title: Survival of AIDS patients in the Southeast and South of Brazil: analysis of the 1998-1999 cohort.
abstract: The aim of this study was to evaluate survival time for AIDS patients 13 years and older in the South and Southeast regions of Brazil, according to socio-demographic, clinical, and epidemiological characteristics. The sample was selected from all cases diagnosed in 1998 and 1999 and notified to the Epidemiological Surveillance System of the National STD/AIDS Program. Use of a questionnaire allowed analyzing 2,091 patient charts. Based on the Kaplan-Meier method, estimated survival was at least 108 months after diagnosis in 59.5% of patients in the Southeast and 59.3% in the South. Cox regression models showed, in both regions, an increase in survival in patients on antiretroviral therapy, those classified as AIDS cases according to the CD4 T-cell criterion, females, and those with more schooling. Other factors associated with longer survival in the Southeast were: white skin color, no history of tuberculosis since the AIDS diagnosis, negative hepatitis B serology, and access to a multidisciplinary health team. In the South, age below 40 years was associated with longer survival.
authors.affiliation: Faculdade de Ciências Médicas, Santa Casa de São Paulo, São Paulo, Brasil. ione@cealag.com.br
authors.forename: Ione Aquemi
authors.initials: IA
authors.lastname: Guibu
authors.forename: Marilisa Berti de Azevedo
authors.initials: MB
authors.lastname: Barros
authors.forename: Maria Rita
authors.initials: MR
authors.lastname: Donalísio
authors.forename: Ângela
authors.initials: Â
authors.lastname: Tayra
authors.forename: Maria Cecília Goi Porto
authors.initials: MC
authors.lastname: Alves
mesh_terms: D000163:Acquired Immunodeficiency Syndrome / Q000401:mortality*; D000293:Adolescent; D000328:Adult; D001938:Brazil / Q000453:epidemiology; D005260:Female; D006801:Humans; D053208:Kaplan-Meier Estimate; D008297:Male; D012307:Risk Factors; D012959:Socioeconomic Factors; D016019:Survival Analysis; D055815:Young Adult