Trend Analysis of HIV/AIDS Burden in Iran: Results from the Global Burden of Disease 2017 Study

DOI: https://doi.org/10.21203/rs.3.rs-134927/v1

Abstract

Despite global efforts, HIV/AIDS is still one of the major public health problems in the entire world. In this context, assessing the burden of this disease in different parts of the world is of great importance. In this study, we aimed to investigate the trends of HIV/AIDS incidence and mortality in Iran in the period 1990- 2017.

The HIV/AIDS burden data including age-standardized incidence rate (ASIR) and mortality rate (ASMR) was extracted from the Global Burden of Diseases 2017 study for total Iranian population and by gender from 1990 to 2017. The trend analyses was performed using joinpoint regression modeling approach.

The obtained results showed that in year 2017 the HIV/AIDS ASIR and ASMR were, respectively, more than 12 and 10 times of these rates in year 1990. Also, the estimated average annual percent change (AAPC) was 9.8% and 8.7%, respectively for ASIR and ASMR. In this period of time, women have experienced sharper slope of ASIR and ASMR trends compared to Iranian men.  

The increasing trend of HIV/AIDS burden is a serious alarm for the Iranian health policy makers. To achieve the UNAIDS goals, there is an urgent need for an efficient national action plan which breaks the HIV/AIDS taboo in the society, promote access to HIV testing and prevention facilities especially among the key populations and provides care and treatments for all infected people.

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