AIDS mortality in Brazil, 2012-2022: a time series study
- PMID: 39501403
- PMCID: PMC11536946
- DOI: 10.1186/s12981-024-00669-6
AIDS mortality in Brazil, 2012-2022: a time series study
Abstract
Background: Human immunodeficiency virus (HIV) infection is a health problem in Brazil and worldwide. Without treatment, the infection can progress to Acquired Immunodeficiency Syndrome (AIDS), with a high mortality potential. The objective of this study was to analyze the time trend of AIDS mortality in Brazil, macro-regions, federal units and their respective capitals, from 2012 to 2022.
Methods: This is a time-series study of all AIDS deaths in Brazil from 2012 to 2022. The study included the annual number of deaths and the crude and standardized mortality rates. The Joinpoint regression model was used for the time analysis of the standardized rates. Annual percentage change (APC) and average annual percentage change (AAPC) were calculated. A 95% confidence interval (CI) and a 5% significance level were used.
Results: During the period analyzed, 128,678 AIDS deaths were recorded in Brazil, with a crude mortality rate of 6.3/100,000 and a standardized mortality rate of 5.3/100,000. From 2012 to 2020, three regions showed a declining trend in AIDS mortality: Central-West (AAPC - 2.3%; 95%CI -4.3 to -0.21; p = 0.03), Southeast (AAPC - 5.6%; 95%CI -6.8 to -4.0; p < 0.001), and South (AAPC - 4.4%; 95%CI -5.27 to -3.6; p < 0.001). There was also a downward trend in 10 states and 10 capitals. There was an increase in the number of deaths from 2020 onwards in the North, Northeast and Southeast regions compared to 2019.
Conclusion: There was a downward trend in AIDS mortality from 2012 to 2020 and an upward trend from 2020 to 2022. The regional differences observed could reflect the social disparities that exist in Brazil. In addition, the Covid-19 pandemic has had an impact on the process of dealing with HIV in Brazil.
© 2024. The Author(s).
Conflict of interest statement
The authors declare no competing interests.
Figures
Similar articles
-
Trends in AIDS-related mortality among people aged 60 years and older in Brazil: a nationwide population-based study.AIDS Care. 2016 Dec;28(12):1533-1540. doi: 10.1080/09540121.2016.1191608. Epub 2016 Jun 2. AIDS Care. 2016. PMID: 27251592
-
Epidemiological patterns of mortality due to visceral leishmaniasis and HIV/AIDS co-infection in Brazil, 2000-2011.Trans R Soc Trop Med Hyg. 2014 Jun;108(6):338-47. doi: 10.1093/trstmh/tru050. Epub 2014 Apr 4. Trans R Soc Trop Med Hyg. 2014. PMID: 24706340
-
Secular trend of cervical cancer mortality in Brazil and regions.Cien Saude Colet. 2025 Mar;30(3):e09962023. doi: 10.1590/1413-81232025303.09962023. Epub 2023 Dec 30. Cien Saude Colet. 2025. PMID: 40136166 English, Portuguese.
-
Reprint of "Neurocysticercosis-related mortality in Brazil, 2000-2011: Epidemiology of a neglected neurologic cause of death".Acta Trop. 2017 Jan;165:170-178. doi: 10.1016/j.actatropica.2016.11.009. Epub 2016 Nov 23. Acta Trop. 2017. PMID: 27887696 Review.
-
[The epidemiological aspects of HIV/AIDS in Brazil].Rev Soc Bras Med Trop. 1993 Apr-Jun;26(2):101-11. doi: 10.1590/s0037-86821993000200006. Rev Soc Bras Med Trop. 1993. PMID: 8128069 Review. Portuguese.
References
-
- World Health Organization. HIV and AIDS. https://www.who.int/news-room/fact-sheets/detail/hiv-aids. Accessed 13 July 2024.
-
- Bekker LG, Beyrer C, Mgodi N, Lewin SR, Delany-Moretlwe S, Taiwo B, Masters MC, Lazarus JV. HIV infection. Nat Rev Dis Primers. 2023;9:42. 10.1038/s41572-023-00452-3. Erratum in: Nat Rev Dis Primers. 2023;9(1):48. 10.1038/s41572-023-00464-z.
-
- World Health Organization. The Global Health Observatory. HIV – Number of new HIV infections. https://www.who.int/data/gho/data/indicators/indicator-details/GHO/numbe.... Accessed 13 July 2024.
-
- Institute for Health Metrics and Evaluation. Global Health Data Exchange (GHDx). https://vizhub.healthdata.org/gbd-results/. Accessed 13 July 2024.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical