Exposing misclassified HIV/AIDS deaths in South Africa.
Objective To quantify the deaths from human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) that are misattributed to other causes in South Africa's death registration data and to adjust for this bias. Methods Deaths in the World Health Organization's mortality da...
| Publicado en: | Bulletin of the World Health Organization Vol. 89; no. 4; pp. 278 - 286 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
World Health Organization
Apr2011
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104886204&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104886204 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00429686 BUW jtl: Bulletin of the World Health Organization issn: 00429686 maglogo: N pubinfo: dt: Apr2011 vid: 89 iid: 4 pid: 437 pub: World Health Organization artinfo: ui: 104886204 60335265 10.2471/BLT.11.086280 NLM21479092 PMC3066530 104886204 ppf: 278 ppct: 8 formats: fmt: @attributes: type: P tig: atl: Exposing misclassified HIV/AIDS deaths in South Africa. aug: au: Birnbaum, Jeanette Kurian Murray, Christopher J. L. Lozano, Rafael affil: Institute for Health Metrics and Evaluation, University of Washington, 2301 5th Avenue (Suite 600), Seattle, WA, 98121, United States of America. sug: subj: Acquired Immunodeficiency Syndrome Mortality Mortality Classification Funding Source Human South Africa Adult Middle Age Male Female Adolescence Infant, Newborn Infant Child, Preschool Child Aged Aged, 80 and Over Age Factors Sex Factors Adult: 19-44 years Middle Aged: 45-64 years Adolescent: 13-18 years Infant, Newborn: birth-1 month Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Aged: 65+ years Aged, 80 & over Male Female ab: Objective To quantify the deaths from human immunodeficiency virus (HIV) infection or acquired immunodeficiency syndrome (AIDS) that are misattributed to other causes in South Africa's death registration data and to adjust for this bias. Methods Deaths in the World Health Organization's mortality database were distributed among 48 mutually exclusive causes. For each cause, age- and sex-specific global death rates were compared with the average rate among people aged 65-69, 70-74 and 75-79 years to generate "relative" global death rates. Relative rates were also computed for South Africa alone. Differences between global and South African relative death rates were used to identify the causes to which deaths from HIV/AIDS were misattributed in South Africa and quantify the HIV/AIDS deaths misattributed to each. These deaths were then reattributed to HIV/AIDS. Findings In South Africa, deaths from HIV/AIDS are often misclassified as being caused by 14 other conditions. Whereas in 1996-2006 deaths attributed to HIV/AIDS accounted for 2.0-2.5% of all registered deaths in South Africa, our analysis shows that the true cause-specific mortality fraction rose from 19% (uncertainty range: 7-28%) to 48% (uncertainty range: 38-50%) over that period. More than 90% of HIV/AIDS deaths were found to have been misattributed to other causes during 1996-2006. Conclusion Adjusting for cause of death misclassification, a simple procedure that can be carried out in any country, can improve death registration data and provide empirical estimates of HIV/AIDS deaths that may be useful in assessing estimates from demographic models. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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