IDEAS home Printed from https://ideas.repec.org/a/taf/rpstxx/v74y2020i1p93-102.html
   My bibliography  Save this article

Population-level adult mortality following the expansion of antiretroviral therapy in Rakai, Uganda

Author

Listed:
  • Dorean Nabukalu
  • Georges Reniers
  • Kathryn A. Risher
  • Sylvia Blom
  • Emma Slaymaker
  • Chodziwadziwa Kabudula
  • Basia Zaba
  • Fred Nalugoda
  • Godfrey Kigozi
  • Fred Makumbi
  • David Serwadda
  • Steven J. Reynolds
  • Milly Marston
  • Jeffrey W. Eaton
  • Ron Gray
  • Maria Wawer
  • Nelson Sewankambo
  • Tom Lutalo

Abstract

There are limited data on the impact of antiretroviral therapy (ART) on population-level adult mortality in sub-Saharan Africa. We analysed data for 2000–14 from the Rakai Community Cohort Study (RCCS) in Uganda, where free ART was scaled up after 2004. Using non-parametric and parametric (Weibull) survival analysis, we estimated trends in average person-years lived between exact ages 15 and 50, per capita life-years lost to HIV, and the mortality hazards of people living with HIV (PLHIV). Between 2000 and 2014, average adult life-years lived before age 50 increased significantly, from 26.4 to 33.5 years for all women and from 28.6 to 33.8 years for all men. As of 2014, life-years lost to HIV had declined significantly, to 1.3 years among women and 0.4 years among men. Following the roll-out of ART, mortality reductions among PLHIV were initially larger in women than men, but this is no longer the case.

Suggested Citation

  • Dorean Nabukalu & Georges Reniers & Kathryn A. Risher & Sylvia Blom & Emma Slaymaker & Chodziwadziwa Kabudula & Basia Zaba & Fred Nalugoda & Godfrey Kigozi & Fred Makumbi & David Serwadda & Steven J. , 2020. "Population-level adult mortality following the expansion of antiretroviral therapy in Rakai, Uganda," Population Studies, Taylor & Francis Journals, vol. 74(1), pages 93-102, January.
    • Handle: RePEc:taf:rpstxx:v:74:y:2020:i:1:p:93-102
    DOI: 10.1080/00324728.2019.1595099
    as

    Download full text from publisher

    File URL: http://hdl.handle.net/10.1080/00324728.2019.1595099
    Download Restriction: Access to full text is restricted to subscribers.
    File URL: https://libkey.io/10.1080/00324728.2019.1595099?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:taf:rpstxx:v:74:y:2020:i:1:p:93-102. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    We have no bibliographic references for this item. You can help adding them by using this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Chris Longhurst (email available below). General contact details of provider: http://www.tandfonline.com/rpst20 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.