Bertram S, Rietmeijer C, Hagglund B, Cohn D, St. John MA, Davidson A; International Conference on AIDS.

Int Conf AIDS. 1993 Jun 6-11; 9: 955 (abstract no. PO-D38-4425).

Denver Disease Control Service, CO.

OBJECTIVE: To compare HSM in HIV-infected women and men who use the Denver Health and Hospitals (DHH) public health system. METHODS: CDC funded Expanded Surveillance Initiatives have identified all patients with HIV infection within DHH. CD4 cell and disease stage data collected through serial chart abstraction (Adult Spectrum of Disease) were linked with social and demographic data from interviews (Supplement to HIV/AIDS Surveillance). Social variables from all men and women interviewed were compared. HSM were obtained using the Medical Outcomes Study questionnaire. Men and women were matched based on disease stage, intravenous drug use (IDU) status, race, years of education, employment status and age. Two separate analyses were performed based on disease stage: Study 1. AIDS vs non-AIDS (1/93 CDC definition); Study 2. symptomatic vs asymptomatic. T-tests and Wilcoxon signed rank tests were used for comparisons. RESULTS: 419 patients were interviewed (51 women, 368 men). More women were IDUs (p < .03). Men had more education and more men had a change in job situation (p < .01), yet employment status was not significantly different from that of women. More women had health insurance and knew of child care assistance (p < .01). Significantly more men lived alone and contacted support services, shelter assistance and social work services (p < .05). Study 1. There were no significant differences between men and women in physical function (PF), social function (SF), role function (RF), general health perceptions (GHP), mental health (MH) and pain (P) (n = 42 pairs). Study 2. RF was better in women than in men (p < .02). There were no significant differences between sexes in PF, SF, GHP, MH or P (n = 46 pairs). CONCLUSIONS: Among persons with HIV infection, women do better than men in RF when matched on symptom status, IDU, race, education and employment status. While men are better educated and more likely to live alone, women may be more likely to continue their daily activities due to their greater responsibility as caretakers.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• Adult
• Case-Control Studies
• Centers for Disease Control and Prevention (U.S.)
• Child
• Employment
• Female
• HIV Infections
• HIV Seropositivity
• Health Services
• Health Status
• Humans
• Insurance, Health
• Male
• Questionnaires
• Substance Abuse, Intravenous
• Women's Health
• economics
• education

Other ID:

• 93338346

UI: 102207726

From Meeting Abstracts