Survival of AIDS patients in the Southeast and South of Brazil: analysis of the 1998-1999 cohort

• Autor(a) principal: Guibu, Ione Aquemi
• Data de Publicação: 2011
• Outros Autores: Barros, Marilisa Berti de Azevedo, Donalísio, Maria Rita, Tayra, Ângela, Alves, Maria Cecília Goi Porto
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Cadernos de Saúde Pública
• Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/4786
• topic: Acquired Immunodeficiency Syndrome; Survivorship (Public Health); Anti-Retroviral Agents; Mortality

The aim of this study was to evaluate survival time for AIDS patients 13 years and older in the South and Southeast regions of Brazil, according to socio-demographic, clinical, and epidemiological characteristics. The sample was selected from all cases diagnosed in 1998 and 1999 and notified to the Epidemiological Surveillance System of the National STD/AIDS Program. Use of a questionnaire allowed analyzing 2,091 patient charts. Based on the Kaplan-Meier method, estimated survival was at least 108 months after diagnosis in 59.5% of patients in the Southeast and 59.3% in the South. Cox regression models showed, in both regions, an increase in survival in patients on antiretroviral therapy, those classified as AIDS cases according to the CD4 T-cell criterion, females, and those with more schooling. Other factors associated with longer survival in the Southeast were: white skin color, no history of tuberculosis since the AIDS diagnosis, negative hepatitis B serology, and access to a multidisciplinary health team. In the South, age below 40 years was associated with longer survival.