scholarly journals Estimating the Lifetime and Age-Conditional Risk of an HIV Diagnosis in Iran, 2011-2015

Author(s):  
Maryam Nasirian ◽  
Marzieh Mahboobi ◽  
Mohammad Reza Maracy

Background: According to the importance of infectious diseases, especially HIV, the purpose of this study was to estimate lifetime and age-conditional risks of HIV diagnosis in Iran. Methods: We used vital statistics, HIV surveillance and census data for 2011-2015 to calculate Age-specific HIV diagnosis and non-HIV death rates. These rates then converted to the probability of an HIV diagnosis considering the competing risk. Finally, the probabilities were applied to a hypothetical cohort of 10 million live births. The lifetime and age-conditional risk of HIV diagnosis in the total and general population of Iran were calculated by Dev Can software (version 6.7.4). Results: Lifetime risk was 0.084% (95% CI: 0.081-0.088) or one in 1183 for females and 0.21% (95% CI: 0.201- 0.211) or one in 483 for males in the total population. In the general population lifetime risk for men was 0.069% (95% CI: 0.066-0.072) or 1 in 1454 men and 0.066% (95%CI: 0.063-0.069) or one in 1523 for women. In the total and general population, the 10-yr age-conditional risk of HIV diagnosis showed that the highest risk of an HIV diagnosis is related to 30-yr -olds. Conclusion: The estimated risks differed based on gender, age, and type of population. Paying close attention to these differences is critical for infection control planning and policies.

2021 ◽  
Vol 32 (5) ◽  
pp. 435-443
Author(s):  
Maria Elena Ceballos ◽  
Patricio Ross ◽  
Martin Lasso ◽  
Isabel Dominguez ◽  
Marcela Puente ◽  
...  

In this prospective, multicentric, observational study, we describe the clinical characteristics and outcomes of people living with HIV (PLHIV) requiring hospitalization due to COVID-19 in Chile and compare them with Chilean general population admitted with SARS-CoV-2. Consecutive PLHIV admitted with COVID-19 in 23 hospitals, between 16 April and 23 June 2020, were included. Data of a temporally matched-hospitalized general population were used to compare demography, comorbidities, COVID-19 symptoms, and major outcomes. In total, 36 PLHIV subjects were enrolled; 92% were male and mean age was 44 years. Most patients (83%) were on antiretroviral therapy; mean CD4 count was 557 cells/mm3. Suppressed HIV viremia was found in 68% and 56% had, at least, one comorbidity. Severe COVID-19 occurred in 44.4%, intensive care was required in 22.2%, and five patients died (13.9%). No differences were seen between recovered and deceased patients in CD4 count, HIV viral load, or time since HIV diagnosis. Hypertension and cardiovascular disease were associated with a higher risk of death ( p = 0.02 and 0.006, respectively). Compared with general population, the HIV cohort had significantly more men (OR 0.15; IC 95% 0.07–0.31) and younger age (OR 8.68; IC 95% 2.66–28.31). In PLHIV, we found more intensive care unit admission (OR 2.31; IC 95% 1.05–5.07) but no differences in the need for mechanical ventilation or death. In this cohort of PLHIV hospitalized with COVID-19, hypertension and cardiovascular comorbidities, but not current HIV viro-immunologic status, were the most important risk factors for mortality. No differences were found between PLHIV and general population in the need for mechanical ventilation and death.


Author(s):  
Xavier Franch-Auladell ◽  
Mateu Morillas-Torné ◽  
Jordi Martí-Henneberg

ABSTRACTThis paper proposes a methodology for quantifying the territorial impact on population distribution of the railway. The central hypothesis is that access to railway services provides the best-connected areas with a long-term comparative advantage over others that are less accessible. Carrying out a historical analysis and providing comparable data at the municipal level allows us to determine the extent to which the railway has fostered the concentration of population within its immediate surroundings. The case study presented here is that of Spain between 1900 and 2001, but the same methodology could equally be applied to any other country for which the required data are available. In this case, key data included a Geographic Information System with information about both the development of the railway network and census data relating to total population at the municipal level. The results obtained suggest the relevance of this methodology, which makes it possible to identify the periods and areas in which this influence was most significant.


2016 ◽  
pp. 507-515
Author(s):  
Nino Delic

Summary data in statistical examination about births and deaths in the district of Smederevo in the period from 1846-1866, collected by the Serbian Orthodox Church and submitted to government institutions, revealed a typical model of late pre-transition phase, or a very early demographic transition. Calculated birth and death rates are very high, with repeated significant oscillations. The ?Malthusian scissors? seem to appear between 1854 and 1859, and after 1862. The overall population growth of nearby 50% between 1846 and 1866 seems to be mostly the result of natural growth. Still, comparing the total number of births and deaths with the overall population growth, an estimated 9% of the district?s total population in 1866 appears not to be originally born there.


Stanovnistvo ◽  
2014 ◽  
Vol 52 (2) ◽  
pp. 91-111
Author(s):  
Milan Markovic

The 2011 Census in the Republic of Serbia introduced, for the first time questions about difficulties in functioning, following the Recommendations from the Washington Group on Disability Statistics. Since there are no stable and continuous sources on the position of persons with disabilities in Serbia, the Census results may be used as a relevant source on disability measurement. Of course, due to the main goal of census disability measurement, and that is a general identification of disability in population, these results should be employed with certain reservations and carefully, especially because of some methodological specification in approaching disability. The main use of census data on disability should be found in evaluating the "equality of opportunity" in relevant areas, such as economic activity (labour and employment), education, living sources, etc. and this is to be achieved mainly through comparison between the values in the general population and population with disabilities. Having done that, we were able to conclude on visible inequality of opportunities between the general and population with disabilities. These discrapancies are indeed evident first in the area of education-especially in accessing elementary education, where the percentage of persons with disabilities that never attended school is extremely high (12.2% v. 2.68% in general population). The unfavourable status of persons with disabilities in the context of education continues in almost all levels of education. An even more obvious inequality of opportunity is present in the area of economic activity, where the prevalence of inactive persons with disability is very high - almost 90%. Having gone through all the age categories, what becomes abvious is a significantly lower activity among all age groups in comparison to the same groups in general population. However, the main goal of this article was to detect the discrapancies existing between the position of persons with disabilities that live in the community and those living in institutional settings - institutions for collective housing. In both areas of education and economic activity, the results tell us very much about a much more problematic status of those living in residential settings. Overall, the access to education is much lower with residents, making an even more negative picture about this smaller group of persons with disabilities in Serbia. In the area of economic activity, the percentage of economically active persons with disabilities in residential settings does not climb to one percent (0.30% excluding the homes for adults and the elderly), which is indeed a worrying situation. Having in mind well known facts on the effects of institutionalization of persons with disabilities in terms of almost all their rights and freedoms, the results that we have encountered are to confirm a negative status of those living in residential settings. Experiences of discrimination, marginalization, segregation and exclusion are evident in the census results. Even if one tries to focus only on analyzing the equality of opportunity in the given context, in comparison with the general population, or even only with the contingent of persons with disabilities out of the residential settings, those living in institutions in Serbia are seriously suffering from lack of access to education, training, labour market and other important areas of life and social functioning. In addition, a potentially relevant insight has been made into the correlation of the type of problem and the status within economic activity and education of persons with disabilities in Serbia. The results confirm that those persons identified through census questions that aim at detecting problems of mental health (intellectual and psycho-social disability) are in the least favourable position in both of the observed areas. Such conclusions should also be connected to a specifically problematic social inclusion and acceptance of those with mental health problems and the extremely high burden of social stigma towards them, combined with the long-going practice of exclusion and discrimination (legal capacity, education, employability, etc.).


2017 ◽  
Vol 30 ◽  
pp. 301-324 ◽  
Author(s):  
J. W. Hanson ◽  
S. G. Ortman

The last few years have seen a growing interest in the urbanism of the Greek and Roman world. This has led to a consensus of sorts about some of its vital statistics, such as the sizes of the populations of the most important settlements and the size of the overall urban population, the urbanization rate (i.e., the share of individuals that lived in urban, rather than rural, contexts), and the total population. A good example comes from W. Scheidel in the Cambridge economic history of the Greco-Roman world. According to him, it is likely that c.1.5 million people lived in the 5 largest cities of the Greco-Roman world by the 2nd c. A.D. These included Rome, which is usually agreed to have had a population of about 1 million; Alexandria, which might have had c.500,000; Antioch, which could have had at least 150,000; and Carthage and Ephesus (Scheidel does not give explicit figures for those).


PEDIATRICS ◽  
1969 ◽  
Vol 44 (6) ◽  
pp. 1031-1034
Author(s):  
Myron E. Wegman

Infant mortality declined again in 1968, for the third successive year, and there is some evidence of a more rapidly downward trend in the unacceptably higher infant death rates which have existed among some population groups. The birth rate also declined again, but the marriage rate showed rather a sharp rise ( Table I ). With an excess of births over deaths of 1.55 million persons, the rate of natural increase was 7.8 per 1,000 population. Births Once more there was a decline in annual number of births, although a smaller one than last year. Nevertheless, with a rising population the birth rate fell to 17.4, the lowest ever recorded in the United States.


Circulation ◽  
2016 ◽  
Vol 133 (suppl_1) ◽  
Author(s):  
Elizabeth B Pathak ◽  
Colin J Forsyth

Objectives: The purpose of this study was to quantify rural and metropolitan trends in premature heart disease (HD) mortality using the most up-to-date data available (through 2013). To our knowledge this is the first study to analyze these geographic disparities for Hispanics (HSP), Asians/Pacific Islanders (API), and American Indians/Alaska Natives (AI/AN). Methods: Annual age-adjusted HD death rates for adults aged 25-64 years were analyzed for 2000-2013. Rates were calculated for 5 racial/ethnic groups (Non-Hispanic Whites (WNH), Non-Hispanic Blacks (BNH), HSP of any race, Non-Hispanic API, and Non-Hispanic AI/AN). County-level data were aggregated by urbanicity: large central metro (LCM), large fringe metro (LFM), medium/small metro (MSM), and micropolitan/rural (RURAL). Region was defined as South (16 states) and Non-South. All data were obtained from the National Vital Statistics System on CDC WONDER. Average annual percent change (AAPC) was calculated by linear regression of the log-transformed death rates using SAS 9.4. Results: In 2013, the national population-at-risk predominantly resided in metro areas. However, there were more than 10 million RURAL adults aged 25-64 years in the South (16.2% of the region) and more than 13.4 million in the non-South (12.9% of the region). Nationwide, HD death rates were lowest in the LFM counties. In the South, the rate ratio (RR) for RURAL vs. LFM areas in 2011-2013 was 1.76 (95% CI 1.73 to 1.79) for WNH, 2.00 (95% CI 1.85 to 2.16) for HSP, 1.78 (95%CI 1.71 to 1.82) for BNH, 1.57 (95% CI 1.22 to 2.03) for API, and 3.13 (95% CI 2.47 to 3.96) for NNH. In the non-South, RURAL vs. LFM RRs were smaller, with the exception of API (RR 2.37, 95% CI 2.07 to 2.71). Temporal trend analyses revealed significantly smaller AAPC in RURAL areas (see Table). Conclusions: Higher death rates coupled with slower declines have resulted in a widening rural disadvantage in premature HD mortality in the United States from 2000 to 2013, particularly for WNH, HSP, BNH, and AI/AN in the South, and WNH in the non-South.


Author(s):  
Nigel Grizzard

The chapter attempts the difficult task of estimating the changing Jewish population of Leeds, without reliable census data. Before the present century, the census did not record religious affiliation. Surrogate demographic data has to be used based on place of birth; for the 1881, 1891 and 1901 census, if the place of birth was stated as Russia it has been used to form the basis of population estimates. The name COHEN is used as an additional indicator, as well as birth and death rates. The Jewish Year Book estimates are listed.


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