Access the full text.
Sign up today, get DeepDyve free for 14 days.
J. Jansson, D. Wilson (2012)
Projected Demographic Profile of People Living with HIV in Australia: Planning for an Older GenerationPLoS ONE, 7
Megan Salter, B. Lau, V. Go, S. Mehta, G. Kirk (2011)
HIV infection, immune suppression, and uncontrolled viremia are associated with increased multimorbidity among aging injection drug users.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 53 12
Hudon C Fortin M Soubhi H
Abbreviated guidelines for scoring the cumulative illness rating
G. Guaraldi, G. Orlando, S. Zona, M. Menozzi, F. Carli, E. Garlassi, A. Berti, E. Rossi, A. Roverato, F. Palella (2011)
Premature age-related comorbidities among HIV-infected persons compared with the general population.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 53 11
F. Nakagawa, R. Lodwick, Colette Smith, Ruth Smith, V. Cambiano, J. Lundgren, V. Delpech, A. Phillips (2012)
Projected life expectancy of people with HIV according to timing of diagnosisAIDS, 26
Fortin M Hudon C Dubois MF Almirall J Lapointe L Soubhi H
Comparative assessment of three different indices of multimorbidity for studies on health related quality of life.
S. Knox, C. Harrison, H. Britt, Joan Henderson (2008)
Estimating prevalence of common chronic morbidities in AustraliaMedical Journal of Australia, 189
V. Groot, H. Beckerman, G. Lankhorst, L. Bouter (2003)
How to measure comorbidity. a critical review of available methods.Journal of clinical epidemiology, 56 3
C. Agborsangaya, Darren Lau, M. Lahtinen, T. Cooke, Jeffrey Johnson (2012)
Multimorbidity prevalence and patterns across socioeconomic determinants: a cross-sectional surveyBMC Public Health, 12
David Kim, A. Westfall, E. Chamot, A. Willig, M. Mugavero, C. Ritchie, G. Burkholder, H. Crane, J. Raper, M. Saag, J. Willig (2012)
Multimorbidity Patterns in HIV-Infected Patients: The Role of Obesity in Chronic Disease ClusteringJAIDS Journal of Acquired Immune Deficiency Syndromes, 61
L. Ryom, A. Mocroft, O. Kirk, S. Worm, D. Kamara, P. Reiss, M. Ross, C. Fux, P. Morlat, O. Moranne, Colette Smith, J. Lundgren (2013)
Association between antiretroviral exposure and renal impairment among HIV-positive persons with normal baseline renal function: the D:A:D study.The Journal of infectious diseases, 207 9
C. Hudon, M. Fortin, H. Soubhi (2007)
Abbreviated guidelines for scoring the Cumulative Illness Rating Scale (CIRS) in family practice.Journal of clinical epidemiology, 60 2
A. Butt, K. McGinnis, M. Rodriguez‐Barradas, S. Crystal, M. Simberkoff, M. Goetz, D. Leaf, A. Justice (2009)
HIV infection and the risk of diabetes mellitusAIDS, 23
B. Turner, C. Hollenbeak, M. Weiner, T. Have, Simon Tang (2008)
Effect of Unrelated Comorbid Conditions on Hypertension ManagementAnnals of Internal Medicine, 148
S. Deeks, A. Phillips (2009)
HIV infection, antiretroviral treatment, ageing, and non-AIDS related morbidityBMJ : British Medical Journal, 338
R. Visser, D. Ezzy, M. Bartoš (2000)
Comorbidity and Coinfection among People Living with HIV/AIDS: The Experiences of an Australian SampleAustralian Journal of Primary Health, 6
M. Mugavero, Hui-Yi Lin, J. Willig, A. Westfall, Kimberly Ulett, Justin Routman, Sarah Abroms, J. Raper, M. Saag, J. Allison (2009)
Missed visits and mortality among patients establishing initial outpatient HIV treatment.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 48 2
J. Goulet, S. Fultz, D. Rimland, A. Butt, C. Gibert, M. Rodriguez‐Barradas, K. Bryant, A. Justice (2007)
Aging and infectious diseases: do patterns of comorbidity vary by HIV status, age, and HIV severity?Clinical infectious diseases : an official publication of the Infectious Diseases Society of America, 45 12
C. Lewden, V. Bouteloup, S. Wit, C. Sabin, A. Mocroft, J. Wasmuth, A. Sighem, O. Kirk, N. Obel, G. Panos, J. Ghosn, F. Dabis, M. Mary-Krause, C. Leport, S. Pérez-Hoyos, P. Sobrino-Vegas, C. Stephan, A. Castagna, A. Antinori, A. Monforte, C. Torti, C. Mussini, V. Isern, A. Calmy, R. Teira, M. Egger, J. Grarup, G. Chêne (2012)
All-cause mortality in treated HIV-infected adults with CD4 ≥500/mm3 compared with the general population: evidence from a large European observational cohort collaboration.International journal of epidemiology, 41 2
M. Silverberg, C. Chao, W. Leyden, Lanfang Xu, Beth Tang, M. Horberg, D. Klein, C. Quesenberry, W. Towner, D. Abrams (2009)
HIV infection and the risk of cancers with and without a known infectious causeAIDS, 23
H. Britt, C. Harrison, G. Miller, S. Knox (2008)
Prevalence and patterns of multimorbidity in AustraliaMedical Journal of Australia, 189
R. Dray-Spira, C. Legeai, Mariette Den, F. Boué, C. Lascoux-Combe, A. Simon, T. May, C. Goujard, L. Meyer (2012)
Burden of HIV disease and comorbidities on the chances of maintaining employment in the era of sustained combined antiretoviral therapies useAIDS, 26
R. Medapalli, C. Parikh, K. Gordon, Sheldon Brown, A. Butt, C. Gibert, D. Rimland, M. Rodriguez‐Barradas, C. Chang, A. Justice, J. He, C. Wyatt (2012)
Comorbid Diabetes and the Risk of Progressive Chronic Kidney Disease in HIV-Infected Adults: Data From the Veterans Aging Cohort StudyJAIDS Journal of Acquired Immune Deficiency Syndromes, 60
J. Tate, A. Justice, M. Hughes, F. Bonnet, P. Reiss, A. Mocroft, J. Nattermann, F. Lampe, H. Bucher, T. Sterling, H. Crane, M. Kitahata, M. May, J. Sterne (2013)
An internationally generalizable risk index for mortality after one year of antiretroviral therapyAIDS, 27
V. Triant, Hang Lee, C. Hadigan, S. Grinspoon (2007)
Increased acute myocardial infarction rates and cardiovascular risk factors among patients with human immunodeficiency virus disease.The Journal of clinical endocrinology and metabolism, 92 7
M. Fortin, C. Hudon, M. Dubois, J. Almirall, Lise Lapointe, H. Soubhi, José Ca, Almirall, Ca
Health and Quality of Life Outcomes Comparative Assessment of Three Different Indices of Multimorbidity for Studies on Health-related Quality of Life
Karen Barnett, S. Mercer, M. Norbury, G. Watt, S. Wyke, B. Guthrie (2012)
Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional studyThe Lancet, 380
R. McLinden, R. Paris, V. Polonis, Nicole Close, Zhaohui Su, C. Shikuma, D. Margolis, Jerome Kim (2012)
Association of HIV neutralizing antibody with lower viral load after treatment interruption in a prospective trial (A5170).AIDS, 26 11
J. Murray, A. McDonald, M. Law (2009)
Rapidly ageing HIV epidemic among men who have sex with men in Australia.Sexual health, 6 1
A. Monroe, G. Chander, Richard Moore (2011)
Control of Medical Comorbidities in Individuals With HIVJAIDS Journal of Acquired Immune Deficiency Syndromes, 58
A. Parekh, M. Barton (2010)
The challenge of multiple comorbidity for the US health care system.JAMA, 303 13
BackgroundMultimorbidity is the co-occurrence of more than one chronic health condition in addition to HIV. Higher multimorbidity increases mortality, complexity of care and healthcare costs while decreasing quality of life. The prevalence of and factors associated with multimorbidity among HIV positive patients attending a regional sexual health service are described. Methods: A record review of all HIV positive patients attending the service between 1 July 2011 and 30 June 2012 was conducted. Two medical officers reviewed records for chronic health conditions and to rate multimorbidity using the Cumulative Illness Rating Scale (CIRS). Univariate and multivariate linear regression analyses were used to determine factors associated with a higher CIRS score. Results: One hundred and eighty-nine individuals were included in the study the mean age was 51.8 years and 92.6% were men. One-quarter (25.4%) had ever been diagnosed with AIDS. Multimorbidity was extremely common, with 54.5% of individuals having two or more chronic health conditions in addition to HIV the most common being a mental health diagnosis, followed by vascular disease. In multivariate analysis, older age, having ever been diagnosed with AIDS and being on an antiretroviral regimen other than two nucleosides and a non-nucleoside reverse transcriptase inhibitor or protease inhibitor were associated with a higher CIRS score. Conclusion: To the best of our knowledge, this is the first study looking at associations with multimorbidity in the Australian setting. Care models for HIV positive patients should include assessing and managing multimorbidity, particularly in older people and those that have ever been diagnosed with AIDS.
Sexual Health – CSIRO Publishing
Published: Jul 6, 2015
Read and print from thousands of top scholarly journals.
Already have an account? Log in
Bookmark this article. You can see your Bookmarks on your DeepDyve Library.
To save an article, log in first, or sign up for a DeepDyve account if you don’t already have one.
Copy and paste the desired citation format or use the link below to download a file formatted for EndNote
Access the full text.
Sign up today, get DeepDyve free for 14 days.
All DeepDyve websites use cookies to improve your online experience. They were placed on your computer when you launched this website. You can change your cookie settings through your browser.