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

Am J Public Health. 2001 Jul;91(7):1117-20. doi: 10.2105/ajph.91.7.1117.


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.

Publication types

  • Comparative Study

MeSH terms

  • Adult
  • Age Distribution
  • Age Factors
  • Aged / statistics & numerical data*
  • CD4 Lymphocyte Count
  • Disease Progression
  • Female
  • Follow-Up Studies
  • HIV Infections / complications
  • HIV Infections / diagnosis*
  • HIV Infections / epidemiology*
  • HIV Infections / immunology
  • HIV Infections / therapy
  • Health Status
  • Humans
  • Linear Models
  • Logistic Models
  • Male
  • Middle Aged
  • Multivariate Analysis
  • Regression Analysis
  • Surveys and Questionnaires
  • Survival Analysis
  • United States / epidemiology