Life expectancy of people living with HIV/AIDS and associated socioeconomic factors in Kenya

2007 ◽  
Vol 19 (3) ◽  
pp. 357-366
Author(s):  
Johnson Samuel Adari ◽  
Mashaallah Rahnama Moghadam ◽  
Charles N. Starnes
2013 ◽  
Vol 16 (2) ◽  
pp. 432-443 ◽  
Author(s):  
Joanna d’Arc Lyra Batista ◽  
Maria de Fátima Pessoa Militão de Albuquerque ◽  
Ricardo Arraes de Alencar Ximenes ◽  
Demócrito de Barros Miranda-Filho ◽  
Heloisa Ramos Lacerda de Melo ◽  
...  

Introduction: Smoking is the leading cause of preventable death in the world. The prevalence of smoking is higher in people infected with HIV than in the general population. Although it is biologically plausible that smoking increases the morbidity and mortality of people living with HIV/AIDS, few studies in developing countries have analyzed the determinants and consequences of smoking in HIV infected people. Objective: To estimate the prevalence of smoking and identify the socioeconomic factors associated with smoking and smoking cessation in patients with HIV by sex. Methods: A cross-sectional study was conducted with baseline data, obtained from an ongoing prospective cohort study of patients with HIV attending two referral centers in Recife, Northeast Region of Brazil, between July 2007 and October 2009. Results: The prevalence of current smoking was 28.9%. For both sexes, smoking was independently associated with heavy alcohol drinking and marijuana use. Among women, smoking was associated with living alone, not being married and illiteracy; and among men, being 40 years or older, low income and using crack. Compared with ex-smokers, current smokers were younger and more likely to be unmarried, heavy drinkers and marijuana users. Conclusions: It is important to incorporate smoking cessation interventions for the treatment of heavy alcohol drinkers and marijuana users with HIV/AIDS, which may increase life expectancy and quality of life, as smoking is related to risk of death, relapse of tuberculosis, and non communicable diseases.


Author(s):  
Vadim Pokrovsky ◽  
Natalia Ladnaia ◽  
Anastasia Pokrovskaya

The spread of the human immunodeficiency virus (HIV), an infection which is life-long and after a few years leads to the development of the deadly acquired immune deficiency syndrome (AIDS), has led to a pandemic of HIV/AIDS affecting the size and life expectancy of the world's population. The article presents data on the incidence of HIV infection and related mortality in the Russian Federation collected and systematized by the authors. In Russia, around 100,000 new cases of HIV are registered annually. The total number has reached 1 million, with the share of AIDS-related deaths relentlessly approaching 1% of total mortality from all causes, and in the 30–39 age group exceeding 5%. HIV represents nearly 50% of all deaths from infectious diseases, and is causing an overall growth in the number of such diseases. There is a direct threat of a further increase in HIV/AIDS-related deaths, as HIV-infected Russians comprise 1% of Russia's population aged 15-49. The group most affected by HIV are those aged 35-39: 2% of them are living with HIV. In the 30-34 age group, the proportion of persons with HIV is approaching 2%, and in the 40-44 age group it exceeds 1%. The growing proportion of heterosexual transmissions of HIV and the increasing number of HIV-infected women are alarming signs of the HIV epidemic’s spillover from intravenous drug users into the general population, making the economic impact of the epidemic even worse. It is necessary to prevent further losses in the most productive part of the population by introducing more efficient HIV prevention strategies and expanding access to treatment of people living with HIV.


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