南非农村地区局部艾滋病毒流行的发展及其相关的过高死亡率负担。

IF 1.1 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Global Health Epidemiology and Genomics Pub Date : 2016-03-23 eCollection Date: 2016-01-01 DOI:10.1017/gheg.2016.3
P Mee, K Kahn, C W Kabudula, R G Wagner, F X Gómez-Olivé, S Madhavan, Mark A Collinson, S M Tollman, P Byass
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引用次数: 8

摘要

人类免疫缺陷病毒(HIV)在南非的流行迅速发展成为一场大流行病。我们在此分析该流行病在该国农村地区的发展情况。所使用的数据是在1992年至2013年期间在该国东北部的纵向人口调查——阿金库尔健康和人口监测研究中收集的。在整个研究期间,所有村庄的死亡率相似,这表明有多个指示病例在地理上均匀分布。这些人很可能是返乡的移民工人。39岁以下妇女的艾滋病毒死亡率较高,39岁以上男子的艾滋病毒死亡率较高。这表明老年妇女获得更多艾滋病毒检测和治疗的保护作用。莫桑比克人和南非人的死亡率最近趋于一致,这表明以前的难民人口正在被收容社区同化。1992年至2013年期间,该社区60%以上的死亡可直接或间接归因于艾滋病毒。最近,非艾滋病毒死亡率不断上升,这对当地的保健服务产生了重要影响。本研究展示了纵向分析的证据如何支持医疗保健计划。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The development of a localised HIV epidemic and the associated excess mortality burden in a rural area of South Africa.

The development of a localised HIV epidemic and the associated excess mortality burden in a rural area of South Africa.

The development of a localised HIV epidemic and the associated excess mortality burden in a rural area of South Africa.

The development of a localised HIV epidemic and the associated excess mortality burden in a rural area of South Africa.

The human immunodeficiency virus (HIV) epidemic in South Africa rapidly developed into a major pandemic. Here we analyse the development of the epidemic in a rural area of the country. The data used were collected between 1992 and 2013 in a longitudinal population survey, the Agincourt Health and Demographic Surveillance Study, in the northeast of the country. Throughout the period of study mortality rates were similar in all villages, suggesting that there were multiple index cases evenly spread geographically. These were likely to have been returning migrant workers. For those aged below 39 years the HIV mortality rate was higher for women, above this age it was higher for men. This indicates the protective effect of greater access to HIV testing and treatment among older women. The recent convergence of mortality rates for Mozambicans and South Africans indicates that the former refugee population are being assimilated into the host community. More than 60% of the deaths occurring in this community between 1992 and 2013 could be attributed directly or indirectly to HIV. Recently there has been an increasing level of non-HIV mortality which has important implications for local healthcare provision. This study demonstrates how evidence from longitudinal analyses can support healthcare planning.

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来源期刊
Global Health Epidemiology and Genomics
Global Health Epidemiology and Genomics PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
1.40
自引率
0.00%
发文量
10
审稿时长
20 weeks
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