[AIDS-related early mortality in Mexico between 2008 and 2012]

Omar Silverman-Retana1, Sergio Bautista-Arredondo1, Edson Serván-Mori1

  • 1Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.

Salud Publica De Mexico
|November 7, 2015
PubMed
Abstract

Insights

Most AIDS deaths in Mexico occur within six months of starting antiretroviral treatment, often due to late HIV diagnosis. Strengthening early diagnosis and care linkage is crucial for effective HIV treatment access.

Area of Science:

  • Public Health
  • Epidemiology
  • Infectious Diseases

Background:

  • Access to antiretroviral treatment (ART) is a cornerstone of HIV/AIDS management.
  • Understanding mortality patterns post-ART initiation is vital for optimizing care.
  • The System for the Administration, Logistics and Surveillance of Antiretrovirals (SALVAR) in Mexico provides a data source for such analyses.

Purpose of the Study:

  • To analyze the timing of AIDS-related mortality among patients accessing Ministry of Health facilities in Mexico.
  • To identify factors associated with early mortality after ART initiation.

Main Methods:

  • A descriptive analysis was conducted on a cohort of 41,847 patients registered in SALVAR.
  • AIDS mortality data and associated clinical/demographic profiles were examined.
  • Time-to-death analysis relative to ART initiation was performed.

Main Results:

  • A total of 3,195 patients (8.1%) died during the study period.
  • Over half (59%) of these deaths occurred within six months of ART initiation.
  • Late HIV diagnosis (CD4 count <200 cells/mL) was prevalent in 87.3% of early mortality cases.

Conclusions:

  • A significant proportion of AIDS-related deaths occur early in the course of ART.
  • Late HIV diagnosis is a major contributing factor to early mortality.
  • Enhanced HIV diagnosis and timely linkage to care are critical for improving outcomes and achieving universal ART access in Mexico.

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