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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1995-9-27
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pubmed:abstractText |
The rate at which immunodeficiency develops in untreated human immunodeficiency virus type 1(HIV-1)-infected persons might be increasing or decreasing over time because of viral evolution or other factors. Beginning in 1984, Multicenter AIDS Cohort Study investigators recruited HIV-1-seronegative homosexual/bisexual men from four US metropolitan areas and examined them semiannually for HIV-1 seroconversion. To assess possible secular changes in the natural history of HIV-1 infection, the authors examined CD4+ lymphocyte data from 354 men who seroconverted between 1984 and 1991. To control for measurement differences among centers and over time, the authors adjusted CD4+ lymphocyte values to those of persistently seronegative participants. CD4+ lymphocyte percentage measurements at the first seropositive visit formed a U-shaped pattern, with the lowest values observed in 1988 and 1989. The authors observed no consistent secular pattern of CD4+ percentages at later visit dates, except that mean CD4+ percentages were consistently lowest in men who seroconverted in 1988. In a proportional hazards model, the time to the adjusted CD4+ lymphocyte count of < 500 cells/mm3 was not associated with the secular time of seroconversion (relative hazard = 1.05, 95% confidence interval 0.97-1.13). The authors' data do not suggest a major change in the natural history of HIV-1 infection of this population.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0002-9262
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
15
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pubmed:volume |
142
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
636-42
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:7653474-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:7653474-Adult,
pubmed-meshheading:7653474-Analysis of Variance,
pubmed-meshheading:7653474-Bisexuality,
pubmed-meshheading:7653474-CD4 Lymphocyte Count,
pubmed-meshheading:7653474-HIV Seropositivity,
pubmed-meshheading:7653474-Homosexuality, Male,
pubmed-meshheading:7653474-Humans,
pubmed-meshheading:7653474-Linear Models,
pubmed-meshheading:7653474-Male,
pubmed-meshheading:7653474-Predictive Value of Tests,
pubmed-meshheading:7653474-Proportional Hazards Models,
pubmed-meshheading:7653474-Time Factors
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pubmed:year |
1995
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pubmed:articleTitle |
Evaluation of secular trends in CD4+ lymphocyte loss among human immunodeficiency virus type 1 (HIV-1)-infected men with known dates of seroconversion.
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pubmed:affiliation |
Epidemiology and Biostatistics Program, National Cancer Institute, Public Health Service, US Department of Health and Human Services, Rockville, MD 20852, USA.
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pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Multicenter Study
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