Document 2342
 DOCN  M94A2342
 TI    Completeness of AIDS reporting in Mexico; a study based on deaths
       between 1990 and 1993.
 DT    9412
 AU    Magis C; Del Rio A; Candelas E; Gonzalez F; Gonzalez G; Valdespino JL;
       Sepulveda J; Instituto Nacional de Diagnostico y Referencia
       Epidemiologicos,; Mexico.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):326 (abstract no. PC0235). Unique
       Identifier : AIDSLINE ICA10/94370233
 AB    OBJECTIVES: To assess completeness of reporting to the AIDS registry of
       the Mexican Ministry of Health METHODS: Death certificates indicative of
       AIDS or HIV for deaths occurring between January 1990 and December 1993
       were reviewed and compared with reports to the AIDS registry RESULTS:
       Until December of 1993 Mexico had 17,387 AIDS cases. Of this cases, 2432
       (14.%) were reported by a death certificate. The proportion of AIDS
       cases reported by death certificates has grown every year. For 1983 to
       1985 was 0%, 1986-0.4%, 1987-0.2%, 1988-0.3%, 1989-1%, 1990-13.1%,
       1991-10%, 1992-15.9%, 1993-23.7%. The completeness of the AIDS registry
       was 78.7%. Of these AIDS cases 74.3% were known as death in the
       registry, 21% as alive and 4.% as unknown. Differences were found
       between the date of the death comparing the death certificates and the
       AIDS registries; 50% had a different date, 48% had the same date and in
       2% the date of the death was ignored. In 4% of the registered AIDS cases
       the death-alive status was unknown. CONCLUSION: The increase of death
       certificates as the only source of AIDS cases information doesn't
       contributes to the quality of the surveillance. The review of death
       certificates adds to the total case ascertainment. The proportion of
       AIDS cases with a different cause of death due to stigmatization is
       unknown. The investigation of the heterogeneity of reporting is
       important.
 DE    Acquired Immunodeficiency Syndrome/*MORTALITY  Cause of Death
       Cross-Sectional Studies  *Developing Countries  Human  Incidence
       Mexico/EPIDEMIOLOGY  *Population Surveillance  Registries/*STATISTICS &
       NUMER DATA  Reproducibility of Results  MEETING ABSTRACT

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