Vital Signs: Deaths Among Persons with Diagnosed HIV Infection, United States, 2010–2018

BACKGROUNDLife expectancy for persons with human immunodeficiency virus (HIV) infection who receive recommended treatment can approach that of the general population, yet HIV remains among the 10 leading causes of death among certain populations. Using surveillance data, CDC assessed progress toward...

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Bibliographic Details
Published in:MMWR. Morbidity and mortality weekly report 2020-11, Vol.69 (46), p.1717-1724
Main Authors: Bosh, Karin A, Johnson, Anna Satcher, Hernandez, Angela L, Prejean, Joseph, Taylor, Jocelyn, Wingard, Rachel, Valleroy, Linda A, Hall, H. Irene
Format: Article
Language:English
Subjects:
Age
Analysis
Drug therapy
Ethnicity
Fatalities
Gender
Health aspects
Hispanic Americans
HIV
HIV (Viruses)
HIV infection
HIV infections
Human immunodeficiency virus
Infections
Jurisdiction
Life expectancy
Males
Mortality
Population
Populations
Public health
Surveillance
Vital Signs
White, Ryan
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Summary:BACKGROUNDLife expectancy for persons with human immunodeficiency virus (HIV) infection who receive recommended treatment can approach that of the general population, yet HIV remains among the 10 leading causes of death among certain populations. Using surveillance data, CDC assessed progress toward reducing deaths among persons with diagnosed HIV (PWDH).METHODSCDC analyzed National HIV Surveillance System data for persons aged ≥13 years to determine age-adjusted death rates per 1,000 PWDH during 2010-2018. Using the International Classification of Diseases, Tenth Revision, deaths with a nonmissing underlying cause were classified as HIV-related or non-HIV-related. Temporal changes in total deaths during 2010-2018 and deaths by cause during 2010-2017 (2018 excluded because of delays in reporting), by demographic characteristics, transmission category, and U.S. Census region of residence at time of death were calculated.RESULTSDuring 2010-2018, rates of death decreased by 36.6% overall (from 19.4 to 12.3 per 1,000 PWDH). During 2010-2017, HIV-related death rates decreased 48.4% (from 9.1 to 4.7), whereas non-HIV-related death rates decreased 8.6% (from 9.3 to 8.5). Rates of HIV-related deaths during 2017 were highest by race/ethnicity among persons of multiple races (7.0) and Black/African American persons (5.6), followed by White persons (3.9) and Hispanic/Latino persons (3.9). The HIV-related death rate was highest in the South (6.0) and lowest in the Northeast (3.2).CONCLUSIONEarly diagnosis, prompt treatment, and maintaining access to high-quality care and treatment have been successful in reducing HIV-related deaths and remain necessary for continuing reductions in HIV-related deaths.
ISSN:0149-2195
1545-861X
DOI:10.15585/MMWR.MM6946A1