Reniers G, Araya T, Sanders EJ; International Conference on AIDS (15th : 2004 : Bangkok, Thailand).
Int Conf AIDS. 2004 Jul 11-16; 15: abstract no. MoPeC3586.
University of Pennsylvania, Philadelphia, United States
Background: Our knowledge of AIDS mortality in developing countries does not quite match the attention the HIV epidemic has received over the last 20years. The major obstacle in obtaining more precise and reliable estimates is the availability of adequate data, vital statistics in particular. Methods: This contribution uses data from an innovative -though partial- substitute for a proper vital registration system, namely burial surveillance data. The surveillance was initiated at all cemeteries of Addis Ababa in 2001 and is ongoing. We illustrate the use of these data for estimating age, sex, and migration specific patterns in AIDS mortality. We use two approaches that generate quasi-independent estimates. The first method is based on the lay diagnoses collected at the burial sites. The diagnostic value of these lay diagnoses for monitoring AIDS mortality has been explored in Araya et al. (2004). Here we use the diagnostic indicators for obtaining population based estimates of AIDS mortality. The second method uses the age and sex distribution of deaths as an input into a life table analysis. The outcomes from these two methods are compared with verbal autopsy estimates. Results & conclusions: Both methods attribute between 60-70% of adult deaths (age 20-54) to AIDS and these results are corroborated by verbal autopsy estimates. The sex and age pattern of these estimates are comparable to those published in other studies, but intriguing gender differences in AIDS mortality appear when the results are disaggregated by migration status. They suggest that among migrants AIDS mortality is much higher for women than for men, and vice versa among native-born Addis Ababa residents. One interpretation of this result is that migrant women are often selected into prostitution and exposed to a higher risk of infection. Reference: Araya T, Reniers G, Schaap A, Kebede D, Kumie A, Nagelkerke N, Coutinho R, Sanders E. (2004); Lay diagnoses of causes of death for monitoring AIDS mortality in Addis Ababa, Ethiopia. Tropical Medicine and International Health, 9(1): 178-186.
Publication Types:
Keywords:
- Acquired Immunodeficiency Syndrome
- Adult
- Burial
- Case-Control Studies
- Communicable Diseases
- Demography
- Developing Countries
- Ethiopia
- Female
- HIV Infections
- HIV Seropositivity
- Humans
- Male
- Prostitution
- Sex Distribution
- epidemiology
- methods
- mortality
Other ID:
UI: 102279880
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