Mortalidade relacionada à Aids nas regiões sul e sudeste do Brasil em 2011: análise de causas múltiplas
| Ano de defesa: | 2015 |
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| Autor(a) principal: | |
| Orientador(a): | |
| Banca de defesa: | |
| Tipo de documento: | Dissertação |
| Tipo de acesso: | Acesso aberto |
| Idioma: | por |
| Instituição de defesa: |
Universidade Federal de Minas Gerais
UFMG |
| Programa de Pós-Graduação: |
Não Informado pela instituição
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| Departamento: |
Não Informado pela instituição
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| País: |
Não Informado pela instituição
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| Palavras-chave em Português: | |
| Link de acesso: | http://hdl.handle.net/1843/BUBD-A6SP7Y |
Resumo: | Introduction. New standards in the health-disease process has brought a rearrangement among the diseases that impact mortality. In Brazil there are external causes, chronic conditions. Infectious diseases are still important and, among those, AIDS is considered an important public health problem in Brazil and worldwide. To understand the population health profile, not only the morbidity information but also information on mortality may be useful. However, the analysis commonly used are based on the underlying cause of death and, therefore, fail to consider information which altogether can allow assessing the disease process that results in death. Thus, a more comprehensive proposal is the methodology of multiple causes of death using information from death certificates that are available in the Mortality Information System. Objective. To analyze the profile of the causes of deaths related to infection with HIV / AIDS in the capitals of South and Southeast in 2011. Methods. The data available in the Mortality Information System of the deaths were used, for 2011. Inclusion criteria were deaths that mentioned HIV / AIDS in any field of the death certificate and whose capital of residence was one of the capitals of the South and Southeast Regions. We excluded deaths whose age at death was below 13 years. The absolute and relative frequencies of deaths were calculated for sex, age and residence capital according to multiple causes and the underlying cause. Results. In 2011 2,508 deaths were reported with mentioning of AIDS anywhere on the death certificate. From this total, in 2,456 deaths AIDS was selected as the underlying cause. This difference was especially marked in males, in persons 50 and older, and who lived in the capital Rio de Janeiro and Sao Paulo. The ratio of the number of underlying causes to the number of multiple causes (CB /CM) was close to 1 for all the analyzed categories and HIV / AIDS was selected as the underlying cause at least 95% of deaths where there was mention of HIV / AIDS. The smallest ratio CB / CM occurred among people aged 50 or more (0.95), indicating that this age group 5% of deaths where there was a mention of HIV / AIDS it has been not classified as an underlying cause. Diseases of the circulatory system (n = 15; 28.8%), followed by other neoplasms (n = 12; 23.1%) were the most mentioned diseases and selected as the underlying causes of deaths (among those whose underlying cause of death was different from HIV/AIDS). Conclusion. Using the multiple causes of death can be used as as appropriate strategy for the surveillance of deaths, retrieving information from the pathological process that culminated in the death, even in infectious diseases such as AIDS |