Completeness of HIV reporting on death certificates for Floridians reported with HIV infection, 2000-2011.
Completeness of HIV reporting on death certificates for Floridians reported with HIV infection, 2000-2011.
复制标题
DOI：
10.1080/09540121.2015.1069786
复制
发表时间：
2016
期刊：
影响因子：
1.7
通讯作者：
Maddox LM
中科院分区：
文献类型：
--
作者：
Trepka MJ;Sheehan DM;Fennie KP;Niyonsenga T;Lieb S;Maddox LM
艾滋病毒死亡率被用作监测艾滋病毒在全世界影响的一个关键指标。必须在死亡证明上正确记录艾滋病毒，以便准确跟踪艾滋病毒死亡率的负担。本研究的目的是确定死亡证明中未正确报告艾滋病毒的程度，并通过人口因素检查不完整的模式。对2000-2011年向佛罗里达艾滋病毒监测系统报告的艾滋病毒感染者死亡证明上的死亡原因进行了分析，以确定根据世界卫生组织的建议，没有提及艾滋病毒的潜在死亡原因暗示艾滋病毒的比例。在11，989例死亡中，8，089例（67.5%）的死亡原因中有艾滋病毒编码（B20-24，R75），3，091例（25.8%）未提及艾滋病毒，潜在原因未提示艾滋病毒，809例（6.7%）未提及艾滋病毒，但潜在原因提示艾滋病毒。因此，9.1%（809/8898）的可能与艾滋病毒有关的死亡在死亡证明上没有提到艾滋病毒。当根本原因在死亡证明上提示HIV时，在HIV诊断后1个月内死亡是与未提及HIV最密切相关的因素。结果表明，仅使用生命记录的艾滋病毒死亡率可能会低估实际艾滋病毒死亡率约9%。努力减少死亡证明中艾滋病毒报告的不完整性，可以改善与艾滋病毒有关的死亡率估计。
HIV mortality is used as a key measure to monitor the impact of HIV throughout the world. It is important that HIV be correctly recorded on death certificates so that the burden of HIV mortality can be tracked accurately. The objective of this study was to determine the extent of failure to correctly report HIV on death certificates and examine patterns of incompleteness by demographic factors. Causes of death on death certificates of people infected with HIV reported to the Florida HIV surveillance system 2000–2011 were analyzed to determine the proportion without mention of HIV who had an underlying cause of death suggestive of HIV based on World Health Organization recommendations. Of the 11,989 deaths, 8,089 (67.5%) had an HIV code (B20-24, R75) as any of the causes of death, 3,091 (25.8%) had no mention of HIV and the underlying cause was not suggestive of HIV, and 809 (6.7%) had no mention of HIV but the underlying cause was suggestive of HIV. Therefore, 9.1% (809/8898) of probable HIV-related deaths had no mention of HIV on the death certificate. Dying within 1 month of HIV diagnosis was the factor most strongly associated with no mention of HIV when the underlying cause was suggestive of HIV on the death certificate. The results suggest that HIV mortality using only vital records may underestimate actual HIV mortality by approximately 9%. Efforts to reduce incompleteness of reporting of HIV on death certificates could improve HIV-related mortality estimates.