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pubmed-article:1359801pubmed:abstractTextUsing a case-control study of untreated men, we investigated the physical, mental, and economic effects of human immunodeficiency virus (HIV-1) infection prior to the diagnosis of acquired immunodeficiency syndrome (AIDS). Beginning 2 to 2.5 years prior to AIDS, case subjects reported more of 12 HIV-1 related symptoms and during the year prior to AIDS, at least 30.6 extra days of these symptoms than did control subjects. Within the 6 months preceding AIDS, case subjects' unemployment rose to 9% (P < or = .05) and depression to 34.2% (P < or = .001). At 6 to 12 months and within 6 months before AIDS, 17.1% and 31.5%, respectively, were anemic, while 37.7% and 64.7% had CD4+ counts less than 200 x 10(6)/L. Diagnosing AIDS at CD4+ counts less than 200 x 10(6)/L could significantly reduce pre-AIDS morbidity. Other implications of these findings are discussed.lld:pubmed
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pubmed-article:1359801pubmed:articleTitleThe progression of untreated HIV-1 infection prior to AIDS.lld:pubmed
pubmed-article:1359801pubmed:affiliationSchool of Hygiene and Public Health, Johns Hopkins University, Baltimore, Md. 21205.lld:pubmed
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pubmed-article:1359801pubmed:publicationTypeResearch Support, U.S. Gov't, P.H.S.lld:pubmed
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