Abstract
Objective: to analyze the mortality of persons aged 50 years and older human immunodeficiency virus resident in Colombia from 1998 to 2009 in order to demonstrate this invisible and silent risk populations unexplored.
Materials and methods: a descriptive study of 4149 deaths in Colombia, from 1998 to 2009, people aged 50 years or older whose underlying cause of death was between codes B20-B24. The secondary source of information was through the death registration and population projections by the National Bureau of Statistics. With this information, frequency measures, average mortality rate per hundred thousand inhabitants, and georeferencing excess male risk of death of men and women.
Results: the risk of dying from these causes was 5.0 per hundred thousand over age 50, for men the risk was 9.0 for women and 1.4 per hundred thousand people of the same sex, beating men 5.3 times the risk of women (SMM = 6.3).The trend is increasing and the year of greatest risk was in 2007, but the excess mortality was higher in 2000. The departments of higher mortality from this cause were: Amazonas, Guaviare, Quindio, Atlantic and Valley, the lowest risk: Boyacá, Nariño, Chocó, Cauca and Arauca.
Conclusions: in the country, mortality from human immunodeficiency virus in people 50 years and older has been increasing throughout the study period (19982009), which could be explained by a greater supply diagnostic, more cases and changes in sexual behavior, although the diagnosis may be confused with other common syndromes in this population, the mortality could be being invisible and therefore be increasing, as it really is happening, becoming a silent risk.
Licence
Authors should declare no conflicts of interest either for reasons of financing the project which is the result of the article; as well as intellectuals, academics, moral and investigative reasons.
The Journal of Andean Research is home to the ethical rules for publications issued by the COPE: http://publicationethics.org/resources/code-conduct
References
2. HelpAge International. VIH/SIDA y personas mayores. [Internet]. Horizontes 2003;61:1-16 [Consultado: 13/01/31]. Disponible en: www.helpage.org/download/4d0712fb41a85/
3. ONUSIDA 2013. El sida en cifras. El VIH y la edad. [Internet]. [Consultado: 19/06/14]. Disponible en: http://www.unaids.org/en/media/unaids/contentassets/documents/unaidspublication/2013/JC2571_AIDS_by_the_numbers_es.pdf
4. Naciones Unidas. El VIH/SIDA y las personas de edad. Segunda asamblea mundial sobre el envejecimiento. Madrid, 8 a 12 de abril de 2002 [Internet]. [Consultado: 13/01/28]. Disponible en http://www.un.org/spanish/envejecimiento/newpresskit/sida.pdf
5. Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N. Engl. J. Med. 2007 ago 23; 357 (8):762-74.
6. Khalaf IM, Levinson IP. Erectile dysfunction in the Africa/Middle East Region: epidemiology and experience with sildenafil citrate (Viagra). Int. J. Impot. Res. 2003 abr.; 15 Suppl 1:S1-2. http://dx.doi.org/10.1038/sj.ijir.3900967
7. Sadeghi-Nejad H, Watson R, Irwin R, Nokes K, Gern A, Price D. Lecture 5: erectile dysfunction in the HIV-positive male: a review of medical, legal and ethical considerations in the age of oral pharmacotherapy. Int. J. Impot. Res. 2000 sep; 12 Suppl 3:S49-53. http://dx.doi.org/10.1038/sj.ijir.3900562
8. AIDS Community Research Initiative of America (ACRIA). Ernst J, Hufnagle J, RPh, Karpiak S, Shippy A. El HIV y los adultos mayores. 44pg. [Internet]. [Consultado: 13/02/03]. Disponible en: http://www.acria.org/files/hiv-older-adults-espanol.pdf
9. Ministerio de la Protección Social. Fondo de Población de las Naciones Unidas. Panorama del VIH/SIDA en Colombia 19832010, [Internet]. [Consultado: 19/06/14]. Disponible en: http://minsalud.gov.co/salud/Documents/observatorio_vih/documentos/monitoreo_evaluacion/1_vigilancia_salud_publica/b_estudios_comportamiento/PANORAMAVIHCOL_WEB.pdf
10. Organización Mundial de la salud. Clasificación estadística internacional de enfermedades y problemas relacionados con la salud. - 10a. revisión. Ginebra, Suiza; 1995.
11. Organización Panamericana de la Salud. Clasificación Internacional de Enfermedades: preparación de listas cortas para la tabulación de datos. Boletín Epidemiológico. 2002; 23 (4):2-6.
12. Schmid P.G, Williams G.B, Garcia C.JM, Miller C, Segar E, Southworth M. et, al. The unexplored story of HIV and ageing. Bull World Health Organ. 2009 mar 1; 87(3):162-162 [Consultado: 13/01/28]. Disponible en: http://www.who.int/bulletin/volumes/87/3/09-064030/en/index.html
13. Colombia. Ministerio de la Protección Social, Colciencias, Pontificia Universidad Javeriana. Encuesta nacional de salud 2007: resultados nacionales. Bogotá: Ministerio de la Protección Social; 2007.
14. Colombia. Ministerio de la Protección Social. Informe UNGASS - 2010. Informe Nacional. Bogotá: Ministerio de la Protección Social; 2010.
15. Moreno T, Ministerio de la Protección Social. Comportamiento del VIH/SIDA durante el 2010 en Colombia. Bogotá: El Ministerio; 2011.
16. Organización de las Naciones Unidas para la Agricultura y la Alimentación. Informe de la Segunda Asamblea Mundial sobre el Envejecimiento. New York: NU; 2002.
17. Ministerio de Salud y Protección Social-ONUSIDA Colombia. Informe mundial de avances en la lucha contra el Sida. Colombia 2012. [Internet]. [Consultado: 19/06/14]. Disponible en: http://www.minsalud.gov.co/salud/Documents/2_abril2012_final_UNGASS_COLOMBIA.pdf
18. ONUSIDA. Comunicado de prensa. [Internet]. [Consultado: 17/06/14].Disponible en: http://www.unaids.org/es/resources/presscentre/pressreleaseandstatementarchive/2013/november/20131101praging/