Please use this identifier to cite or link to this item: http://hdl.handle.net/10668/295
Título : Factors associated with improvement in disability-adjusted life years in patients with HIV/AIDS
Autor : Bermudez Tamayo, Clara
Martínez Tapias, José J
Ruíz Pérez, Isabel
Olry de Labry Lima, Antonio
Filiación: [Bermúdez Tamayo, C] Escuela Andaluza de Salud Pública, Granada, España. [Martínez Tapias, JJ] Departamento de Economía Aplicada, Universidad de Granada, España. [Ruíz Pérez, I; Olry de Labry Lima, A] Escuela Andaluza de Salud Pública, CIBER de Epidemiología y Salud Pública (CIBERESP), Granada, España
Palabras clave : Síndrome de inmunodeficiencia adquirida
Años de vida ajustados por calidad de vida
Sobrevivientes de VIH a largo plazo
MeSH: Medical Subject Headings::Diseases::Virus Diseases::Sexually Transmitted Diseases::Sexually Transmitted Diseases, Viral::HIV Infections::Acquired Immunodeficiency Syndrome
Medical Subject Headings::Health Care::Population Characteristics::Demography::Vital Statistics::Life Tables::Quality-Adjusted Life Years
Medical Subject Headings::Named Groups::Persons::Patients::Survivors::HIV Long-Term Survivors
Fecha de publicación : 21-Oct-2008
Editorial : Biomed Central
Cita Bibliográfica: Bermudez-Tamayo C, Martínez Tapias JJ, Ruiz-Pérez I, Olry de Labry Lima A. Factors associated with improvement in disability-adjusted life years in patients with HIV/AIDS. BMC Public Health. 2008 Oct 21; 8:362
Abstract: Background The epidemic of HIV/AIDS and treatments that have emerged to alleviate, have brought about a shift in the burden of disease from death to quality of life/disability. The aim was to determine which factors are associated with improvements in the level of health of male and female patients with HIV/AIDS in Andalusia, in terms of disability-adjusted life years. Methods Descriptive study based on a sample group of 8800 people on the Andalusian AIDS register between 1983 and 2004. Dependent variables: Life lost due to premature mortality (YLL), years lost due to disability (YLD) and disability-adjusted life years (DALY). Independent variables: vital state, sex, age at the time of diagnosis, age at the time of death, transmission category, province of residence, AIDS-indicator disease and the period of diagnosis. A bivariate analysis was carried out to find out if the health level variables changed in accordance with the independent variables. Using the independent variables which had a statistically significant link with the level of health variables, a multivariate linear regression model, disaggregated by gender, was constructed. Results Amongst the women, we found a model which explained the level of health of 64.9%: a link was found between a higher level of health (lower DALYs) and not intravenous drug use, the province of residence, being diagnosed during the HAART era and older age at the time of diagnosis. Amongst the men, we found a model which explained the level of health of 64.4%: a link was found between a higher level of health (lower DALYs) and intravenous drug use, the province of residence, being diagnosed during the HAART era and older age at the time of diagnosis. Conclusion A higher level of health (lower DALY) amongst both men and women was found to be linked to not be intravenous drug user, the province of residence, being diagnosed during the HAART era and older age at the time of diagnosis.
URI: http://hdl.handle.net/10668/295
Versión del editor : http://www.biomedcentral.com/1471-2458/8/362
DOI: 10.1186/1471-2458-8-362
Appears in Collections:01- Artículos - EASP. Escuela Andaluza de Salud Pública

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