Julianne Damiana da Silva Vicente, Cristine Vieira do Bonfim, Jessyka Mary Vasconcelos Barbosa, Vanessa de Lima Silva, Albanita Gomes da Costa de Ceballos, Gabriella Morais Duarte Miranda
{"title":"Survival of elderly people living with the human immunodeficiency virus in a municipality in Northeast Brazil: a retrospective cohort, 2006-2021.","authors":"Julianne Damiana da Silva Vicente, Cristine Vieira do Bonfim, Jessyka Mary Vasconcelos Barbosa, Vanessa de Lima Silva, Albanita Gomes da Costa de Ceballos, Gabriella Morais Duarte Miranda","doi":"10.1590/S2237-96222025v34e20240071.en","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To characterize the survival of elderly people with HIV infection who had follow-up at a reference service in Jaboatão dos Guararapes, Pernambuco, Brazil.</p><p><strong>Methods: </strong>This is a retrospective cohort of elderly people who began follow-up between 2006 and 2021. Kaplan-Meier survival analysis was used. The Cox model was applied to calculate the hazard ratio (HR) and 95% confidence interval (95%CI) of survival based on the study variables.</p><p><strong>Results: </strong>116 elderly people were analyzed, the majority (n=83) were 60-69 years old and were diagnosed after the age of 60 (n=45). Risk of death was higher among elderly people who were hospitalized during the study period (HR 4.83; 95%CI 1.07; 21.79). Nine people died from HIV-related causes and average survival time was 76.5±48.5 months. In the first year of the study, probability of survival was greater than 96%.</p><p><strong>Conclusion: </strong>Survival varied from less than one month to more than 195 months. Among the sociodemographic and clinical factors studied, only hospitalization showed significant association with occurrence of deaths among the elderly. Although the study was carried out in just one service, these results can contribute to guiding care strategies for elderly people living with HIV.</p>","PeriodicalId":51473,"journal":{"name":"Epidemiologia e Servicos de Saude","volume":"34 ","pages":"e20240071"},"PeriodicalIF":2.5000,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11967166/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Epidemiologia e Servicos de Saude","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/S2237-96222025v34e20240071.en","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q1","JCRName":"Multidisciplinary","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To characterize the survival of elderly people with HIV infection who had follow-up at a reference service in Jaboatão dos Guararapes, Pernambuco, Brazil.
Methods: This is a retrospective cohort of elderly people who began follow-up between 2006 and 2021. Kaplan-Meier survival analysis was used. The Cox model was applied to calculate the hazard ratio (HR) and 95% confidence interval (95%CI) of survival based on the study variables.
Results: 116 elderly people were analyzed, the majority (n=83) were 60-69 years old and were diagnosed after the age of 60 (n=45). Risk of death was higher among elderly people who were hospitalized during the study period (HR 4.83; 95%CI 1.07; 21.79). Nine people died from HIV-related causes and average survival time was 76.5±48.5 months. In the first year of the study, probability of survival was greater than 96%.
Conclusion: Survival varied from less than one month to more than 195 months. Among the sociodemographic and clinical factors studied, only hospitalization showed significant association with occurrence of deaths among the elderly. Although the study was carried out in just one service, these results can contribute to guiding care strategies for elderly people living with HIV.