Circumstances at HIV Diagnosis and Progression of... : American Journal of Public Health (original) (raw)

Circumstances at HIV Diagnosis and Progression of Disease in Older HIV-Infected Americans

• David S. Zingmond
• Neil S. Wenger
• Steve Crystal
• Geoffrey F. Joyce
• Honghu Liu
• Usha Sambamoorthi
• Lee A. Lillard
• Arleen A. Leibowitz
• Martin F. Shapiro
• Samuel A. Bozzette

American Journal of Public Health

91

(

7

)

:p

1117

-

1120

,

July 2001

.

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 (≥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.

Copyright © 2001 by the American Public Health Association, Inc.