Jeffrey J. Weiss|Georgina Osorio|Elizabeth Ryan|Sue M. Marcus|Dawn Fishbein
Prevalence and Patient Awareness of Medical Comorbidities in an Urban AIDS Clinic
Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|Icahn School of Medicine at Mount Sinai|University of California, San Diego
mortality hivpositive persons increasingly due nonhivrelated medical comorbidities limited data prevalence patient awareness comorbid conditions two hundred subjects urban hiv clinic interviewed 2005 assess awareness 15 nonhivrelated medical comorbidities defined medical problems neither aidsdefining standard definitions direct effect immune deficiency medical charts subsequently reviewed establish prevalence concordance selfreport chart documentation eightyfour percent subjects selfreported least 1 15 medical comorbidities 92 least 1 condition chartdocumented top 5 chartdocumented conditions hepatitis c 515 pulmonary disease 285 high blood pressure 27 high cholesterol 245 obesity 225 multivariate analysis higher number nonhivrelated medical comorbidities associated older age female gender intravenous drug use route hiv transmission across selfreported nonhivrelated medical comorbidities absolute concordance rate ranged 67 96 sensitivity ranged 0 79 positive predictive value ranged 0 100 vast majority largely urban minority hivpositive subjects diagnosed nonhivrelated medical comorbidities significant room improvement patient awareness order help patients optimally access adhere medication medical care nonhivrelated medical comorbidities interventions educational campaigns improve patient awareness take cultural background literacy educational level account developed implemented evaluated