AEGiS-14IAC: HIV Infection in Spain ( Spanish VACH Cohort): Are there any differences in between HIV+ men and HIV+ women?

14th International AIDS Conference


Barcelona, Spain - July 7-12, 2002

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HIV Infection in Spain ( Spanish VACH Cohort): Are there any differences in between HIV+ men and HIV+ women?

Int Conf AIDS 2002 Jul 7-12; 14:(abstract no. C10744)

Suarez-Lozano I, Fajardo JM, Garrido MA, Arribas JR, Viciana P, Ribera E, Perez-Cortes S, Domingo P, Vergara A, Lozano F, Teira R, Cosin J, Roca B, Garcia-Alcalde ML, Geijo P, Galindo MJ, Menchero A
Infectious Diseases Unit. Infanta Elena Hospital, Huelva, Spain

BACKGROUND: AIDS surveillance program has been the system to monitor the HIV epidemic but few data is known about the epidemiological and sociodemographic characteristics of HIV infected patients and if they are differences in the use of health services. The objective of this cohort study is to describe epidemiological and clinical (CD4 and viral load at first ART) characteristics of HIV infected patients, by sex, and to evaluate frequency of prophylaxis, delays or misuse.

METHODS: Multicenter, retrospective, cohort study. HIV patients, with first visit between Jan 97 and Dec 00, from 14 hospitals.

RESULTS: Distribution of percentages of patients by sex are described in table 1 [table: see text] Related to occupation 26.8% of men are active worker vs 21.8 in women; 28.8% men and 28.7% women were unemployed. The educational level reported are similar in both sexes. At first visit the median CD4 and VL was 357 and 167370cop/ml in women vs 321and 196661cop/ml in men. The percentage of patients that received prophylaxis is similar in men and women: P carinii 36.1%; 34.4%; Tuberculosis: 61.1%; 50.9%; Toxoplasmosis: 51.2%; 50.4% but a multivariate analysis showed relationship between sociodemographics and the use of prophylaxis

CONCLUSIONS: 1. Heterosexual transmission is higher in women than men; 2. HIV infected women, more frequently, live by their own and had stable partner and children than HIV infected men but only 21.8% of HIV infected women are active workers; 3. At first visit, HIV infected women showed a trend of higher CD4 count and lower VL than men; 4. No differences were found in the use of prophylaxis by sex.

Keywords: AEGIS, HIV Infections, CD4 Lymphocyte Count, Acquired Immunodeficiency Syndrome, HIV Seropositivity, Viral Load, Heterosexuality, Cohort Studies, Spain, Retrospective Studies, Human, Female, Male, ChildKWDaegis,hivinfections,cd4lymphocytecount,acquiredimmunodeficiencysyndrome,hivseropositivity,viralload,heterosexuality,cohortstudies,spain,retrospectivestudies,human,female,male,child

020707
C10744

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