scholarly journals Trend Analysis of HIV/AIDS Burden in Iran: Results from the Global Burden of Disease 2017 Study

Author(s):  
Mohammadreza Balooch Hasankhani ◽  
Farid Zayeri ◽  
Mahboobehh Rasouli ◽  
Masoud Salehi
2020 ◽  
Author(s):  
Alemnesh H. Mirkuzie ◽  
Solomon Ali ◽  
Ebba Abate ◽  
Asnake Worku ◽  
Awoke Misganaw

Abstract BackgroundSustainable Development Goal (SDG) 3.3, targets to eliminate HIV from being a public health threat by 2030. For better tracking of this target interim Fast Track millstones for 2020 and composite complementary measures have been indicated. This study measured the Fast Track progress in Eastern sub-Saharan Africa (ESSA) region and in Ethiopia across ages using Global Burden of Disease (GBD) 2017 data. Methods The National Data Management Center for health research team at Ethiopian Public Health Institute has analyzed the GBD 2017 data for the year 2010 to 2017 for Ethiopia and ESSA countries. GBD 2017 data sources were census, demographic and health surveys, prevention of mother-to-child HIV transmission and anti-retroviral treatment programs, sentinel surveillances and UNAIDS spectrum modeling. Age standardized and age specific HIV/AIDS incidence, prevalence, mortality, Disability Adjusted Life Years (DALYs), incidence:mortality ratio and incidence:prevalence ratio were calculated with corresponding 95% confidence limits. Results Slow progress has been recorded in reducing new HIV infection in ESSA since 2010; only Uganda would achieve the 75% target by 2020. Ethiopia, Tanzania and Uganda have already achieved 75% mortality reduction target set for 2020. With incidence: prevalence ratio of < 0.03, Ethiopia, Rwanda and Uganda are on track to end HIV by 2030. Ethiopia has an incidence: mortality ratio <1 due to high mortality; while Kenya, Rwanda, Tanzania and Uganda, have a ratio >1 due to high incidence. Ethiopia has reduced the HIV incidence rate by 76% among under 5 children and seem to be on track to attain the 2020 national target but far behind achieving the target among the 15-49 age group. Conclusion The ESSA countries have made remarkable progress towards achieving the 75% HIV/AIDS mortality reduction target by 2020 since 2010, although they progress poorly in reducing HIV incidence. Having an incidence:prevalence ratio of less than 0.03, Ethiopia, Rwanda and Uganda are well heading towards epidemic control. The high HIV/AIDS mortality rate in Ethiopia for its incidence requires innovative strategies to bring undiagnosed cases to treatment and care services across age. For sustainable epidemic control, Ethiopian needs to build strong institutional capacity to generate strong evidence to support policy decision.


2022 ◽  
Vol 8 ◽  
pp. 100140
Author(s):  
Kevin Pacheco-Barrios ◽  
Alba Navarro-Flores ◽  
Alejandra Cardenas-Rojas ◽  
Paulo S. de Melo ◽  
Elif Uygur-Kucukseymen ◽  
...  

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Fato Fene ◽  
María Jesús Ríos-Blancas ◽  
James Lachaud ◽  
Christian Razo ◽  
Hector Lamadrid-Figueroa ◽  
...  

Objective. To investigate the magnitude and distribution of the main causes of death, disability, and risk factors in Haiti. Methods. We conducted an ecological analysis, using data estimated from the Global Burden of Disease Study 2017 for the period 1990-2017, to present life expectancy (LE), healthy life expectancy (HALE) at under 1-year-old, cause-specific deaths, years of life lost (YLLs), years lived with disability (YLDs), disability adjusted life-years (DALYs), and risk factors associated with DALYs. Results. LE and HALE increased substantially in Haiti. People may hope to live longer in 2017, but in poor health. The Caribbean countries had significantly lower YLLs rates than Haiti for ischemic heart disease, stroke, lower respiratory infections, and diarrheal diseases. Road injuries were the leading cause of DALYs for people aged 5-14 years. Road injuries and HIV/AIDS were the leading causes of DALYs for men and women aged 15-49 years, respectively. Ischemic heart disease was the main cause of DALYs for people older than 50 years. Maternal and child malnutrition were the leading risk factors for DALYs in both sexes. Conclusion. Haiti faces a double burden of disease. Infectious diseases continue to be an issue, while non-communicable diseases have become a significant burden of disease. More attention must also be focused on the increase in worrying public health issues such as road injuries, exposure to forces of nature and HIV/AIDS in specific age groups. To address the burden of disease, sustained actions are needed to promote better health in Haiti and countries with similar challenges.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fatemeh Masaebi ◽  
Masoud Salehi ◽  
Maryam Kazemi ◽  
Nasim Vahabi ◽  
Mehdi Azizmohammad Looha ◽  
...  

Abstract Background Cardiovascular diseases (CVDs) are the number one cause of global mortality representing about one third of all deaths across the world. The objective of the present study was to model the global trend in disability-adjusted life years (DALY) and its components due to CVD over the past three decades. We also aimed to evaluate the longitudinal relationship between CVD DALY and Human Development Index (HDI) in this period of time. Methods The age-standardized rates of years lost due to disability (YLD), years of life lost (YLL) and DALY were extracted for cardiovascular diseases from the Global Burden of Disease (GBD) Study 2019 in years 1990 to 2019. Additionally, the United Nations Development Programme (UNDP) database was used to retrieve HDI values for all world countries at the same period time. The trend analysis was performed using the joinpoint regression model. Results The obtained revealed a significant downward trend for DALY and its components with the average annual percent change of − 1.0, − 0.3 and − 1.1 per 100,000 population, respectively for DALY, YLD and YLL. We also found that countries with high/very high levels of HDI have remarkably experienced steeper declining slope of trend than those in lower levels of HDI over the study period. Conclusions Although the observed decreasing trend of CVD burden is a hopeful message for all world countries, the considerable gap in slope of trend between richer and poorer parts of the world is a serious alarm for health policy makers. Regarding this, there is an urgent need to put more efforts on implementing preventive programs, improving the level of patients’ care and providing efficient treatment, especially in regions with lower levels of HDI.


2021 ◽  
Author(s):  
Fatemeh Masaebi ◽  
Masoud Salehi ◽  
Maryam Kazemi ◽  
Nasim Vahabi ◽  
Mehdi Azizmohammad Looha ◽  
...  

Abstract Background: Cardiovascular diseases (CVDs) are the number one cause of global mortality representing about one third of all deaths across the world. The objective of the present study was to model the global trend in disability-adjusted life years (DALY) and its components due to CVD over the past three decades. We also aimed to evaluate the longitudinal relationship between CVD DALY and Human Development Index (HDI) in this period of time.Methods: The age-standardized rates of years lost due to disability (YLD), years of life lost (YLL) and DALY were extracted for cardiovascular diseases from the Global Burden of Disease (GBD) Study 2019 in years 1990 to 2019. Additionally, the United Nations Development Programme (UNDP) database was used to retrieve HDI values for all world countries at the same period time. The trend analysis was performed using the joinpoint regression model. Results: The obtained revealed a significant downward trend for DALY and its components with the average annual percent change of -1.0, -0.3 and -1.1 per 100,000 population, respectively for DALY, YLD and YLL. We also found that countries with high/very high levels of HDI have remarkably experienced steeper declining slope of trend than those in lower levels of HDI over the study period. Conclusions: Although the observed decreasing trend of CVD burden is a hopeful message for all world countries, the considerable gap in slope of trend between richer and poorer parts of the world is a serious alarm for health policy makers. Regarding this, there is an urgent need to put more efforts on implementing preventive programs, improving the level of patients’ care and providing efficient treatment, especially in regions with lower levels of HDI.


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