Differential trends in mortality from AIDS in men and women in Brazil (1984-1995)
Autor(a) principal: | |
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Data de Publicação: | 2000 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da FIOCRUZ (ARCA) |
Texto Completo: | https://www.arca.fiocruz.br/handle/icict/674 |
Resumo: | Objective: To analyse trends in AIDS mortality in men and women in Brazil, for the period 1984±1995. Design and methods: National statistics on yearly numbers of reported deaths by cause, in conjunction with census population counts and inter-censory estimates, were used to calculate age- and sex-specic AIDS mortality rates for Brazil as a whole and for São Paulo and Rio de Janeiro, the two largest cities in Brazil, and those most affected by the AIDS epidemic to date. Results: Numbers of reported deaths from AIDS have increased yearly in Brazil since 1984, to approximately 15 000 in 1995. The data suggest that after a very dramatic rise in mortality rates, the epidemic may have started to slow even before the introduction of freely available highly-active anti-retroviral therapy, although unequally in terms of both geographical and sex distributions. Women also tended to die at relatively younger ages than men in all areas studied, and by 1995 the impact of AIDS on overall mortality was practically the same for men and women aged 25-34 years (21% in São Paulo). Conclusions: Trends in mortality from AIDS in Brazil reflect both the geographical expansion of the epidemic outwards from its original epicentres, and the fact that women are becoming increasingly affected by the AIDS epidemic. |
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Lowndes, Catherine M.Bastos, Francisco Inácio Pinkusfeld MonteiroGiffin, Karen M.Reis, Ana C.G. Vaz dosd'Orsi, EleonoraAlary, Michel2010-08-23T16:58:37Z2010-11-04T14:20:08Z2010-08-23T16:58:37Z2010-11-04T14:20:08Z2000LOWNDES, Catherine M. et al. Differential trends in mortality from AIDS in men and women in Brazil (1984-1995). AIDS, v. 14, n. 9, p. 1269-1273, 2000.0269-9370https://www.arca.fiocruz.br/handle/icict/674Objective: To analyse trends in AIDS mortality in men and women in Brazil, for the period 1984±1995. Design and methods: National statistics on yearly numbers of reported deaths by cause, in conjunction with census population counts and inter-censory estimates, were used to calculate age- and sex-specic AIDS mortality rates for Brazil as a whole and for São Paulo and Rio de Janeiro, the two largest cities in Brazil, and those most affected by the AIDS epidemic to date. Results: Numbers of reported deaths from AIDS have increased yearly in Brazil since 1984, to approximately 15 000 in 1995. The data suggest that after a very dramatic rise in mortality rates, the epidemic may have started to slow even before the introduction of freely available highly-active anti-retroviral therapy, although unequally in terms of both geographical and sex distributions. Women also tended to die at relatively younger ages than men in all areas studied, and by 1995 the impact of AIDS on overall mortality was practically the same for men and women aged 25-34 years (21% in São Paulo). Conclusions: Trends in mortality from AIDS in Brazil reflect both the geographical expansion of the epidemic outwards from its original epicentres, and the fact that women are becoming increasingly affected by the AIDS epidemic.Sponsorship: Financial support for this study was provided by the Ford Foundation (Grant no. 950-0546), the Brazilian National Research Council (CNPq) and the Oswaldo Cruz Foundation (FIOCRUZ). C.M.L. was supported in part by a visiting scientist award from the Brazilian National Research Council (CNPq). M.A. is the recipient of a research scholarship from the QueÂbec Health Research Council [FRSQ, Fonds de recherche en santê de Québec (Grant no. 970097)]. Partial Financial support for F.I.B. was provided by a joint exchange scholarship from the Medical Research Council of Canada and CNPq/ BrazilDepartment of Epidemiology, National School of Public Health (ENSP), Oswaldo Cruz Foundation (FIOCRUZ)Department of Health Information, FIOCRUZDepartment of Social SciencesGender and Health Nucleus, ENSP, FIOCRUZ, Rio de Janeiro, BrazilGender and Health Nucleus, ENSP, FIOCRUZ, Rio de Janeiro, BrazilEpidemiology Research Group, Department of Social and Preventive Medicine, Laval University, Québec, Canada.engLippincottWilliams & WilkinsDifferential trends in mortality from AIDS in men and women in Brazil (1984-1995)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlemortalitymenwomenBrazilLatin AmericaAidsinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZTEXTBastos_Differential trends_2000.pdf.txtBastos_Differential trends_2000.pdf.txtExtracted texttext/plain19454https://www.arca.fiocruz.br/bitstream/icict/674/6/Bastos_Differential%20trends_2000.pdf.txt0c5732cb8f7a94d4675358a2b98a9d91MD56LICENSElicense.txttext/plain1842https://www.arca.fiocruz.br/bitstream/icict/674/2/license.txt747787cbfb53a5979a7601f959494c68MD52ORIGINALBastos_Differential trends_2000.pdfapplication/pdf124568https://www.arca.fiocruz.br/bitstream/icict/674/3/Bastos_Differential%20trends_2000.pdf7d50365ab3b3c4d0c17396316fe295c2MD53THUMBNAILBastos_Differential trends_2000.pdf.jpgBastos_Differential trends_2000.pdf.jpgGenerated Thumbnailimage/jpeg2090https://www.arca.fiocruz.br/bitstream/icict/674/5/Bastos_Differential%20trends_2000.pdf.jpg7621b14427e0802a625771c6db15bde1MD55icict/6742023-08-23 13:25:06.364oai:www.arca.fiocruz.br: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ório InstitucionalPUBhttps://www.arca.fiocruz.br/oai/requestrepositorio.arca@fiocruz.bropendoar:21352023-08-23T16:25:06Repositório Institucional da FIOCRUZ (ARCA) - Fundação Oswaldo Cruz (FIOCRUZ)false |
dc.title.pt_BR.fl_str_mv |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
title |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
spellingShingle |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) Lowndes, Catherine M. mortality men women Brazil Latin America Aids |
title_short |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
title_full |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
title_fullStr |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
title_full_unstemmed |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
title_sort |
Differential trends in mortality from AIDS in men and women in Brazil (1984-1995) |
author |
Lowndes, Catherine M. |
author_facet |
Lowndes, Catherine M. Bastos, Francisco Inácio Pinkusfeld Monteiro Giffin, Karen M. Reis, Ana C.G. Vaz dos d'Orsi, Eleonora Alary, Michel |
author_role |
author |
author2 |
Bastos, Francisco Inácio Pinkusfeld Monteiro Giffin, Karen M. Reis, Ana C.G. Vaz dos d'Orsi, Eleonora Alary, Michel |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Lowndes, Catherine M. Bastos, Francisco Inácio Pinkusfeld Monteiro Giffin, Karen M. Reis, Ana C.G. Vaz dos d'Orsi, Eleonora Alary, Michel |
dc.subject.en.pt_BR.fl_str_mv |
mortality men women Brazil Latin America Aids |
topic |
mortality men women Brazil Latin America Aids |
description |
Objective: To analyse trends in AIDS mortality in men and women in Brazil, for the period 1984±1995. Design and methods: National statistics on yearly numbers of reported deaths by cause, in conjunction with census population counts and inter-censory estimates, were used to calculate age- and sex-specic AIDS mortality rates for Brazil as a whole and for São Paulo and Rio de Janeiro, the two largest cities in Brazil, and those most affected by the AIDS epidemic to date. Results: Numbers of reported deaths from AIDS have increased yearly in Brazil since 1984, to approximately 15 000 in 1995. The data suggest that after a very dramatic rise in mortality rates, the epidemic may have started to slow even before the introduction of freely available highly-active anti-retroviral therapy, although unequally in terms of both geographical and sex distributions. Women also tended to die at relatively younger ages than men in all areas studied, and by 1995 the impact of AIDS on overall mortality was practically the same for men and women aged 25-34 years (21% in São Paulo). Conclusions: Trends in mortality from AIDS in Brazil reflect both the geographical expansion of the epidemic outwards from its original epicentres, and the fact that women are becoming increasingly affected by the AIDS epidemic. |
publishDate |
2000 |
dc.date.issued.fl_str_mv |
2000 |
dc.date.accessioned.fl_str_mv |
2010-08-23T16:58:37Z 2010-11-04T14:20:08Z |
dc.date.available.fl_str_mv |
2010-08-23T16:58:37Z 2010-11-04T14:20:08Z |
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info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
LOWNDES, Catherine M. et al. Differential trends in mortality from AIDS in men and women in Brazil (1984-1995). AIDS, v. 14, n. 9, p. 1269-1273, 2000. |
dc.identifier.uri.fl_str_mv |
https://www.arca.fiocruz.br/handle/icict/674 |
dc.identifier.issn.pt_BR.fl_str_mv |
0269-9370 |
identifier_str_mv |
LOWNDES, Catherine M. et al. Differential trends in mortality from AIDS in men and women in Brazil (1984-1995). AIDS, v. 14, n. 9, p. 1269-1273, 2000. 0269-9370 |
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https://www.arca.fiocruz.br/handle/icict/674 |
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eng |
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LippincottWilliams & Wilkins |
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LippincottWilliams & Wilkins |
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