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Characteristics of women with TB and AIDS in New York City.
Sackoff J; Lawton K; Torian L; Frieden T; Chiasson M; Singh T; Weisfuse
December 30, 1995
HIV Infect Women Conf. 1995 Feb 22-24;:P91. Unique Identifier : AIDSLINE

Objective: To describe the sociodemographic and clinical characteristics of women who have TB and AIDS in NYC. Methods: From the NYC AIDS Surveillance System we randomly selected 1,020 patients with a first episode of TB after 1990. This report is restricted to 188 cases collected thus far from 8 of the hospitals with the largest TB caseloads. Data were abstracted from medical records and the NYCDOH TB Registry. Results: Women comprised 22% of the sample. At the time of the TB evaluation, their mean age was 36 years (vs 39 in men, p=.001). 66% of the women were African American, 27% Hispanic and 7% white, similar to the men. Twice as many women as men were homeless when evaluated for their TB (26% vs. 13%) [p=.03]. Women and men did not differ in history of injection drug use (55% vs 58%, p=.82), but more women reported noninjection cocaine use (48% vs 30%, p=.04). Women and men were similar in terms of site of TB (84% vs. 82% pulmonary), resistance to greater than or equal to 1 TB drugs (34% both), and TB as the first AIDS defining illness (75% vs 73%). Only 7% of the women (vs 18% men, p=.08) presented with a concurrent AIDS defining illness. Based on life table estimates, at 3 months from TB diagnosis, 14% of women and 16% of men had died; at 2 years, mortality was 28% and 52% respectively (p=.02). Conclusion: Women with TB and AIDS in this sample differed from men on some social factors. Their 2-year survival was significantly better and further investigation is needed to understand why.

Adult *AIDS-Related Opportunistic Infections/DIAGNOSIS Female Human Male New York City Socioeconomic Factors *Tuberculosis, Pulmonary/COMPLICATIONS/DIAGNOSIS ABSTRACT