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Mortality of People Living with HIV in Paris Area from 2011 to 2015

In high-income countries, causes of death in people living with HIV (PLHIV) have changed. Three French national surveys from 2000 to 2010 showed a decrease in AIDS-related and an increase in non-AIDS-related deaths. Deaths notified in PLHIV followed between January 1, 2011 and December 31, 2015 in 1... Full description

Journal Title: AIDS research and human retroviruses 2020-05-01, Vol.36 (5), p.373-380
Format: Electronic Article Electronic Article
Language: English
Subjects:
Epidemiology
Quelle: Alma/SFX Local Collection
Publisher: Mary Ann Liebert, Inc., publishers
ID: ISSN: 0889-2229
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recordid: cdi_maryannliebert_primary_10_1089_aid_2019_0143
title: Mortality of People Living with HIV in Paris Area from 2011 to 2015
format: Article
subjects:
  • Epidemiology
ispartof: AIDS research and human retroviruses, 2020-05-01, Vol.36 (5), p.373-380
description: In high-income countries, causes of death in people living with HIV (PLHIV) have changed. Three French national surveys from 2000 to 2010 showed a decrease in AIDS-related and an increase in non-AIDS-related deaths. Deaths notified in PLHIV followed between January 1, 2011 and December 31, 2015 in 1 of 13 participating hospitals northeast of Paris area were described. Risk factors for death were assessed, using a multivariable logistic regression model. Of 14,403 individuals, 295 died. Median age at death was 52 years (interquartile range = 47–60) and 77% were men. Sixty-seven individuals (23%) died from non-AIDS-defining nonviral hepatitis-related (NaNH) malignancy, 40 (14%) from AIDS, 34 (12%) from cardiovascular disease (CVD), 33 (11%) from non-AIDS infection, 21 (7%) from liver disease, and 12 (4%) from suicide. Men and women born in sub-Saharan Africa had a lower adjusted odds ratio (aOR) of dying than men having sex with men (MSM) born in France (0.70, 95% confidence interval = 0.45–1.09; and 0.45, 0.28–0.73, respectively). Risk factors for death were older age (aOR = 2.26, 1.36–3.77 for 40–49 years and 2.91, 1.75–4.84 for >50 years vs. 18–39 years), male intravenous drug users (IVDU) transmission (2.24, 1.42–3.54 vs. MSM born in France), AIDS (2.75, 2.10–3.59), antiretroviral therapy initiation in earlier periods, time since HIV diagnosis
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0889-2229
fulltext: fulltext
issn:
  • 0889-2229
  • 1931-8405
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titleMortality of People Living with HIV in Paris Area from 2011 to 2015
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descriptionIn high-income countries, causes of death in people living with HIV (PLHIV) have changed. Three French national surveys from 2000 to 2010 showed a decrease in AIDS-related and an increase in non-AIDS-related deaths. Deaths notified in PLHIV followed between January 1, 2011 and December 31, 2015 in 1 of 13 participating hospitals northeast of Paris area were described. Risk factors for death were assessed, using a multivariable logistic regression model. Of 14,403 individuals, 295 died. Median age at death was 52 years (interquartile range = 47–60) and 77% were men. Sixty-seven individuals (23%) died from non-AIDS-defining nonviral hepatitis-related (NaNH) malignancy, 40 (14%) from AIDS, 34 (12%) from cardiovascular disease (CVD), 33 (11%) from non-AIDS infection, 21 (7%) from liver disease, and 12 (4%) from suicide. Men and women born in sub-Saharan Africa had a lower adjusted odds ratio (aOR) of dying than men having sex with men (MSM) born in France (0.70, 95% confidence interval = 0.45–1.09; and 0.45, 0.28–0.73, respectively). Risk factors for death were older age (aOR = 2.26, 1.36–3.77 for 40–49 years and 2.91, 1.75–4.84 for >50 years vs. 18–39 years), male intravenous drug users (IVDU) transmission (2.24, 1.42–3.54 vs. MSM born in France), AIDS (2.75, 2.10–3.59), antiretroviral therapy initiation in earlier periods, time since HIV diagnosis <1 year, low CD4 cell count nadir, hepatitis B virus and/or hepatitis C virus coinfection (1.69, 1.23–2.30), and psychiatric disorders (1.73, 1.27–2.38). Our study confirms the increasing frequency of non-AIDS-related deaths, mainly NaNH malignancies and CVD, in PLHIV, justifying overall and in some specific populations (psychiatric and IVDU) prevention and screening.
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abstractIn high-income countries, causes of death in people living with HIV (PLHIV) have changed. Three French national surveys from 2000 to 2010 showed a decrease in AIDS-related and an increase in non-AIDS-related deaths. Deaths notified in PLHIV followed between January 1, 2011 and December 31, 2015 in 1 of 13 participating hospitals northeast of Paris area were described. Risk factors for death were assessed, using a multivariable logistic regression model. Of 14,403 individuals, 295 died. Median age at death was 52 years (interquartile range = 47–60) and 77% were men. Sixty-seven individuals (23%) died from non-AIDS-defining nonviral hepatitis-related (NaNH) malignancy, 40 (14%) from AIDS, 34 (12%) from cardiovascular disease (CVD), 33 (11%) from non-AIDS infection, 21 (7%) from liver disease, and 12 (4%) from suicide. Men and women born in sub-Saharan Africa had a lower adjusted odds ratio (aOR) of dying than men having sex with men (MSM) born in France (0.70, 95% confidence interval = 0.45–1.09; and 0.45, 0.28–0.73, respectively). Risk factors for death were older age (aOR = 2.26, 1.36–3.77 for 40–49 years and 2.91, 1.75–4.84 for >50 years vs. 18–39 years), male intravenous drug users (IVDU) transmission (2.24, 1.42–3.54 vs. MSM born in France), AIDS (2.75, 2.10–3.59), antiretroviral therapy initiation in earlier periods, time since HIV diagnosis <1 year, low CD4 cell count nadir, hepatitis B virus and/or hepatitis C virus coinfection (1.69, 1.23–2.30), and psychiatric disorders (1.73, 1.27–2.38). Our study confirms the increasing frequency of non-AIDS-related deaths, mainly NaNH malignancies and CVD, in PLHIV, justifying overall and in some specific populations (psychiatric and IVDU) prevention and screening.
pubMary Ann Liebert, Inc., publishers
doi10.1089/aid.2019.0143