Years of potential life lost due to HIV-AIDS infection and associated factors in Yogyakarta

Abstract

Years of potential life lost due to HIV-AIDS infection and associated factors in YogyakartaPurposeThis study aimed to determine the years of potential life lost and associated factors among people living with HIV in Yogyakarta special region, Indonesia.MethodsThis research was an observational study with a retrospective cohort design. Data included socio-demographic factors, behaviour and clinical conditions at time of diagnosis that were collected from medical records in Dr. Sardjito hospital. The cut-off age for years of potential life lost calculations was 65 years. ResultsThere were 193 people living with HIV who died during 2010-2015: 71% male, 47% married, 27% being infected by heterosexual, 73% did not receive antiretroviral therapy, and 37% experienced moderate anemia. The total of years of potential life lost was 6,003.7 years (average 31.12 years). The regression model indicated that among deceased people living with HIV, female, unmarried status and severe anemia were associated with additional 5.6 (p=0.002), 17 (p=0.000) and 5.9 (p=0.02) average years of potential life lost, respectively.ConclusionHIV screening should be performed intensively by Yogyakarta health office and hospitals. There should be a comprehensive education for both risk groups and general population, to increase awareness in following antiretroviral therapy before experiencing a severe clinical condition that could lead to premature mortality.