Population-level adult mortality following the expansion of antiretroviral therapy in Rakai, Uganda

Dorean Nabukalu, Georges Reniers, Kathryn A. Risher, Sylvia Blom, Emma Slaymaker, Chodziwadziwa Kabudula, Basia Zaba, Fred Nalugoda, Godfrey Kigozi, Fred Makumbi, David Serwadda, Steven J. Reynolds, Milly Marston, Jeffrey W. Eaton, Ron Gray, Maria Wawer, Nelson Sewankambo and Tom Lutalo

Population Studies, 2020, vol. 74, issue 1, 93-102

Abstract: There are limited data on the impact of antiretroviral therapy (ART) on population-level adult mortality in sub-Saharan Africa. We analysed data for 2000–14 from the Rakai Community Cohort Study (RCCS) in Uganda, where free ART was scaled up after 2004. Using non-parametric and parametric (Weibull) survival analysis, we estimated trends in average person-years lived between exact ages 15 and 50, per capita life-years lost to HIV, and the mortality hazards of people living with HIV (PLHIV). Between 2000 and 2014, average adult life-years lived before age 50 increased significantly, from 26.4 to 33.5 years for all women and from 28.6 to 33.8 years for all men. As of 2014, life-years lost to HIV had declined significantly, to 1.3 years among women and 0.4 years among men. Following the roll-out of ART, mortality reductions among PLHIV were initially larger in women than men, but this is no longer the case.

Date: 2020
References: Add references at CitEc
Citations:

Downloads: (external link)
http://hdl.handle.net/10.1080/00324728.2019.1595099 (text/html)
Access to full text is restricted to subscribers.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:taf:rpstxx:v:74:y:2020:i:1:p:93-102

Ordering information: This journal article can be ordered from
http://www.tandfonline.com/pricing/journal/rpst20

DOI: 10.1080/00324728.2019.1595099

Access Statistics for this article

Population Studies is currently edited by John Simons, Francesco Billari, James J. Brown, John Cleland, Andrew Foster, John McDonald, Tom Moultrie, Mikko Myrsklä, Alice Reid, Wendy Sigle-Rushton, Ronald Skeldon and Frans Willekens

More articles in Population Studies from Taylor & Francis Journals
Bibliographic data for series maintained by Chris Longhurst ().