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Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems

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  • معلومة اضافية
    • Contributors:
      Computer, Electrical and Mathematical Science and Engineering (CEMSE) Division; Computer, Electrical, and Mathematical Sciences and Engineering Division, King Abdullah University of Science and Technology, Thuwal, Saudi Arabia; Institute for Health Metrics and Evaluation, University of Washington, Seattle, WA, USA; Big Data Institute, University of Oxford, Oxford, UK; Antai College of Economics, Shanghai Jiao Tong University, Shanghai, China; Montreal Neurological Institute, McGill University, Montreal, QC, Canada; Advanced Diagnostic and Interventional Radiology Research Center, Tehran University of Medical Sciences, Tehran, Iran; Department of Pediatric Dentistry, Federal University of Minas Gerais, Belo Horizonte, Brazil; Department of Clinical Sciences, University of Sharjah, Sharjah, United Arab Emirates; Department of Internal Medicine, Manipal Academy of Higher Education, Mangalore, India; Hamadan University of Medical Sciences, Hamadan, Iran; Department of Public Health, Wolkite University, Wolkite, Ethiopia; School of Medicine, Griffith University, Gold Coast, QLD, Australia; Department of Population Health Sciences, King’s College London, London, England; Centre of Excellence for Epidemiological Modeling and Analysis, Stellenbosch University, Stellenbosch, South Africa; Health Sciences Department, Muhammadiyah University of Surakarta, Sukoharjo, Indonesia; Department of Global Health, Stellenbosch University, Cape Town, South Africa; Center for Policy, Population & Health Research, National Autonomous University of Mexico, Mexico City, Mexico; The Australian Centre for Public and Population Health Research (ACPPHR), University of Technology Sydney, Sydney, NSW, Australia; Lincoln Medical School, Universities of Nottingham & Lincoln, Lincoln, UK; University College London Hospitals, London, UK; Department of Epidemiology, Jimma University, Jimma, Ethiopia; Australian Center for Precision Health, University of South Australia, Adelaide, SA, Australia; Department of Health Statistics, National Institute for Medical Research, Dar es Salaam, Tanzania; Institute of Health Research, University of Health and Allied Sciences, Ho, Ghana; Health Management and Economics Research Center, Iran University of Medical Sciences, Tehran, Iran; National School of Public Health, Carlos III Health Institute, Madrid, Spain; Health Economics Department, Iran University of Medical Sciences, Tehran, Iran; Department of Epidemiology, Arak University of Medical Sciences, Arak, Iran; Research Group in Health Economics, University of Cartagena, Cartagena, Colombia; Center for Biomedical Information Technology, Shenzhen Institutes of Advanced Technology, Shenzhen, China; Research Group in Hospital Management and Health Policies, ALZAK Foundation, Cartagena, Colombia; Carol Davila University of Medicine and Pharmacy, Bucharest, Romania; Statistics and Econometrics Department, Bucharest University of Economic Studies, Bucharest, Romania; Department of Parasitology, Mazandaran University of Medical Sciences, Sari, Iran; Department of Parasitology, Iranshahr University of Medical Sciences, Iranshahr, Iran; Department of Psychology, Foundation University Islamabad, Rawalpandi, Pakistan; Department of Public Health, Birmingham City University, Birmingham, UK; Department of Plastic Surgery, University of Texas, Houston, TX, USA; Department of Health System and Health Economics, Bahir Dar University, Bahir Dar, Ethiopia; Department of Medical and Surgical Sciences, University of Bologna, Bologna, Italy; Department of Forensic Medicine, Lumbini Medical College, Palpa, Nepal; The Judith Lumley Centre, La Trobe University, Melbourne, VIC, Australia; Occupational Health Unit, Sant’Orsola Malpighi Hospital, Bologna, Italy; Department of Community Medicine, Manipal Academy of Higher Education, Manipal, India; Ho Chi Minh City University of Technology (HUTECH), Ho Chi Minh City, Vietnam; Unit of Biochemistry, Sultan Zainal Abidin University, Kuala Terengganu, Malaysia; Center of Excellence in Behavioral Medicine, Nguyen Tat Thanh University, Ho Chi Minh City, Vietnam; Department of Hypertension, Medical University of Lodz, Lodz, Poland; Foundation University Medical College, Foundation University Islamabad, Islamabad, Pakistan; Polish Mothers’ Memorial Hospital Research Institute, Lodz, Poland; Department of Midwifery, Bahir Dar University, Bahir Dar, Ethiopia; Department of Neurosciences, Costa Rican Department of Social Security, San Jose, Costa Rica; School of Population Health & Environmental Sciences, King’s College London, London, UK; School of Medicine, University of Costa Rica, San Pedro, Costa Rica; Center for Primary Care, Harvard University, Boston, MA, USA; Department of Midwifery, Adigrat University, Adigrat, Ethiopia; School of Public Health, Imperial College London, London, UK; Competence Center of Mortality-Follow-Up of the German National Cohort, Federal Institute for Population Research, Wiesbaden, Germany; Department of Community Medicine, Gandhi Medical College Bhopal, Bhopal, India; Department of Community Medicine, Rajarata University of Sri Lanka, Anuradhapura, Sri Lanka; Jazan University, Jazan, Saudi Arabia; Department of Medicine, El Bosque University, Bogota, Colombia; School of International Development and Global Studies, University of Ottawa, Ottawa, ON, Canada; Transplant Service, University Hospital Foundation Santa Fe de Bogotá, Bogota, Colombia; Department of Internal Medicine, University of São Paulo, São Paulo, Brazil; Department of Social and Clinical Pharmacy, Charles University, Al Ain, Czech Republic; Department of Internal Medicine, Bahir Dar University, Bahir Dar, Ethiopia; The George Institute for Global Health, University of Oxford, Oxford, UK; One Health, University of Nantes, Nantes, France; Institute of Public Health, United Arab Emirates University, Hradec Kralova, United Arab Emirates; Department of Anatomy, Government Medical College Pali, Pali, India; Centre for Suicide Research and Prevention, University of Hong Kong, Hong Kong, China; Department of Community Medicine and Family Medicine, All India Institute of Medical Sciences, Jodhpur, India; School of Public Health, All India Institute of Medical Sciences, Jodhpur, India; Department of Statistical and Computational Genomics, National Institute of Biomedical Genomics, Kalyani, India; Department of Statistics, University of Calcutta, Kolkata, India; Centre for Global Child Health, University of Toronto, Toronto, ON, Canada; Department of Social Work and Social Administration, University of Hong Kong, Hong Kong, China; Centre of Excellence in Women and Child Health, Aga Khan University, Karachi, Pakistan; Social Determinants of Health Research Center, Babol University of Medical Sciences, Babol, Iran; University of Bologna, Bologna, Italy; Liaison of Turkey, Guillain-Barre Syndrome/Chronic Inflammatory Demyelinating Polyneuropathy Foundation International, Conshohocken, PA, USA; Nutrition Department, St; Department of Veterinary Medicine, Islamic Azad University, Kermanshah, Iran; Department of Psychiatry, University of São Paulo, São Paulo, Brazil; School of Public Health and Health Systems, University of Waterloo, Waterloo, ON, Canada; Department of Neuropsychopharmacology, National Center of Neurology and Psychiatry, Kodaira, Japan; Al Shifa School of Public Health, Al Shifa Trust Eye Hospital, Rawalpindi, Pakistan; Department of Public Health, Juntendo University, Tokyo, Japan; Department of Health Care, Metropolitan Autonomous University, Mexico City, Mexico; Research Unit on Applied Molecular Biosciences (UCIBIO), University of Porto, Porto, Portugal; Colombian National Health Observatory, National Institute of Health, Bogota, Colombia; Department of Epidemiology and Biostatistics, Wuhan University, Wuhan, China; Epidemiology and Public Health Evaluation Group, National University of Colombia, Bogota, Colombia; Department of Pharmacology, All India Institute of Medical Sciences, Jodhpur, India; Global Health Institute, Wuhan University, Wuhan, China; Department of Microbiology & Infection Control, Medanta Medicity, Gurugram, India; Cancer Institute, Hacettepe University, Ankara, Turkey; Department of Medicine, University of Toronto, Toronto, ON, Canada
    • بيانات النشر:
      Springer Nature
    • الموضوع:
      2021
    • Collection:
      King Abdullah University of Science and Technology: KAUST Repository
    • نبذة مختصرة :
      Background: Human immunodeficiency virus (HIV) remains a public health priority in Latin America. While the burden of HIV is historically concentrated in urban areas and high-risk groups, subnational estimates that cover multiple countries and years are missing. This paucity is partially due to incomplete vital registration (VR) systems and statistical challenges related to estimating mortality rates in areas with low numbers of HIV deaths. In this analysis, we address this gap and provide novel estimates of the HIV mortality rate and the number of HIV deaths by age group, sex, and municipality in Brazil, Colombia, Costa Rica, Ecuador, Guatemala, and Mexico. Methods: We performed an ecological study using VR data ranging from 2000 to 2017, dependent on individual country data availability. We modeled HIV mortality using a Bayesian spatially explicit mixed-effects regression model that incorporates prior information on VR completeness. We calibrated our results to the Global Burden of Disease Study 2017. Results: All countries displayed over a 40-fold difference in HIV mortality between municipalities with the highest and lowest age-standardized HIV mortality rate in the last year of study for men, and over a 20-fold difference for women. Despite decreases in national HIV mortality in all countries—apart from Ecuador—across the period of study, we found broad variation in relative changes in HIV mortality at the municipality level and increasing relative inequality over time in all countries. In all six countries included in this analysis, 50% or more HIV deaths were concentrated in fewer than 10% of municipalities in the latest year of study. In addition, national age patterns reflected shifts in mortality to older age groups—the median age group among decedents ranged from 30 to 45 years of age at the municipality level in Brazil, Colombia, and Mexico in 2017. Conclusions: Our subnational estimates of HIV mortality revealed significant spatial variation and diverging local trends in HIV mortality over time and ...
    • File Description:
      application/pdf
    • ISSN:
      1741-7015
    • Relation:
      https://bmcmedicine.biomedcentral.com/articles/10.1186/s12916-020-01876-4; (2021). Mapping subnational HIV mortality in six Latin American countries with incomplete vital registration systems. BMC Medicine, 19(1). doi:10.1186/s12916-020-01876-4; 2-s2.0-85102170519; BMC Medicine; http://hdl.handle.net/10754/668203; 19
    • الرقم المعرف:
      10.1186/s12916-020-01876-4
    • Rights:
      This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. ; http://creativecommons.org/licenses/by/4.0/
    • الرقم المعرف:
      edsbas.8E6D6118