5th International AIDS Conference


Montreal, Quebec, Canada — Jun 4-9, 1989

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Regional differences in survival with AIDS among gay white males in the United States.

Int Conf AIDS 1989 Jun 4-9; 5:170 (abstract no. A.559)
Piette J; Brown University, Providence, Rhode Island; USA

OBJECTIVE: To examine geographic variation in survival with AIDS among gay white males in the United States.

METHODS: Survival curves are calculated using data from a census of 24,668 AIDS cases reported to the Centers for Disease Control by 10/3/88. Analyses are presented by region and controlling for the presence of PCP. Randomly selected sub-samples of n=2,500 are used to calculate Mantel-Cox statistics testing for regional variations in survival.

RESULTS: Median survival in the Northeast=20.8 months; median survival in all other regions is less than 15.6 months. Survival density functions are presented for all regions. Survival is shortened for cases with PCP, however, Northeast survival time is longer for both PCP and non-PCP cases. (Mantel-Cox chi-square w/4 df.=21.94; p=.0002) No differences are found in reporting bias or patient mix which explain the phenomenon.

CONCLUSION: Cases diagnosed in the Northeast survive significantly longer than cases diagnosed in other regions of the U.S.A.. Possible explanations include differences in the health care provided, patients' treatment preferences, and regional differences in the prevalence and severity of opportunistic diseases affecting persons with AIDS.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Whites, Caucasoid Race, Centers for Disease Control and Prevention (U.S.), Survival Analysis, Survival, United States, Prevalence, Survival Rate, Multivariate Analysis, Male, Human, mortality, ICA5KWDaegis,acquiredimmunodeficiencysyndrome,whites,caucasoidrace,centersfordiseasecontrolandprevention(uKWDsKWD),survivalanalysis,survival,unitedstates,prevalence,survivalrate,multivariateanalysis,male,human,mortality,ica5

890604
A559

Copyright © 1989 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.