Cause Of Death Of AIDS Patients And Influence Of AIDS On Life Expectancy In Yining[Gulja], Xinjiang Province

Objective:To analyze the current status of AIDS fatality structure,to evaluate the influence of AIDS on life expectancy of Yining citizen and improve and the Offer reference method for the treatment in future.Methods: Data on 374 AIDS patients from‘China Information System for Disease Control and Prevention’ between January of 2013 to December of 2014, using the method of descriptive epidemiology, retrospective analysis the death of AIDS patients in Yining.Chiang CL method was used to calculate abridged life table and AIDS cause eliminated life table.Age-group population and the death number of Xinjiang statistical yearbook 2010. The data of AIDS death in 2013 to2014 were from Yining academy of medical sciences.Results: 1. From January of 2013 to December of 2014 there were total 374 cases of AIDS fatality, Among them 276 were men,98 were women.2. Route of transmission among these cases: 197 cases(52.7%) by injection drug use, 155 cases(41.4%)by heterosexual transmission,20 cases(5.3%)not sure the transmission, 2 cases by same sex-sexual transmission; mean(10)4CD T-cell testing result is 243±205/ ?L; The median of the day when confirmed HIV till die was 1355 days, The average survival days of who received antiretroviral treatment and noantiretroviral treatment was 1794 days and 472 days have statistical significance(P<0.05)by Wilcoxon test.3. 149 cases(39.8) death were related to AIDS cause, Among them37.2% were AIDS opportunistic infection, 0.8% were AIDS related tumor, 1.9%AIDS related syndrome. 202 cases(54.0%) death were related to non-AIDS causes, among them the percentage of Hepatitis and digestive system disease except hepatitis was 21.7% and13.9%.cancer(5.6%) and cardiovascular disease(5.1%) with same percentage.4. Life expectancy was 73.527 years, while AIDS cause eliminated Life expectancy increased0.815 year,and the increasing magnitude was 1.108% in 2013; and increased 0.585 year,and the increasing magnitude was 0.795% in 2014. Life expectancy of male was 72.024 years, while AIDS cause eliminated Life expectancy increased 1.111 year, and the increasing magnitude was 1.550% in 2013;and increased 0.836 year, and the increasing magnitude was1.156% in 2014. Life expectancy of female was 75.156 years, while AIDS cause eliminated Life expectancy increased 0.545 year, and the increasing magnitude was0.712% in 2013;and increased 0.362 year, and the increasing magnitude was 0.485% in2014;Life expectancy of Uyghur was 73.533 years, while AIDS cause eliminated Life expectancy increased 1.369 year, and the increasing magnitude was 1.865% in 2013;and increased 1.759 year, and the increasing magnitude was 2.388% in 2014. Conclusion:Among the structure of the death the percentage of related to non-AIDS causes was larger than related to AIDS cause. Hepatitis, digestive system disease and opportunistic infections were the mainly immediate causes. the structure of the death affected by kinds of factors, so the causes of the death of AIDS may change. AIDS has heavy influence on life expectancy of citizens, To strengthen the prevention and control of AIDS infections,improve the health of individuals are AIDS, save more years of life lost,we must to still focus of HIV/AIDS prevention and control work in the future.