Table 1.
Incidence, mortality, and case-fatality rates from AIDS in Brazilians aged 13 years or older (N = 28,318,532) recorded in CadÚnico from 2007 to 2015, stratified by geographic, socioeconomic, household characteristics and health and behavioral aspects.
| AIDS cases in cohort |
AIDS death in cohort |
AIDS death in PLWA cohort |
||||
|---|---|---|---|---|---|---|
| n | Incidence/100,000 py (95% CI) | n | Mortality/100,000 py (95% CI) | n | Case-fatality rate/100 py (95% CI) | |
| Person-years (py) at risk | 137,986,981 | 138,068,520 | 58,517.92 | |||
| Cohort | 27,900 | 20.22 (19.98–20.46) | 9528 | 6.90 (6.76–7.04) | 4040 | 6.90 (6.69–7.12) |
| Follow-up time | ||||||
| Mean (sd) | 4.87 (2.75) | 4.88 (2.75) | 2.62 (2.15) | |||
| Median (IQR) | 4.59 (2.49–7.51) | 4.60 (2.49–7.52) | 2.21 (0.75–4.02) | |||
| Block 1—geographic factors | ||||||
| Region of residence | N = 28,316,715 | N = 28,316,748 | N = 22,334 | |||
| North | 2533 | 16.93 (16.28–17.60) | 751 | 5.02 (4.67–5.39) | 339 | 6.57 (5.90–7.30) |
| Northeast | 7992 | 15.66 (15.32–16.00) | 2372 | 4.64 (4.46–4.84) | 1193 | 6.71 (6.34–7.11) |
| Southeast | 9480 | 20.27 (19.86–20.68) | 3937 | 8.41 (8.15–8.68) | 1383 | 7.46 (7.07–7.86) |
| South | 5958 | 40.07 (39.06–41.10) | 1875 | 12.59 (12.04–13.18) | 819 | 6.27 (5.85–6.71) |
| Mid-West | 1933 | 18.73 (17.92–19.59) | 593 | 5.74 (5.30–6.23) | 306 | 7.71 (6.89–8.62) |
| Area of residence | N = 28,226,360 | N = 28,316,748 | N = 22,084 | |||
| Rural | 2497 | 8.08 (7.77–8.40) | 798 | 2.58 (20.41–2.77) | 387 | 7.25 (6.56–8.01) |
| Urban | 25,103 | 23.57 (23.28–23.86) | 8657 | 8.12 (7.95–8.30) | 3626 | 6.89 (6.66–7.11) |
| Block 2—socioeconomic status | ||||||
| Education | N = 25,790,719 | N = 25,790,750 | N = 19,430 | |||
| Illiterate/never went to school | 2329 | 17.68 (16.98–18.42) | 1011 | 7.67 (7.21–8.16) | 448 | 10.18 (9.28–11.17) |
| Literate/pre-school | 161 | 14.13 (12.11–16.49) | 48 | 4.21 (31.17–5.59) | 19 | 6.11 (3.90–9.58) |
| Elementary school | 17,186 | 22.18 (21.85–22.51) | 6291 | 8.11 (7.91–8.32) | 2604 | 7.30 (7.02–7.58) |
| High school | 4413 | 16.86 (16.37–17.36) | 1096 | 4.18 (3.94–4.44) | 471 | 5.48 (5.01–6.00) |
| Higher education | 353 | 20.94 (18.87–23.24) | 69 | 4.09 (3.23–5.18) | 27 | 3.94 (2.70–5.75) |
| Race/skin color | N = 26,703,594 | N = 26,703,624 | N = 21,105 | |||
| White/Asian | 8663 | 20.80 (20.37–21.24) | 2972 | 7.13 (6.88–7.39) | 1200 | 6.45 (6.10–6.83) |
| Brown | 14,215 | 18.32 (18.02–18.62) | 4721 | 6.08 (5.61–6.26) | 2092 | 7.01 (6.71–7.31) |
| Black | 3429 | 32.51 (31.44–33.61) | 1347 | 12.76 (12.09–13.46) | 534 | 7.80 (7.17–8.49) |
| Indigenous | 103 | 13.05 (10.76–15.83) | 33 | 4.18 (2.97–5.88) | 11 | 4.69 (2.60–8.47) |
| Wealth levels | N = 28,310,890 | N = 28,310,923 | N = 22,331 | |||
| Level 1 (Higher wealth) | 1731 | 18.77 (17.91–19.68) | 501 | 5.43 (4.98–5.93) | 184 | 7.16 (6.19–8.27) |
| Level 2 | 3704 | 19.12 (18.52–19.75) | 1227 | 6.33 (5.99–6.70) | 506 | 9.01 (8.26–9.83) |
| Level 3 | 2858 | 20.47 (19.74–21.24) | 947 | 6.78 (6.36–7.23) | 383 | 8.18 (7.40–9.04) |
| Level 4 | 7793 | 21.33 (20.87–21.81) | 2709 | 7.41 (7.14–7.70) | 1150 | 6.55 (6.18–6.94) |
| Level 5 (Lower wealth) | 11,807 | 20.05 (19.70–20.42) | 4142 | 7.03 (6.82–7.25) | 1815 | 6.47 (6.18–6.77) |
| Receipt time of Bolsa Família | N = 28,318,190 | N = 28,318,223 | N = 22,338 | |||
| Does not receive | 6176 | 18.19 (17.75–18.65) | 2227 | 6.56 (6.29–6.84) | 856 | 8.24 (7.71–8.82) |
| Less than 2 years | 4168 | 25.45 (24.69–26.23) | 1678 | 10.24 (9.76–0.74) | 683 | 9.54 (8.85–10.28) |
| Between 2 and 5 years | 6342 | 24.76 (24.16–25.38) | 2373 | 9.26 (8.89–9.64) | 1000 | 8.18 (7.68–8.70) |
| Between 5 and 10 years | 8323 | 19.96 (19.54–20.40) | 2462 | 5.90 (5.67–6.14) | 1136 | 5.44 (5.13–5.77) |
| More than 10 years | 2891 | 14.20 (13.69–14.72) | 788 | 3.87 (3.61–4.15) | 365 | 4.64 (4.19–5.14) |
| Block 3—household conditions | ||||||
| Household material | N = 27,553,988 | N = 27,554,016 | N = 21,704 | |||
| Brick | 21,226 | 20.11 (19.84–20.38) | 7317 | 6.93 (6.77–7.09) | 3054 | 6.87 (6.63–7.12) |
| Wood | 3844 | 25.02 (24.24–25.82) | 1309 | 8.51 (8.06–8.99) | 597 | 7.10 (6.55–7.69) |
| Mud and others | 2033 | 13.87 (13.28–14.49) | 652 | 4.45 (4.12–4.80) | 303 | 6.56 (5.86–7.34) |
| Electrical power | N = 27,554,428 | N = 27,554,456 | N = 21,701 | |||
| Yes | 22,899 | 19.42 (19.17–19.67) | 7748 | 6.57 (6.42–6.71) | 3270 | 6.74 (6.52–6.98) |
| No | 4201 | 23.82 (23.11–24.55) | 1528 | 8.66 (8.23–9.10) | 682 | 7.59 (7.04–8.19) |
| Household density (residents/room) | N = 25,864,364 | N = 25,864,390 | N = 20,271 | |||
| Up to 2 | 23,511 | 19.68 (19.43–19.94) | 8045 | 6.73 (6.59–6.88) | 3409 | 6.83 (6.10–7.07) |
| More than 2 | 1807 | 24.15 (23.06–25.29) | 639 | 8.53 (7.90–9.22) | 297 | 7.14 (6.38–8.01) |
| Water supply | N = 27,554,446 | N = 27,554,474 | N = 21,701 | |||
| Public network | 21,922 | 22.18 (21.89–22.47) | 7476 | 7.56 (7.39–7.73) | 3149 | 6.80 (6.56–7.04) |
| Others | 5177 | 14.10 (13.72–14.49) | 1799 | 4.90 (4.68–5.13) | 803 | 7.22 (6.73–7.73) |
| Waste disposal | N = 27,554,109 | N = 27,554,137 | N = 21,702 | |||
| Public collection | 23,870 | 22.90 (22.61–23.19) | 8191 | 7.85 (7.68–8.02) | 3463 | 6.85 (6.62–7.08) |
| Not collected | 3230 | 10.31 (9.96–10.67) | 1085 | 3.46 (3.26–3.67) | 490 | 7.12 (6.51–7.77) |
| Sewage system | N = 26,969,245 | N = 26,969,272 | N = 21,493 | |||
| Sewage network | 15,474 | 24.08 (23.70–24.46) | 5506 | 8.56 (8.34–8.79) | 2181 | 6.66 (6.39–6.95) |
| Septic tank | 3723 | 18.39 (17.81–18.99) | 1168 | 5.77 (5.44–6.11) | 539 | 6.65 (6.11–6.95) |
| Others | 7633 | 15.43 (15.09–15.78) | 2504 | 5.06 (4.87–5.26) | 1195 | 7.32 (6.92–7.75) |
| Block 4—health and behavioral aspects | ||||||
| Treatment | N = 22,338 | |||||
| Yes | – | – | – | – | 2855 | 5.62 (5.42–5.83) |
| No | – | – | – | – | 1185 | 15.39 (14.54–16.29) |
| Exposure category | N = 18,823 | |||||
| Homosexual | – | – | – | – | 224 | 3.91 (3.43–4.45) |
| Bisexual | – | – | – | – | 107 | 4.60 (3.81–5.56) |
| Heterosexual | – | – | – | – | 2414 | 5.79 (5.56–6.02) |
| People who inject drugs | – | – | – | – | 210 | 11.56 (10.10–13.23) |
| Means of transmission | N = 18,849 | |||||
| Blood transfusion | 4 | 7.725 (2.90–20.58) | ||||
| Accident with biological material | 0 | – | ||||
| Sexual, with person of the opposite sex | 2413 | 5.78 (5.56–6.02) | ||||
| Sexual, with person of the same sex or both | 332 | 4.12 (3.70–4.59) | ||||
| Injecting drugs | 211 | 11.54 (10.08–13.20) | ||||
Abbreviations: PLWA: people living with AIDS; CI: confidence interval; sd: standard deviation; IQR: interquartile range.
“-” variable not included in the model.