Source:http://linkedlifedata.com/resource/pubmed/id/17919095
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
9
|
pubmed:dateCreated |
2007-10-8
|
pubmed:abstractText |
Advances in the treatment of HIV and associated opportunistic infections (OIs) have led to dramatic reductions in HIV-related morbidity and mortality in the United States, but not all patients have benefited equally. A longitudinal analysis of the Coping with HIV/AIDS in the Southeast (CHASE) cohort evaluated sociodemographic, psychosocial, and clinical factors associated with HIV-related events (incident category C OI or AIDS-related death) among southern HIV-infected patients engaged in clinical care. Participants were followed for a median of 30 months (interquartile range, 17-34 months) after study enrollment (enrollment period December 2001 to April 2002). Ten percent of study participants (50/489) experienced an HIV-related event (incident category C OI and/or AIDS-related deaths) during study follow-up. The rate of HIV-related events was 4.8 per 100 patient-years of observation, and the rate of AIDS-related death was 1.5 per 100 patient-years of observation. In unadjusted survival analyses, younger age, lacking private health insurance, psychosocial trauma, depressive symptoms, lower baseline CD4 count, and less time on antiretroviral therapy during follow-up were associated with HIV-related events. In Cox proportional hazards analysis adjusting for covariates, patients who had suffered more psychosocial trauma (hazard ratio [HR] = 1.97, p = 0.04), who had lower baseline CD4 counts (HR = 0.48 per 100 cells/mm(3), p < 0.01), and who spent less time on antiretroviral therapy during follow-up (HR = 0.47, p = 0.02) were more likely to experience an HIV-related event.
|
pubmed:grant | |
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:status |
MEDLINE
|
pubmed:month |
Sep
|
pubmed:issn |
1087-2914
|
pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
21
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
681-90
|
pubmed:dateRevised |
2007-12-3
|
pubmed:meshHeading |
pubmed-meshheading:17919095-AIDS-Related Opportunistic Infections,
pubmed-meshheading:17919095-Acquired Immunodeficiency Syndrome,
pubmed-meshheading:17919095-Adult,
pubmed-meshheading:17919095-Aged,
pubmed-meshheading:17919095-Cohort Studies,
pubmed-meshheading:17919095-Female,
pubmed-meshheading:17919095-Humans,
pubmed-meshheading:17919095-Incidence,
pubmed-meshheading:17919095-Male,
pubmed-meshheading:17919095-Middle Aged,
pubmed-meshheading:17919095-Proportional Hazards Models,
pubmed-meshheading:17919095-Psychosocial Deprivation,
pubmed-meshheading:17919095-Southeastern United States,
pubmed-meshheading:17919095-Survival Analysis
|
pubmed:year |
2007
|
pubmed:articleTitle |
Predictors of AIDS-related morbidity and mortality in a southern U.S. Cohort.
|
pubmed:affiliation |
Department of Medicine, Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, Alabama, USA.
|
pubmed:publicationType |
Journal Article,
Research Support, U.S. Gov't, P.H.S.,
Multicenter Study,
Research Support, N.I.H., Extramural
|