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

D. S. Zingmond, N. S. Wenger, S. Crystal, G. F. Joyce, H. Liu, U. Sambamoorthi, L. A. Lillard, A. A. Leibowitz, M. F. Shapiro, S. A. Bozzette

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Objectives. This study identified age-related differences in diagnosis and progression if 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-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.

Original languageEnglish
Pages (from-to)1117-1120
Number of pages4
JournalAmerican journal of public health
Issue number7
StatePublished - 2001


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