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The progression of untreated HIV-1 infection prior to AIDS

Author

Listed:
  • Hoover, D.R.
  • Saah, A.
  • Bacellar, H.
  • Murphy, R.
  • Visscher, B.
  • Metz, S.
  • Anderson, R.
  • Kaslow, R.A.

Abstract

Using 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 ≤ .05) and depression to 34.2% (P ≤ .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 106/L. Diagnosing AIDS at CD4+ counts less than 200 x 106/L could significantly reduce pre-AIDS morbidity. Other implications of these findings are discussed.

Suggested Citation

  • Hoover, D.R. & Saah, A. & Bacellar, H. & Murphy, R. & Visscher, B. & Metz, S. & Anderson, R. & Kaslow, R.A., 1992. "The progression of untreated HIV-1 infection prior to AIDS," American Journal of Public Health, American Public Health Association, vol. 82(11), pages 1538-1541.
    • Handle: RePEc:aph:ajpbhl:1992:82:11:1538-1541_6
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