI
Volume: 19
Number: 1
Identification Number: https://doi.org/10.1186/s12916-020-01876-4
ISSN: 1741-7015
Depositing User: مهندس مهدی شریفی
URI: http://eprints.medilam.ac.ir/id/eprint/3329

Actions (login required)

View Item View Item