Cadernos de Saúde Pública ()

Mortality related to tuberculosis-HIV/AIDS co-infection in Brazil, 2000-2011: epidemiological patterns and time trends

  • Mauricélia da Silveira Lima,
  • Francisco Rogerlândio Martins-Melo,
  • Jorg Heukelbach,
  • Carlos Henrique Alencar,
  • Reagan Nzundu Boigny,
  • Alberto Novaes Ramos Júnior

DOI
https://doi.org/10.1590/0102-311X00026715
Journal volume & issue
Vol. 32, no. 10

Abstract

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Abstract: Co-infection of tuberculosis (TB)-HIV/AIDS is a persistent public health problem in Brazil. This study describes epidemiological patterns and time trends of mortality related to TB-HIV/AIDS co-infection. Based on mortality data from 2000-2011 (almost 12.5 million deaths), 19,815 deaths related to co-infection were analyzed. The average age-adjusted mortality rate was 0.97 deaths/100,000 inhabitants. The highest mortality rates were found among males, those in economically productive age groups, black race/color and residents of the South region. There was a significant reduction in the mortality coefficient at the national level (annual average percent change: -1.7%; 95%CI: -2.4; -1.0), with different patterns among regions: increases in the North, Northeast and Central regions, a reduction in the Southeast and a stabilization in the South. The strategic integration of TB-HIV/AIDS control programmes is fundamental to reduce the burden of mortality related to co-infection in Brazil.

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