Trends in HIV/AIDS morbidity and mortality in Eastern Mediterranean countries, 1990–2015: findings from the Global Burden of Disease 2015 study
Author(s)
Type
Journal Article
Abstract
Objectives We used the results of the Global Burden of
Disease 2015 study to estimate trends of HIV/AIDS burden
in Eastern Mediterranean Region (EMR) countries between
1990 and 2015.
Methods Tailored estimation methods were used to produce
final estimates of mortality. Years of life lost (YLLs)
were calculated by multiplying the mortality rate by population
by age-specific life expectancy. Years lived with
disability (YLDs) were computed as the prevalence of a
sequela multiplied by its disability weight.
Results In 2015, the rate of HIV/AIDS deathsinthe EMR was
1.8 (1.4–2.5) per 100,000 population, a 43% increase from
1990 (0.3; 0.2–0.8). Consequently, the rate of YLLs due to
HIV/AIDS increased from 15.3 (7.6–36.2) per 100,000 in
1990 to 81.9 (65.3–114.4) in 2015. The rate of YLDs
increased from 1.3 (0.6–3.1) in 1990 to 4.4 (2.7–6.6) in 2015.
Conclusions HIV/AIDS morbidity and mortality increased
in the EMR since 1990. To reverse this trend and achieve
epidemic control, EMR countries should strengthen HIV
surveillance, and scale up HIV antiretroviral therapy and
comprehensive prevention services.
Disease 2015 study to estimate trends of HIV/AIDS burden
in Eastern Mediterranean Region (EMR) countries between
1990 and 2015.
Methods Tailored estimation methods were used to produce
final estimates of mortality. Years of life lost (YLLs)
were calculated by multiplying the mortality rate by population
by age-specific life expectancy. Years lived with
disability (YLDs) were computed as the prevalence of a
sequela multiplied by its disability weight.
Results In 2015, the rate of HIV/AIDS deathsinthe EMR was
1.8 (1.4–2.5) per 100,000 population, a 43% increase from
1990 (0.3; 0.2–0.8). Consequently, the rate of YLLs due to
HIV/AIDS increased from 15.3 (7.6–36.2) per 100,000 in
1990 to 81.9 (65.3–114.4) in 2015. The rate of YLDs
increased from 1.3 (0.6–3.1) in 1990 to 4.4 (2.7–6.6) in 2015.
Conclusions HIV/AIDS morbidity and mortality increased
in the EMR since 1990. To reverse this trend and achieve
epidemic control, EMR countries should strengthen HIV
surveillance, and scale up HIV antiretroviral therapy and
comprehensive prevention services.
Date Issued
2018-05-01
Date Acceptance
2017-07-21
Citation
International Journal of Public Health, 2018, 63 (Suppl. .1), pp.123-136
ISSN
1661-8556
Publisher
Springer Verlag (Germany)
Start Page
123
End Page
136
Journal / Book Title
International Journal of Public Health
Volume
63
Issue
Suppl. .1
Copyright Statement
© The Author(s) 2017.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
License URL
Subjects
1117 Public Health And Health Services
Public Health
Publication Status
Published
Date Publish Online
2017-08-03