Survival of AIDS patients in the Southeast and South of Brazil: analysis of the 1998-1999 cohort

Cad Saude Publica. 2011:27 Suppl 1:S79-92. doi: 10.1590/s0102-311x2011001300009.

Abstract

The aim of this study was to evaluate survival time for AIDS patients 13 years and older in the South and Southeast regions of Brazil, according to socio-demographic, clinical, and epidemiological characteristics. The sample was selected from all cases diagnosed in 1998 and 1999 and notified to the Epidemiological Surveillance System of the National STD/AIDS Program. Use of a questionnaire allowed analyzing 2,091 patient charts. Based on the Kaplan-Meier method, estimated survival was at least 108 months after diagnosis in 59.5% of patients in the Southeast and 59.3% in the South. Cox regression models showed, in both regions, an increase in survival in patients on antiretroviral therapy, those classified as AIDS cases according to the CD4 T-cell criterion, females, and those with more schooling. Other factors associated with longer survival in the Southeast were: white skin color, no history of tuberculosis since the AIDS diagnosis, negative hepatitis B serology, and access to a multidisciplinary health team. In the South, age below 40 years was associated with longer survival.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Acquired Immunodeficiency Syndrome / mortality*
  • Adolescent
  • Adult
  • Brazil / epidemiology
  • Female
  • Humans
  • Kaplan-Meier Estimate
  • Male
  • Risk Factors
  • Socioeconomic Factors
  • Survival Analysis
  • Young Adult