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Medical Encounter Characteristics of HIV Seroconverters in the US Army and Air Force, 2000-2004.
MedLine Citation:
PMID:  21266911     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
BACKGROUND AND METHODS:: Active duty US Army and Air Force military personnel undergo mandatory biennial HIV antibody screening. We compared pre- and post-HIV seroconversion health status by conducting a case-control study which evaluated all medical encounters and sociodemographic factors among incident HIV seroconverters and HIV-negative controls from June 2000 through February 2004. RESULTS:: A total of 274 HIV seroconverters and 6205 HIV-negative personnel were included. In multivariate analysis restricted to male personnel (cases = 261, controls = 5801), single marital status (AOR = 14.37), clinical indicators or symptoms within four years of HIV diagnosis (AOR = 6.22), black race (AOR = 5.88), non-indicator clinical syndromes within two years of HIV diagnosis (AOR = 3.31), any mental disorder within 4 years of HIV diagnosis (AOR = 3.04), increasing service-connected time (AOR = 1.69), and older age (AOR = 1.12) were associated with HIV diagnosis among males. A prior history of a sexually transmitted infection (STI) was associated with post-HIV seroconversion STI (ORM-H = 4.10). Similarly, a prior history of mental disorder was associated with post-HIV seroconversion mental disorder (ORM-H = 4.98). Forty-seven (18%) male cases were hospitalized at least once after HIV diagnosis; infectious diseases and mental disorders made up 53% of initial admissions. CONCLUSIONS:: HIV seroconversion was associated with increased health care seeking behavior, STIs and mental disorders, some of which may be amenable to screening. The higher STI rate after HIV diagnosis may partially be a consequence of monitoring, but secondary transmission of STI and possibly HIV require further definition and subsequent tailored preventive interventions.
Authors:
Shilpa Hakre; David M Brett-Major; Darrell Singer; Robert J Oʼconnell; Warren B Sateren; Jose L Sanchez; Brian K Agan; Nelson L Michael; Paul T Scott
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-1-24
Journal Detail:
Title:  Journal of acquired immune deficiency syndromes (1999)     Volume:  -     ISSN:  1944-7884     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-1-26     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100892005     Medline TA:  J Acquir Immune Defic Syndr     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1United States Military HIV Research Program, Henry M. Jackson Foundation for the Advancement of Military Medicine, Rockville, Maryland; 2Navy Medicine Manpower, Personnel, Training & Education Command, Bethesda, Maryland; 3Department of Preventive Medicine and Biometrics, Uniformed Services University, Bethesda, Maryland; 4Division of Retrovirology, Walter Reed Army Institute of Research, Rockville, Maryland; 5Armed Forces Health Surveillance Center, Silver Spring, Maryland; 6Infectious Disease Clinical Research Program, Uniformed Services University, Bethesda, Maryland.
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