Journal Article

Prevalence and Cumulative Incidence of and Risk Factors for Anemia in a Multicenter Cohort Study of Human Immunodeficiency Virus–Infected and –Uninfected Women

Richard D. Semba, Nina Shah, Robert S. Klein, Kenneth H. Mayer, Paula Schuman and David Vlahov

in Clinical Infectious Diseases

Published on behalf of Infectious Diseases Society of America

Volume 34, issue 2, pages 260-266
Published in print January 2002 | ISSN: 1058-4838
Published online January 2002 | e-ISSN: 1537-6591 | DOI: http://dx.doi.org/10.1086/338151
Prevalence and Cumulative Incidence of and Risk Factors for Anemia in a Multicenter Cohort Study of Human Immunodeficiency Virus–Infected and –Uninfected Women

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We conducted a longitudinal study of 797 human immunodeficiency virus (HIV)–positive women (7732 visits) and 389 HIV-negative women (3651 visits) to characterize anemia. At enrollment, the prevalence of anemia was 28.1% among HIV-positive women and 15.1% among HIV-negative women (P < .0001), and during follow-up the cumulative incidence of anemia was 74% and 48%, respectively (P < .0001). Risk factors for anemia were African American race (odds ratio [OR], 2.15; 95% confidence interval [CI], 1.73–2.69), age (per 5-year increase; OR, 1.12; 95% CI, 1.03–1.21), body mass index (OR, 0.96; 95% CI, 0.94–0.97), history of pneumonia (OR, 1.41; 95% CI, 1.20–1.65), oral candidiasis (OR, 1.42; 95% CI, 1.22–1.66), CD4+ lymphocyte count <200 cells/µL (OR, 1.68; 95% CI, 1.46–1.94), history of fever (OR, 1.42; 95% CI, 1.13–1.80), and zidovudine use (OR, 1.14; 95% CI, 1.01–1.30). Anemia was common and associated with an increased risk of death (hazards ratio, 1.64; 95% CI, 1.21–2.23) among HIV-positive women.

Journal Article.  3144 words.  Illustrated.

Subjects: Infectious Diseases ; Immunology ; Public Health and Epidemiology ; Microbiology

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