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Secular trends in HIV/AIDS mortality in China from 1990 to 2016: Gender disparities

2019/07/18 by Disi Gao, Zhiyong Zou, Bin Dong +4 · 1 citation
Medicine · Economics, Econometrics and Finance · #HIV/AIDS Research and Interventions #HIV, Drug Use, Sexual Risk #HIV/AIDS Impact and Responses #China #Human immunodeficiency virus (HIV) #Secular variation #Demography #Medicine #Virology #Environmental health #Political science #Sociology #Law

paper · pdf · doi:10.1371/journal.pone.0219689

openalex publication_date 2019/07/18 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/30

Abstract

OBJECTIVES: HIV/AIDS has become the leading cause of death by infectious disease in China since 2009. However, the trend of gender disparities in HIV/AIDS has not been reported in China since 1990. Our study aimed to explore the secular trend of HIV/AIDS mortality in China from 1990 to 2016 and to identify its gender disparities over the past 27 years. METHOD: The mortality data of HIV/AIDS were obtained from the Global Burden of Disease Study 2016 (GBD 2016). Logistic regression was used to estimate the prevalence odds ratio (POR) of gender for HIV/AIDS mortality in different surveys. RESULTS: The standardized mortality of HIV/AIDS in China rose dramatically from 0.33 per 100,000 people in 1990 to 2.50 per 100,000 people in 2016. The rate of HIV/AIDS mortality increased more quickly in men than in women, and the sex gap of mortality of HIV/AIDS widened. By 2016, the HIV/AIDS mortality in men was 3 times that in women and was 5.74 times that in women within the 75- to 79-year-old age group. CONCLUSIONS: The mortality of HIV/AIDS in China is increasing, with a widening gender disparity. It is critical for policymakers to develop policies to eliminate these disparities and to ensure that everyone can live a long life in full health.

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