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.2001 Aug;91(8):1303-9.
doi: 10.2105/ajph.91.8.1303.

Challenges associated with increased survival among parents living with HIV

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Challenges associated with increased survival among parents living with HIV

M Lee et al. Am J Public Health.2001 Aug.

Abstract

Objectives: This study examined sociodemographic and psychosocial factors that predict survival among parents living with HIV.

Methods: Parents with HIV (n = 307) were recruited from 1993 to 1995 in New York City and repeatedly assessed. Survival was monitored among the sample (81% mothers; 45% Latino, 34% African American).

Results: Over a median period of 28 months (range = 0-53 months), 44% (n = 135) of the parents died. Having an AIDS diagnosis and being African American were associated with earlier death. Sex, age, and financial status were not related to survival. Parents who survived had initially higher levels of anxiety that decreased over time; in contrast, parents who died reported initially lower, but constant, levels of anxiety over time. After HIV diagnostic status was controlled for, it was found that parents who reported having more children, using a coping style of seeking social support, and being sexually active at baseline survived longer.

Conclusions: The counterintuitive findings raise hypotheses regarding the role of change and responsibilities in the survival of parents with HIV.

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Figures

FIGURE 1—
FIGURE 1—
Kaplan–Meier survival curves for parents of each HIV diagnostic status (asymptomatic, symptomatic, AIDS) at recruitment.
FIGURE 2—
FIGURE 2—
Levels of anxiety (A) and depression (B), monitored over time since recruitment, among parents with HIV who lived and among those who died during the study.
FIGURE 2—
FIGURE 2—
Levels of anxiety (A) and depression (B), monitored over time since recruitment, among parents with HIV who lived and among those who died during the study.
See this image and copyright information in PMC

References

    1. Centers for Disease Control and Prevention. US HIV and AIDS cases reported through June 1999. HIV AIDS Surveill Rep. 1999;11:1–42.
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