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

Am J Public Health

Division of General Internal Medicine and Health Services Research, UCLA Department of Medicine, 911 Broxton Plaza, Los Angeles, CA 90095-1736, USA.

Published: 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 (> 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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1446706PMC
http://dx.doi.org/10.2105/ajph.91.7.1117DOI Listing

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