Evidence map›Paper›PMID 31504325›Full record

ArticleClinical infectious diseases : an official publication of the Infectious Diseases Society of America2020

Sex- and Poverty-Specific Patterns in Cardiovascular Disease Mortality Associated With Human Immunodeficiency Virus, New York City, 2007-2017.

David B Hanna, Chitra Ramaswamy, Robert C Kaplan, Jorge R Kizer, Demetre Daskalakis, Kathryn Anastos, Sarah L Braunstein

Open access · bronzeAbstract read
In one paragraph

Article in Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
2.3field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 18 citations in OpenAlex.

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  7. Short and Long-term Body Weight Change Following the Switch to or the Addition of Integrase Inhibitors in Persons With HIV Differs by Sex.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2025
    Article
  8. Article
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  13. Review
  14. Cardiac Catheterization Procedures in Patients with HIV: A Retrospective Analysis.Journal of cardiovascular development and disease · 2021
    Article
  15. Article
  16. Article
  17. Observational
  18. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

David B HannaDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, New York, USA.
Chitra RamaswamyBureau of Human Immunodeficiency Virus Prevention and Control, New York City Department of Health and Mental Hygiene, New York, USA.
Robert C KaplanDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, New York, USA.
Jorge R KizerCardiology Section, San Francisco Veterans Affairs Health Care System, University of California San Francisco, San Francisco, California, USA; and Departments of.
Demetre DaskalakisDivision of Disease Control, New York City Department of Health and Mental Hygiene, New York.
Kathryn AnastosDepartment of Epidemiology & Population Health, Albert Einstein College of Medicine, New York, USA.
Sarah L BraunsteinBureau of Human Immunodeficiency Virus Prevention and Control, New York City Department of Health and Mental Hygiene, New York, USA.
New York City Department of Health and Mental Hygiene · USAlbert Einstein College of Medicine · USFred Hutch Cancer Center · USUniversity of California, San Francisco · US

Funding

Women's Interagency HIV Study (WIHS-V)U01AI035004 · NIAID · MONTEFIORE MEDICAL CENTER (BRONX, NY) · PI ANASTOS, KATHRYN M., SHARMA, ANJALI · 1993 to 2018
$65.7M
Sex differences in the role of multi-omics in HIV-associated carotid artery atherosclerosisU01HL146204 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI David B. Hanna, Anjali Sharma · 2019 to 2026
$33.2M
Patient and Population Health Outcomes Research SWGP30AI124414 · NIAID · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI Laurie J Bauman · 2017 to 2026
$28.3M
Prediction of heart failure in HIV-infected individualsK01HL137557 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI HANNA, DAVID B. · 2017 to 2020
$711k
Acute Effects of Cannabis on Cognition and Mobility in Older HIV-Infected and Uninfected Women"R21AG059505 · NIA · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI SHARMA, ANJALI · 2018 to 2019
$318k
NCHHSTP CDC HHS U62 PS003993NHLBI NIH HHS K01 HL137557NHLBI NIH HHS U01 HL146204NIAID NIH HHS P30 AI124414NIAID NIH HHS U01 AI035004NIA NIH HHS R21 AG059505
6 · The paper itself

Abstract

backgroundHuman immunodeficiency virus (HIV) may affect the risk of death due to cardiovascular disease (CVD) differently in men versus women.

methodsWe examined CVD mortality rates between 2007 and 2017 among all New York City residents living with HIV and aged 13+ by sex, using data from city HIV surveillance and vital statistics and the National Death Index. Residents without HIV were enumerated using modified US intercensal estimates. We determined associations of HIV status with CVD mortality by sex and neighborhood poverty, defined as the percent of residents living below the federal poverty level, after accounting for age, race/ethnicity, and year.

resultsThere were 3234 CVD deaths reported among 147 915 New Yorkers living with HIV, with the proportion of deaths due to CVD increasing from 11% in 2007 to 22% in 2017. The age-standardized CVD mortality rate was 2.7/1000 person-years among both men and women with HIV. The relative rate of CVD mortality associated with HIV status was significantly higher among women (adjusted rate ratio [aRR] 1.7, 95% confidence interval [CI] 1.6-1.8) than men (aRR 1.2, 95% CI 1.1-1.3) overall, and within strata defined by neighborhood poverty. Sex differences in CVD mortality rates were the greatest when comparing individuals living with HIV and having detectable HIV RNA and CD4+ T-cell counts <500 cells/uL with individuals living without HIV.

conclusionsAmong people with HIV, 1 in 5 deaths is now associated with CVD. HIV providers should recognize the CVD risk among women with HIV, and reinforce preventive measures (eg, smoking cessation, blood pressure control, lipid management) and viremic control among people living with HIV regardless of neighborhood poverty to reduce CVD mortality.Human immunodeficiency virus (HIV) increases cardiovascular disease mortality risks to a greater degree among women than men, even after accounting for neighborhood poverty. HIV providers should emphasize cardiovascular disease prevention (eg, smoking cessation, hypertension control, lipid management) and viremic control.

Indexed as

Cardiovascular DiseasesHIV InfectionsAdolescentChild, PreschoolFemaleHIVHumansMaleNew York CityPovertyRisk Factorscardiovascular diseaseHIV infectionmortalitypoverty areaswomen

Identifiers

PMID31504325
PMCPMC7384322
OpenAlexW2970685304

What OpenQuestion holds

Textmetadata
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.