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[Trends in infectious diseases mortality in Spain]
K Fernández de la Hoz1, S de Mateo, E Regidor
1Subdirección General de Sanidad Penitenciaria, Dirección General de Instituciones Penitenciarias, Ministerio del Interior, Madrid, 28014, España.
Gaceta Sanitaria
|September 22, 1999
Summary
Infectious disease mortality in Spain decreased annually by 1.4% between 1980-1993, with notable exceptions. The 25-44 age group saw a sevenfold increase in mortality, primarily due to HIV infection.
Area of Science:
- Epidemiology
- Public Health
- Infectious Diseases
Context:
- Mortality trends in Spain from 1980-1993.
- Infectious diseases as a significant cause of death.
- Geographical distribution of mortality patterns.
Purpose:
- To analyze the temporal trends and geographical variations in infectious disease mortality in Spain.
- To identify specific infectious diseases contributing to mortality changes.
- To assess mortality rates across different age groups and provinces.
Summary:
- Adjusted mortality rates from infectious diseases in Spain declined by approximately 1.4% annually between 1980 and 1993.
- Respiratory tract infections remained the leading cause of death, while tuberculosis decreased and HIV infection emerged as a significant cause.
- Mortality rates decreased across most age groups, but dramatically increased sevenfold in the 25-44 age bracket, largely attributed to HIV infection.
Impact:
- Highlights the underestimation of infectious disease impact due to classification methods (ICD-9).
- Reveals a critical mortality increase in young adults (25-44) linked to HIV, necessitating targeted public health interventions.
- Demonstrates consistent geographical patterns in mortality rates across Spanish provinces over the study period.