Circumstances at HIV diagnosis and progression of disease in older HIV-infected Americans - PubMed (original) (raw)

Comparative Study

Circumstances at HIV diagnosis and progression of disease in older HIV-infected Americans

D S Zingmond et al. Am J Public Health. 2001 Jul.

Abstract

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.

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