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O Tello Anchuela

Publications and source records attributed to O Tello Anchuela.

6 recordsLinked to original sources
PubMed1994

Changes in AIDS incidence trends in Spain.

OBJECTIVE: To detect changes in the evolution of the AIDS epidemic in Spain. DESIGN: Analysis of time-trends in AIDS incidence. METHODS: AIDS cases reported in Spain up to December 1993 were adjusted for reporting delays. Quarterly time-trends in incidence were analysed for groups divided according to sex, age and transmission category. RESULTS: The adjusted number of cases diagnosed by September 1993 totalled 24,519. Of these, 15,652 were injecting drug users (IDU), 3679 were homosexual/bisexual men and 1753 were cases of heterosexually transmitted infection since 1989. AIDS incidence has exhibited a linear rate of growth. While all groups studied showed an upward trend, variations were found between the different groups. The overall trend resembled the pattern for IDU, the largest but the slope in the growth curve for this category has steepened steadily, and experienced the greatest percentage increases since 1989. AIDS incidence among blood transfusion recipients has risen slowly since 1988, while that for blood factor recipients reached a ceiling in 1989 and has declined progressively thereafter. Within the respective transmission categories, women exhibited trends similar to men. From 1989 onwards, a greater rate of increase was observed among those aged over 30 years than among those under 30. CONCLUSION: The overall trend in AIDS incidence is the sum of the epidemics in the different population groups. While advances in controlling the epidemic have been made in certain groups, the trend as a whole has worsened.

Acquired Immunodeficiency Syndrome↗
PubMed1993

[Loss of potential life years through AIDS in Spain 1981-1990].

BACKGROUND: To know the importance of AIDS in premature mortality in Spain in relation to the remaining causes of deaths. METHODS: Deaths of patients with AIDS were obtained from the National AIDS Registry and deaths from other causes from the official mortality statistics. The potential years of life lost (PYLL) were compared from birth until the age of 65 in AIDS patients between 1981-1990 with those observed as the principal causes of premature death in 1980-1988. Similar comparisons were carried out for the three Autonomic Communities with the greatest incidence of AIDS (Catalonia, Madrid and the Basque Country). RESULTS: In 1988, there were 670 deaths (21,987 PYLL) in patients with AIDS and in 1990 this number almost doubled with 1312 (42,543 PYLL). In 1988 the PYLL in AIDS cases were situated at the ninth level for cause of premature death (eight in males) and in 1990 it was estimated to be in the eight place, near lung cancer, hepatic cirrhosis and cerebrovascular disease. In 1988, Madrid which has the highest rate adjusted by age of PYLL in AIDS cases, was placed in sixth place and was expected to reach second place in 1990. CONCLUSIONS: Death by AIDS has rapidly increased while death by the remaining cases has remained much more stable with AIDS nearing the level of the main causes of premature death. The need to consider AIDS as one of the health problems which takes priority is confirmed.

AIDS-Related Opportunistic Infections↗
PubMedDate not supplied

[Evolution of the epidemiologic pattern of the cases of AIDS in Spain].

Based on cases reported to the National AIDS Register by end June 1994, we analysed changes in the epidemiological pattern of AIDS in Spain for the periods 1981-1989 and 1990-1992. Cases diagnosed in 1981-1989 were mainly males (83.1%), subjects under 30 years of age (55.9%), and intravenous drug users (63.8%) or homo/bisexual males (16.8%). In 1990-1992 there was an increase in the proportion of females (18.5%), cases older than 29 (55.0%), and mean age diagnosis. Proportions of homo/bisexual, blood components recipients, and mother-to-child transmission decreased, while heterosexual transmission increased from 4.3% to 8.0%. In spite of large inter-regional differences in 1981-1989, some regions, such as La Rioja, Navarre, Murcia, Galicia and Aragon, rose more than Spain as a whole. Although the epidemiological pattern in both periods is similar, significant and independent changes in analysed variables are to be observed.

Acquired Immunodeficiency Syndrome↗