TY - JOUR
T1 - Trends in HIV/AIDS morbidity and mortality in Eastern Mediterranean countries, 1990–2015
T2 - findings from the Global Burden of Disease 2015 study
AU - GBD 2015 Eastern Mediterranean Region HIV/AIDS Collaborators
AU - Mokdad, Ali H.
AU - El Bcheraoui, Charbel
AU - Wang, Haidong
AU - Khalil, Ibrahim
AU - Afshin, Ashkan
AU - Collison, Michael
AU - Daoud, Farah
AU - Chew, Adrienne
AU - Krohn, Kristopher J.
AU - Carter, Austin
AU - Foreman, Kyle J.
AU - He, Fei
AU - Kassebaum, Nicholas J.
AU - Kutz, Michael
AU - Mirarefin, Mojde
AU - Nguyen, Grant
AU - Silpakit, Naris
AU - Sligar, Amber
AU - Larson, Heidi J.
AU - Vollset, Stein Emil
AU - Vos, Theo
AU - Hay, Simon I.
AU - Naghavi, Mohsen
AU - Murray, Christopher J.L.
AU - Rawaf, David Laith
AU - Rawaf, Salman
AU - Charara, Raghid
AU - Moradi-Lakeh, Maziar
AU - Abajobir, Amanuel Alemu
AU - Abate, Kalkidan Hassen
AU - Gebrehiwot, Tsegaye Tewelde
AU - Gesesew, Hailay Abrha
AU - Wakayo, Tolassa
AU - Workicho, Abdulhalik
AU - Abbas, Kaja M.
AU - Abd-Allah, Foad
AU - Abera, Semaw Ferede
AU - Adane, Kelemework
AU - Agarwal, Arnav
AU - Kiadaliri, Aliasghar Ahmad
AU - Ahmadi, Alireza
AU - Ahmed, Muktar Beshir
AU - Al Lami, Faris Hasan
AU - Alam, Khurshid
AU - Mekonnen, Alemayehu B.
AU - Alasfoor, Deena
AU - Alizadeh-Navaei, Reza
AU - Al-Maskari, Fatma
AU - Al-Raddadi, Rajaa
AU - Taveira, Nuno
N1 - Publisher Copyright:
© 2017, The Author(s).
PY - 2018/5/1
Y1 - 2018/5/1
N2 - 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 deaths in the 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.
AB - 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 deaths in the 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.
KW - Burden of disease
KW - Eastern Mediterranean Region
KW - HIV
KW - HIV mortality
UR - http://www.scopus.com/inward/record.url?scp=85026848284&partnerID=8YFLogxK
U2 - 10.1007/s00038-017-1023-0
DO - 10.1007/s00038-017-1023-0
M3 - Article
C2 - 28776249
AN - SCOPUS:85026848284
SN - 1661-8556
VL - 63
SP - 123
EP - 136
JO - International Journal of Public Health
JF - International Journal of Public Health
ER -