Análisis actuarial de la pérdida del seguimiento de pacientes VIH/SIDA acorde a la capacidad contributiva

HIV/AIDS remains one of the leading causes of death worldwide. According to a 2011 joint survey on HIV/AIDS, the report by WHO, UNAIDS and UNICEF, there are an estimated 34 million people living with HIV/AIDS worldwide. Different studies reported that viral load, age, sex, CD4 cell count, total lymphocyte count (TLC), body mass index (BMI), adherence to antiretroviral treatment (TAR), and baseline hemoglobin level were determinants of mortality. Although studies have identified these factors, they are just as variable with context and dynamic over time. Thus, it is necessary to generate data to provide evidence that indicates which factors are those that determine the mortality of HIV-positive people who attend TAR. In this work, we studied the effect generated by interruption of consultations for three months or more in a population of patients with HIV/AIDS virus with antiretroviral treatment under an actuarial system. The results show that the age groups that tend to leave the treatment are between 19 and 59 years old (more than 89%), the majority of them men with a university level of education (40%), employed (57%) as workers. or employees (40%), with access to health services (47%) and homosexually infected (72%). Most of these patients who discontinued treatment had a viral load greater than 50 copies and treatment failure (47%).