| Titre : | Circumstances at HIV diagnosis and progression of disease in older HIV-infected Americans. (2001) |
| Auteurs : | David-S ZINGMOND ; Samuel-A BOZZETTE ; Steve CRYSTAL ; Geoffrey-F JOYCE ; Arleen-A LEIBOWITZ ; Lee-A LILLARD ; Honghu LIU ; Usha SAMBAMOORTHI ; Martin-F SHAPIRO ; Neil-S WENGER ; Department of Medicine. Division of General Internal Medicine and Health Services Research. USA ; Hcsus Consortium. USA ; Institute for Health. Health Care Policy and Aging. Rutgers University. New Brunswick. NJ. USA ; Rand Health. Santa Monica. Calif. And the Department of Veterans Affairs San Diego Healthcare System. San Diego. CA. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 91, n° 7, 2001) |
| Pagination : | 1117-1120 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; Diagnostic ; Evolution ; Pronostic ; Homme ; Age ; Race ; Ethnie ; Etats Unis ; Amérique ; Immunopathologie ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST-CNRS KYed1R0x. Diffusion soumise à autorisation]. Objectives. This study identifiesd 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-whiters had fewer symptoms and were less likely to have AIDS, whereas at follow-up they had a trend toward lower survival. Conclusions. Later HIV diagnisis in non-Whites merits public health attention ; clinical progression in this group requires further study. |
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