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Titolo:
Undiagnosed and unreported AIDS deaths: Results from the San Francisco Medical Examiner
Autore:
Scheer, S; McQuitty, M; Denning, P; Hormel, L; Stephens, B; Katz, M; Schwarcz, S;
Indirizzi:
San Francisco Dept Publ Hlth, San Francisco, CA 94102 USA San Francisco Dept Publ Hlth San Francisco CA USA 94102 sco, CA 94102 USA Ctr Dis Control & Prevent, Div HIV AIDS Prevent, Natl Ctr HIV STD & TB Prevent, San Francisco, CA USA Ctr Dis Control & Prevent San Francisco CA USA nt, San Francisco, CA USA Med Examiners Off City & Cty San Francisco, San Francisco, CA USA Med Examiners Off City & Cty San Francisco San Francisco CA USA , CA USA
Titolo Testata:
JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES
fascicolo: 5, volume: 27, anno: 2001,
pagine: 467 - 471
SICI:
1525-4135(20010815)27:5<467:UAUADR>2.0.ZU;2-W
Fonte:
ISI
Lingua:
ENG
Soggetto:
HUMAN-IMMUNODEFICIENCY-VIRUS; HIV DISEASE; SURVIVAL; IMPACT; CARE;
Keywords:
AIDS surveillance; completeness of reporting; undiagnosed AIDS; medical examiner;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
10
Recensione:
Indirizzi per estratti:
Indirizzo: Scheer, S San Francisco Dept Publ Hlth, 25 Van Ness Ave,Suite 500, San Francisco, CA94102 USA San Francisco Dept Publ Hlth 25 Van Ness Ave,Suite 500 San Francisco CA USA 94102
Citazione:
S. Scheer et al., "Undiagnosed and unreported AIDS deaths: Results from the San Francisco Medical Examiner", J ACQ IMM D, 27(5), 2001, pp. 467-471

Abstract

To determine whether AIDS surveillance misses a substantial number of persons who die with unreported AIDS, we conducted a cross-sectional survey of decedents examined by the San Francisco (SF) Medical Examiner. Decedents who received toxicology screening were tested for HIV antibody and examined for evidence of AIDS. Names of decedents with positive or indeterminate HIV antibody test results were cross-referenced against the SF AIDS registry toidentify previously reported AIDS cases. Medical records of unreported cases were reviewed to determine whether AIDS had been diagnosed prior to death. Of 1959 decedents tested, 176 (9%) were HIV positive; 105 (60%) were identified as having AIDS by the Medical Examiner. Of the 105 AIDS cases, 101 (96%) had been previously diagnosed; 98 (97%) had been previously reported. Overall, diagnosis and reporting were 93% complete. HIV-infected decedentswere more likely than those uninfected to be men and < 45 years old, and less likely to be Asian/Pacific Islander or Native American (p < .001). Theywere more likely to have died of suicide (p < .05) or drug abuse/overdose (p < .001). In SF, AIDS case reporting is highly complete. Current surveillance activities, which identify cases from health care settings, are appropriate. To decrease deaths among HIV-infected persons, suicide prevention and substance abuse treatment programs are needed.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 17/02/20 alle ore 07:59:41