HIV-associated adult mortality in a rural Tanzanian population.
AIDS
; 11(6): 801-7, 1997 May.
Article
em En
| MEDLINE
| ID: mdl-9143613
ABSTRACT
PIP: A cohort of 12,501 adults aged 15-54 years was randomly selected from 12 rural communities in Mwanza region, Tanzania, in 1991-92 and followed for 2 years to assess the contribution of HIV/AIDS to mortality in the region. HIV seroprevalence in the sample was 4% at baseline. 73 of the 196 deaths recorded over the period occurred among HIV-positive individuals. Mortality rates per 1000 person-years were 6.0 among the HIV-seronegative and 93.5 among the HIV-seropositive. The age-adjusted mortality rate ratio was 15.68 overall. 35% of overall mortality was attributed to HIV infection, 53% among those age 20-29 years. Verbal autopsies administered for each death reported showed that HIV-positive deaths were significantly associated with fever, rash, weight loss, anemia, cough, chest pain, abdominal pain, and headache. The specificity of individual symptoms, however, was low. The World Health Organization clinical case definition of AIDS was satisfied for only 13 deaths, of which seven were HIV-positive at baseline. HIV/AIDS was mentioned during the verbal autopsy interview by only seven respondents as being associated with a given death.
Palavras-chave
Acquired Immunodeficiency Syndrome; Africa; Africa South Of The Sahara; Causes Of Death; Demographic Factors; Developing Countries; Diseases; Eastern Africa; English Speaking Africa; Excess Mortality; Hiv Infections; Mortality; Population; Population Characteristics; Population Dynamics; Research Report; Rural Population; Tanzania; Viral Diseases
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Base de dados:
MEDLINE
Assunto principal:
Infecções por HIV
Idioma:
En
Ano de publicação:
1997
Tipo de documento:
Article