Aging with HIV vs. HIV seroconversion at older age: a diverse population with distinct comorbidity profiles

• Published in: PloS one 2015-04, Vol.10 (4), p.e0118531-e0118531
• Main Authors: Guaraldi, Giovanni, Zona, Stefano, Brothers, Thomas D, Carli, Federica, Stentarelli, Chiara, Dolci, Giovanni, Santoro, Antonella, Beghetto, Barbara, Menozzi, Marianna, Mussini, Cristina, Falutz, Julian
• Format: Article
• Language: English
• Subjects: Adult; Age; Age Factors; Aging; Analysis; Anti-Retroviral Agents - therapeutic use; Antiretroviral agents; Antiretroviral therapy; Case-Control Studies; Comorbidity; Female; Health aspects; Health risks; Highly active antiretroviral therapy; HIV; HIV - drug effects; HIV - immunology; HIV infections; HIV Infections - drug therapy; HIV Infections - epidemiology; HIV Infections - immunology; HIV patients; Human immunodeficiency virus; Humans; Infection; Infections; Male; Medical diagnosis; Middle Aged; Patients; Prevalence; Prevalence studies (Epidemiology); Regression analysis; Regression models; Risk analysis; Risk Factors; Seroconversion
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0118531

People aging with HIV might have different health conditions compared with people who seroconverted at older ages. The study objective was to assess the prevalence of, and risk factors for, individual co-morbidities and multimorbidity (MM) between HIV-positive patients with a longer duration of HIV infection, and patients who seroconverted at an older age. We compared estimates across both groups to a matched community-based cohort sampled from the general population. We performed a case-control study including antiretroviral therapy (ART)-experienced patients who were HIV seropositive for ≥ 20.6 years ("HIV-Aging"), or who were seropositive for < 11.3 years ("HIV-Aged") having access in 2013 at the Modena HIV Metabolic Clinic. Patients were matched in a 1:3 ratio with controls from the CINECA ARNO database. MM was defined as the concurrent presence of >2 NICM. Logistic regression models were constructed to evaluate associated predictors of NICM and MM. We analysed 404 HIV-Aging and 404 HIV-Aged participants in comparison to 2424 controls. The mean age was 46.7 ± 6.2 years, 28.9% were women. Prevalence of HIV co-morbidities and MM were significantly higher in the HIV-positive groups compared to the general population (p