OBJECTIVES: This study identified age-related differences in diagnosis and progression of HIV by analyzing a nationally representative sample of HIV-infected adults under care in the United States. METHODS: We compared older (> or = 50 years) and younger participants stratified by race/ethnicity. Regression models controlled for demographic, therapeutic, and clinical factors. RESULTS: Older non-Whites more often had HIV diagnosed when they were ill. Older and younger patients were clinically similar. At baseline, however, older non-Whites had fewer symptoms and were less likely to have AIDS, whereas at follow-up they had a trend toward lower survival. CONCLUSIONS: Later HIV diagnosis in non-Whites merits public health attention; clinical progression in this group requires further study.
OBJECTIVES: This study identified age-related differences in diagnosis and progression of HIV by analyzing a nationally representative sample of HIV-infected adults under care in the United States. METHODS: We compared older (> or = 50 years) and younger participants stratified by race/ethnicity. Regression models controlled for demographic, therapeutic, and clinical factors. RESULTS: Older non-Whites more often had HIV diagnosed when they were ill. Older and younger patients were clinically similar. At baseline, however, older non-Whites had fewer symptoms and were less likely to have AIDS, whereas at follow-up they had a trend toward lower survival. CONCLUSIONS: Later HIV diagnosis in non-Whites merits public health attention; clinical progression in this group requires further study.
Authors: M R Frankel; M F Shapiro; N Duan; S C Morton; S H Berry; J A Brown; M A Burnam; S E Cohn; D P Goldman; D F McCaffrey; S M Smith; P A St Clair; J F Tebow; S A Bozzette Journal: Health Serv Res Date: 1999-12 Impact factor: 3.402
Authors: M F Shapiro; M L Berk; S H Berry; C A Emmons; L A Athey; D C Hsia; A A Leibowitz; C A Maida; M Marcus; J F Perlman; C L Schur; M A Schuster; J W Senterfitt; S A Bozzette Journal: Health Serv Res Date: 1999-12 Impact factor: 3.402
Authors: J W Ward; T J Bush; H A Perkins; L E Lieb; J R Allen; D Goldfinger; S M Samson; S H Pepkowitz; L P Fernando; P V Holland Journal: N Engl J Med Date: 1989-10-05 Impact factor: 91.245
Authors: Lorena Espinoza; H Irene Hall; Felicia Hardnett; Richard M Selik; Qiang Ling; Lisa M Lee Journal: Am J Public Health Date: 2006-11-30 Impact factor: 9.308
Authors: Christopher S Krawczyk; Ellen Funkhouser; J Michael Kilby; Richard A Kaslow; Amita K Bey; Sten H Vermund Journal: South Med J Date: 2006-05 Impact factor: 0.954