ArticleJournal of urban health : bulletin of the New York Academy of Medicine2011
Comorbidity-related treatment outcomes among HIV-infected adults in the Bronx, NY.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed.
- Risk Factors for Incident Hypertension Within 1 Year of Initiating Antiretroviral Therapy Among People with HIV.AIDS research and human retroviruses · 2022Trial
- Improving sleep hygiene behavior in adults living with HIV/AIDS: a randomized control pilot study of the SystemCHANGE(TM)-HIV intervention.Applied nursing research : ANR · 2013Trial
- The Healthcare Experiences of African Americans with a Dual Diagnosis of HIV/AIDS and a Nutrition-Related Chronic Disease: A Pilot Study.Healthcare (Basel, Switzerland) · 2022Article
- Expression of Killer Immunoglobulin Receptor Genes among HIV-Infected Individuals with Non-AIDS Comorbidities.Journal of immunology research · 2022Article
- Treatment outcomes among adults with HIV/non-communicable disease multimorbidity attending integrated care clubs in Cape Town, South Africa.AIDS research and therapy · 2021Article
- Trends, prevalence and factors associated with hypertension and diabetes among South African adults living with HIV, 2005-2017.BMC public health · 2021Article
- Drug therapy problems identified among patients receiving antiretroviral treatment in a HIV clinic: a prospective study in North Central, Nigeria.The Pan African medical journal · 2021Article
- Glycemic Control Among People Living with Diabetes and Human Immunodeficiency Virus in Ethiopia: Leveraging Clinical Care for the Looming Co-Epidemics.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020Article
- Effect of Patient Navigation on Transitions of HIV Care After Release from Prison: A Retrospective Cohort Study.AIDS and behavior · 2019Observational
- Racial and ethnic disparities in use of a personal health record by veterans living with HIV.Journal of the American Medical Informatics Association : JAMIA · 2019Article
- Pilot test of an educational intervention to improve self-management of diabetes in persons living with HIV.Pilot and feasibility studies · 2019Article
- Comorbidities in a sample of adults with HIV in Puerto Rico: an exploratory study.HIV/AIDS (Auckland, N.Z.) · 2019Article
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- Article
- Metabolic clinic for individuals with HIV/AIDS: a commitment and vision to the future of HIV services.Cardiovascular endocrinology · 2017Review
- Serum lipid and glucose profiles in HIV-positive Nigerian children.Journal of virus eradication · 2017Article
- Cannabinoid receptor 2-63 RR variant is independently associated with severe necroinflammation in HIV/HCV coinfected patients.PloS one · 2017Article
- Article
- Management of Hepatitis C/HIV Coinfection in the Era of Highly Effective Hepatitis C Virus Direct-Acting Antiviral Therapy.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016Review
- Hypertension Is a Key Feature of the Metabolic Syndrome in Subjects Aging with HIV.Current hypertension reports · 2016Review
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
Aging, HIV infection, and antiretroviral therapy have been associated with increasing rates of chronic comorbidities in patients with HIV. Urban minority populations in particular are affected by both the HIV/AIDS and chronic disease epidemics. Our objectives were to estimate the prevalence of and risk factors for hypertension, dyslipidemia, and diabetes among HIV-infected adults in the Bronx and describe comorbidity-related treatment outcomes. This was a cross-sectional study of 854 HIV-positive adults receiving care at 11 clinics which provide HIV primary care services; clinics were affiliated with a large urban academic medical center. Data on blood pressure (BP), cholesterol, and glycemic control were collected through standardized chart review of outpatient medical records. We found prevalence rates of 26%, 48%, and 13% for hypertension, dyslipidemia, and diabetes, respectively. Older age, obesity, family history, and current protease inhibitor use were consistently associated with comorbidity. Diabetes treatment goals were achieved less often than BP and lipid goals, and concurrent diabetes was a significant predictor for BP and lipid control. In conclusion, major cardiovascular-related comorbidities are prevalent among HIV-positive adults in the Bronx, especially older and obese individuals. Differences exist in comorbidity-related treatment outcomes, especially for patients with concurrent diabetes. Because cardiovascular risk is modifiable, effective treatment of related comorbidities may improve morbidity and mortality in HIV-infected patients.
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