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Survival of patients with AIDS and association with level of education level and race/skin color in South and Southeast Brazil: a cohort study, 1998-1999. | LitMetric

AI Article Synopsis

  • The study analyzed the survival rates of individuals with AIDS in Brazil from 1998 to 1999, focusing on the impact of education and race/skin color.
  • Survival rates showed 65% for White individuals and 62% for Black/brown individuals, with factors like age, irregular antiretroviral use, and low education negatively impacting survival.
  • The research concludes that educational disparities exacerbate survival inequalities, highlighting ongoing issues despite policies aimed at providing universal access to treatment.

Article Abstract

Objective: to analyze the survival of people with AIDS and association with schooling and race/skin color.

Methods: this was a retrospective cohort study of people diagnosed with AIDS between 1998 and 1999, in the South and Southeast regions of Brazil. We used survival analysis (Kaplan-Meier method), stratified by schooling and race/skin color and multivariate analysis was performed using Cox regression.

Results: the study included 2,091 people who had survived at 60 months, with 65% survival among White participants and 62% among Black/brown participants. Irregular use of antiretroviral (HR=11.2 - 95%CI8.8;14.2), and age ≥60 years (HR=2.5 - 95%CI1.4;4.4) were related to lower survival; schooling >8 years (HR=0.4 - 95%CI0.3;0.6) and being female (HR=0.6 - 95%CI0.5;0.8) were positively related to survival; those with less schooling had lower survival.

Conclusion: lower schooling levels overlap race/skin color differences in relation to survival; these inequalities explain the differences found, despite the policies on universal access to antiretroviral.

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Source
http://dx.doi.org/10.5123/S1679-49742019000100012DOI Listing

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