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[HIV mortality trends in Mexico, 2000-2022]
Oswaldo Sinoe Medina-Gómez1, Antonio Barrios-Pérez1, Arturo Sosa-Tapia1
1Instituto Mexicano del Seguro Social, Hospital General Regional 1 "Dr. Carlos MacGregor Sánchez Navarro", Unidad de Investigación en Epidemiología Clínica. Ciudad de México, México.
Revista Medica Del Instituto Mexicano Del Seguro Social
|November 21, 2024
Summary
HIV mortality rates declined nationally in Mexico from 2007-2022, but state-level variations persist. Targeted public health strategies are needed to address these HIV trends and reduce mortality.
Area of Science:
- Epidemiology
- Public Health
- Demography
Context:
- Globally, 39 million people live with HIV, with 62% on antiretroviral therapy (ART).
- ART has significantly improved outcomes by suppressing viral replication and disease progression, reducing mortality.
- Understanding national and regional HIV trends is crucial for effective public health interventions.
Purpose:
- To analyze human immunodeficiency virus (HIV) mortality trends in Mexico from 2000 to 2022.
- To identify changes in mortality rates and estimate annual percentage changes.
- To examine variations in HIV mortality trends by state and sex.
Summary:
- An ecological study analyzed HIV deaths in Mexico (2000-2022), adjusting mortality rates and using joinpoint regression.
- National HIV mortality decreased from 0.05 to 0.04 per 100,000 population, with significant reductions observed from 2007-2022.
- State-level trends varied, with some states like Jalisco, Campeche, and Quintana Roo showing increases, and sex-based changes were heterogeneous.
Impact:
- HIV mortality reductions are not uniform across Mexico, necessitating tailored health strategies.
- Implementing interventions considering social, economic, cultural, and gender-specific factors is essential.
- Addressing regional disparities can further improve HIV outcomes and reduce mortality nationwide.
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