[Role of antiretroviral therapy in the reduction of the association between low educational level and AIDS-related mortality].

Abstract:

BACKGROUND AND OBJECTIVE:AIDS-related mortality has been classically associated with lowest socioeconomic groups. In Spain, the highly active antiretroviral therapy (HAART) is delivered without cost; therefore this treatment it should have reduced the great social inequalities in AIDS-mortality seen before the HAART era. This study aims to assess the absolute and relative socioeconomic differences in AIDS-mortality in the Region of Madrid after the introduction of HAART. PATIENTS AND METHOD:Two twenty-months cohorts were created, in 1996 and 2001, which correspond to an early and late HAART-era respectively. Absolute and relative differences in the AIDS-mortality rates were calculated for both periods using generalized linear models. RESULTS:Absolute differences between the lowest and highest education level AIDS-related deaths decreased around 70% in the 2001 cohort. Those with lowest education level achieved the highest reduction rate, hence relative differences descended as well. CONCLUSIONS:HAART has had an essential role in decreasing social inequalities in AIDS-mortality.

journal_name

Med Clin (Barc)

journal_title

Medicina clinica

authors

Sánchez E,Regidor E,de la Fuente L,Luquero FJ,de Mateo S

doi

10.1157/13115769

subject

Has Abstract

pub_date

2008-02-09 00:00:00

pages

133-5

issue

4

eissn

0025-7753

issn

1578-8989

pii

S0025-7753(08)71375-7

journal_volume

130

pub_type

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