| Titre : | Impact of human immunodeficiency virus infection on mortality among young men and women in Spain. (1997) |
| Auteurs : | J. CASTILLA ; M.J. BELZA ; A. GUTIERREZ ; A. LLACER ; M.V. MARTINEZ DE ARAGON ; I. NOGUER ; J. PEREZ DE LA PAZ ; C. RUIZ ; National Center for Epidemiology. Instituto de Salud Carlos Iii. Madrid. ESP |
| Type de document : | Article |
| Dans : | International journal of epidemiology (vol. 26, n° 6, 1997) |
| Pagination : | 1346-1351 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Létalité ; Jeune adulte ; Homme ; Femme ; Espagne ; Europe ; Epidémiologie ; Sexe ; Tendance séculaire ; Immunopathologie |
| Résumé : | [BDSP. Notice produite par INIST 4R0xAvrx. Diffusion soumise à autorisation]. Background. This paper describes the impact of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) mortality among young adults in Spain with specific reference to other causes of death. Methods. Based on death registration data for the period 1980-1993, HIV/AIDS was compared against all other causes of death by gender, using specific rates in the 25-44 age group and standardized rates for potential years of life lost (PYLL). Results. In 1993, HIV/AIDS was the leading cause of death among men aged 25-44 years (21.8% of all deaths) and the second leading cause of death among women (14.9%), exceeded only by cancer. Since 1982, the trend in the overall standardized mortality rate for men in the 25-44 age group has been reversed, showing a progressive increase. Similarly, since 1984 there has been a halt in the decline in female mortality. For both sexes, maintenance of these trends in mortality watt largely ascribable to the effect of HIV/AIDS deaths which registered a marked rise, a rise far sharper than that witnessed for variations in all other causes studied. In 1993, the adjusted PYLL rate for HIV/AIDS for ages 1-70 rose to 615 per 100 000 population in men and 156 in women. These values accounted for 9.2% and 5.8% of PYLL for all causes, thereby ranking HIV/AIDS behind motor vehicle accidents as the second leading cause of premature death in men, and behind motor vehicle accidents and breast cancer as the third leading cause in women. (...) |
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