Document 0298
 DOCN  M9440298
 TI    Impact of HIV infection and AIDS on death rates in British Columbia and
       Canada.
 DT    9404
 AU    Hogg RS; Schechter MT; Montaner JS; Goldstone I; Craib K; O'Shaughnessy
       MV; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's;
       Hospital, Vancouver.
 SO    Can Med Assoc J. 1994 Mar 1;150(5):711-7. Unique Identifier : AIDSLINE
       MED/94147305
 AB    OBJECTIVE: To assess the impact of HIV infection and AIDS on death rates
       in British Columbia and Canada. DESIGN: Descriptive, population-based
       study. SETTING: British Columbia and Canada. PATIENTS: All people for
       whom HIV infection or AIDS was listed as the underlying cause of death
       in Canada and all provinces from 1987 to 1991, as reported to Statistics
       Canada, and all people for whom HIV infection or AIDS was listed as the
       underlying or antecedent cause of death in British Columbia and
       Vancouver from 1987 to 1992, as reported to the Division of Vital
       Statistics, British Columbia Ministry of Health. MAIN OUTCOME MEASURES:
       Age- and cause-specific patterns of death, and potential years of life
       lost (PYLLs) for men. RESULTS: From 1987 to 1991 a total of 4189 deaths
       from HIV infection and AIDS (in 3941 males and 248 females) in Canada
       and 686 such deaths (in 671 males and 15 females) in British Columbia
       were reported to Statistics Canada. The rate of death from HIV infection
       and AIDS was 1.39 times higher (95% confidence interval [CI] 1.29 to
       1.50) in British Columbia than in Canada as a whole and 1.95 times
       higher (95% CI 1.65 to 2.29) when HIV infection was associated with
       specified malignant neoplasms than with other related causes. The PYLLs
       from HIV infection and AIDS for men rose steadily in Canada, from 17,615
       in 1987 to 38,735 in 1991; the latter is comparable to the PYLLs from
       stroke and colorectal cancer. In Vancouver the PYLLs from HIV infection
       and AIDS for men increased sharply from 1987 to 1992, surpassing the
       PYLLs from heart disease, malignant neoplasms and accidents.
       CONCLUSIONS: From 1987 to 1991 the rate of death from HIV infection and
       AIDS in British Columbia was higher than the national average. In
       Vancouver HIV infection and AIDS have become the leading causes of
       premature death in men, exceeding heart disease, malignant neoplasms and
       accidents.
 DE    Acquired Immunodeficiency Syndrome/*MORTALITY  Adult  Aged  British
       Columbia/EPIDEMIOLOGY  Canada/EPIDEMIOLOGY  Cause of Death  Female
       Human  HIV Infections/*MORTALITY  *Life Expectancy  Male  Middle Age
       Mortality  Support, Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).