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HIV병 사망자 중 결핵 사망 분율과 관련 요인

Related factors of the Tuberculosis as a primary cause among the HIV disease deaths

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Objectives: To identify the importance of preventing tuberculosis for HIV (Human Immunodeficiency Virus) infectees and to monitor their management of health, we investigated the proportion of HIV-TB (Tuberculosis) deaths among the HIV deaths and its related factors. Methods: Data for HIV deaths from 2002 to 2010 was acquired from Statistics Korea, after which the HIV deaths were reclassified into HIV-TB deaths or other deaths according to the KCD (Korean Classification of Diseases). We analyzed the proportion of HIV-TB deaths among HIV disease deaths and the relationship between HIV-TB deaths and related variables such as sex, age, educational level, marital status, etc. Results: There were 774 HIV deaths in South Korea between 2002 and 2010. TB was the main cause of death in 10.1% of all HIV deaths. The total proportion of HIV-TB deaths was 10.1% but its proportion reached 16.3% between 2005-2007 and then decreased to 4% in 2010. Also, the proportion of HIV-TB deaths was significantly high in the young age groups, but its proportion was significantly low in married groups and well educated groups (p<0.05). Conclusions: The result implies that the policy that takes care of HIV infectee regarding TB prevention has been getting systemized on a national scale. Also, HIV-TB deaths have been affected by social factors such as education and marriage status.

Abstract

Objectives: To identify the importance of preventing tuberculosis for HIV (Human Immunodeficiency Virus) infectees and to monitor their management of health, we investigated the proportion of HIV-TB (Tuberculosis) deaths among the HIV deaths and its related factors. Methods: Data for HIV deaths from 2002 to 2010 was acquired from Statistics Korea, after which the HIV deaths were reclassified into HIV-TB deaths or other deaths according to the KCD (Korean Classification of Diseases). We analyzed the proportion of HIV-TB deaths among HIV disease deaths and the relationship between HIV-TB deaths and related variables such as sex, age, educational level, marital status, etc. Results: There were 774 HIV deaths in South Korea between 2002 and 2010. TB was the main cause of death in 10.1% of all HIV deaths. The total proportion of HIV-TB deaths was 10.1% but its proportion reached 16.3% between 2005-2007 and then decreased to 4% in 2010. Also, the proportion of HIV-TB deaths was significantly high in the young age groups, but its proportion was significantly low in married groups and well educated groups (p<0.05). Conclusions: The result implies that the policy that takes care of HIV infectee regarding TB prevention has been getting systemized on a national scale. Also, HIV-TB deaths have been affected by social factors such as education and marriage status.

참고문헌 (12)

  1. Kim HY, "Tuberculosis of HIV infection, it can be prevented and treated", Red ribbon, 64, pp.16~17 (2005), Korean Alliance to defeat AIDS
  2. 대한에이즈학회, "국내 HIV 감염인의 기회감염증 치료와 예방에 관한 임상진료지침 권고안", Infection and Chemotherapy, 44(3), pp.93~139 (2012), 대한감염학회[DOI]
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  5. 2013 Annual Report on the Notified Tuberculosis Patients in Korea, "Korea Centers for Disease Control & Prevention", KCDC, 10~ (2014)
  6. 2013 Annual Report on the Notified HIV, "AIDS in Korea", Korea Centers for Disease Control & Prevention, 2014, pp.8~
  7. "Statistics for Cause of Death in Korea"[URL]
  8. Lee CH, "The burden and characteristics of tuberculosis", human immunodeficiency virus (TB, BMC Infect Dis, pp.2010, 10[DOI]
  9. JuneMyungKim, "Epidemiology and Clinical Features of HIV Infection", AIDS in Korea, 2003, pp.44(3), 363~370[DOI]
  10. Saraceni V, "Tuberculosis as primary cause of death among AIDS cases in Rio de Janeiro", Brazil. Int J Tuberc Lung Dis, 12(7), pp.769~772 (2008)
  11. UNAIDS Report on the global AIDS epidemic, , UNAIDS, 58~61 (2012)
  12. 2011 Annual Report on the Notified Tuberculosis Patients in Korea, "Korea Centers for Disease Control &Prevention", KCDC, 38~ (2012)

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