Abstract:
OBJECTIVES: Possible gender differences in HIV-associated clinical events and mortality may have care implications. Gender differences were assessed using observational data collected on 843 women (20%) and 3,359 men (80%) from 17 CPCRA centers. METHODS: Demographic and clinical data were collected at least every 6 months. The relative risk (RR) of event/death incurred by women compared to men was computed by the Cox model, with stratification by CPCRA center, CD4, AIDS, age, weight, Karnofsky, and race. Incident events were defined as those occurring for the first time during the follow-up interval, excluding participants with any HIV-related event at enrollment. RESULTS: 40% of the 4,202 participants were African-American, 18% Latino/Hispanic, 42% White. 70% were aged 30-49. 19% of women and 28% of men were drug-users. 42% had CD4 less than 200; 70% had CD4 less than 500. RR's were computed for several clinical events, including PCP, oral and esophageal candidiasis (OCa, ECa), herpes zoster (HZV), M. avium (MAI), and cytomegalovirus (CMV). The average length of follow-up was 6.6 months. TABULAR DATA, SEE ABSTRACT VOLUME. CONCLUSIONS: These preliminary findings suggest no significant gender differences in clinical events/death after adjustment for important confounders.
Keywords: Acquired Immunodeficiency Syndrome/EPIDEMIOLOGY Adult Comparative Study Ethnic Groups Female Follow-Up Studies Human HIV Infections/COMPLICATIONS/*EPIDEMIOLOGY Male Middle Age Opportunistic Infections/COMPLICATIONS/*EPIDEMIOLOGY Proportional Hazards Models Risk United States/EPIDEMIOLOGY ABSTRACT 921230
M92C5359
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