{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T22:09:56Z","timestamp":1790028596038,"version":"4.0.1"},"reference-count":29,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. bras. epidemiol."],"abstract":"<jats:p>RESUMO:  Introdu\u00e7\u00e3o:  A aparente estabilidade da mortalidade por aids no pa\u00eds na \u00faltima d\u00e9cada encobre uma gama de cen\u00e1rios, com dois ter\u00e7os dos estados apresentando taxa padronizada de mortalidade por aids (TPMA) significativamente acima da m\u00e9dia nacional e\/ou em tend\u00eancia ascendente. No Rio de Janeiro, a TPMA vem mantendo-se alta e est\u00e1vel ao longo dos anos; atualmente o estado ocupa a segunda posi\u00e7\u00e3o no ranking nacional desse indicador.  Objetivo:  Examinar tend\u00eancias temporais em causas de \u00f3bito na busca de padr\u00f5es diferenciais que contribuam para o entendimento da mortalidade por aids no estado.  Metodologia:  Foram analisadas causas de \u00f3bito em qualquer campo das declara\u00e7\u00f5es de \u00f3bito constantes do Sistema de Informa\u00e7\u00e3o sobre Mortalidade (SIM) entre 1999 e 2015 para indiv\u00edduos \u2265 15 anos. Doen\u00e7as cardiovasculares, malignidades n\u00e3o relacionadas \u00e0 aids, causas externas, diabetes melito e tuberculose foram estabelecidas pela men\u00e7\u00e3o ou n\u00e3o de seus c\u00f3digos conforme a Classifica\u00e7\u00e3o Estat\u00edstica Internacional de Doen\u00e7as e Problemas Relacionados com a Sa\u00fade (CID-10) nas declara\u00e7\u00f5es de \u00f3bito. Modelos lineares generalizados com efeitos mistos foram usados para descrever odds ratios relativas a 1999 e varia\u00e7\u00f5es anuais m\u00e9dias ajustadas.  Resultados:  Verificaram-se o aumento proporcional em causas externas e doen\u00e7as geniturin\u00e1rias e, sobretudo, o persistente papel desempenhado pela tuberculose, impactando diferencialmente a mortalidade por aids no estado, em um cen\u00e1rio de alta mortalidade por doen\u00e7as infecciosas.  Conclus\u00e3o:  Os achados refor\u00e7am a manuten\u00e7\u00e3o da tuberculose na mortalidade de pessoas vivendo com HIV\/aids (PVHA) no Rio de Janeiro e chamam a aten\u00e7\u00e3o para a necessidade de avaliar determinantes individuais atuando na redu\u00e7\u00e3o da sobrevida desses pacientes, de forma a aprimorar o programa de controle do HIV\/aids no estado.<\/jats:p>","DOI":"10.1590\/1980-549720200017","type":"journal-article","created":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T16:48:37Z","timestamp":1584982117000},"source":"Crossref","is-referenced-by-count":8,"title":["Perfis de mortalidade em pessoas vivendo com HIV\/aids: compara\u00e7\u00e3o entre o Rio de Janeiro e as demais unidades da federa\u00e7\u00e3o entre 1999 e 2015"],"prefix":"10.1590","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7444-6724","authenticated-orcid":false,"given":"Adelzon Assis de","family":"Paula","sequence":"first","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3948-6699","authenticated-orcid":false,"given":"Denise Franqueira","family":"Pires","sequence":"additional","affiliation":[{"name":"Secretaria Estadual de Sa\u00fade do Rio de Janeiro,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0303-9114","authenticated-orcid":false,"given":"Pedro","family":"Alves Filho","sequence":"additional","affiliation":[{"name":"Secretaria Estadual de Sa\u00fade do Rio de Janeiro,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2658-0528","authenticated-orcid":false,"given":"Katia Regina Valente de","family":"Lemos","sequence":"additional","affiliation":[{"name":"Secretaria Estadual de Sa\u00fade do Rio de Janeiro,  Brasil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6622-3165","authenticated-orcid":false,"given":"Valdil\u00e9a Gon\u00e7alves","family":"Veloso","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3692-5155","authenticated-orcid":false,"given":"Beatriz","family":"Grinsztejn","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3095-1774","authenticated-orcid":false,"given":"Antonio Guilherme","family":"Pacheco","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"278","DOI":"10.1186\/1471-2334-14-278","article-title":"AIDS and non-AIDS severe morbidity associated with hospitalizations among HIV-infected patients in two regions with universal access to care and antiretroviral therapy, France and Brazil, 2000-2008: hospital-based cohort studies","volume":"14","author":"Luz PM","year":"2014","journal-title":"BMC Infect Dis"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"599","DOI":"10.1186\/s12879-014-0599-8","article-title":"Survival of AIDS patients in Sao Paulo-Brazil in the pre- and post-HAART eras: a cohort study","volume":"14","author":"Tancredi MV","year":"2014","journal-title":"BMC Infect Dis"},{"key":"ref3","series-title":"Lei n\u00ba 9.313, de 13 de novembro de 1996. 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