Cognitive impairment among HIV+ women of color
Background. Cognitive impairment is associated with aging and may be especially pronounced among the HIV+ population, in whom HIV infection has documented neurological effects. Objective. We explored the prevalence, correlates, and associations with health outcomes of cognitive impairment among HIV+ women of color (WOC). Methods. Fifty WOC consented to cognitive testing (CogState) and completed a brief psycho-social survey at UNC's Infectious Disease clinic (summer 2012). Following a 30-minute testing battery (resulting in 6 standardized scores), interviewers asked about depression and anxiety, substance use and documented learning disabilities or neurological deficits. Multilogit logistic models resulted in risk ratios and 95% confidence intervals for the 3-level impairment variable (none, mild or equivocal, moderate or severe). Results. Participants generally had low education (88% <=ighschool), were not married (78%) and had been living with HIV for over six years (87%). One-half the sample reported at least one bout of serious depression but most were not on depression / anxiety medication (70%). While most women reported historical substance use (54%), few reported currently using (6%). Only 28% of women had no cognitive impairment while 38% had moderate or severe impairment; 28% of women were between 40-49 and 36% were between 50-59 years of age. Only historic substance use was associated with cognitive impairment in this sample Conclusions. Cognitive impairment is prevalent among HIV+ women of color. As this population ages and the neurological effects of HIV become manifest, the cognitive health of the HIV+ population will become increasingly important for research, practice, and policy.
Public health or related research
Describe the process of cognitive testing in a clinical setting
Explain the correlates of cognitive impairment among an HIV+ sample of women of color
Discuss the prevalence of cognitive impairment among this sample
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am qualified to be an abstract author on the content I am responsible for because I am an epidemiologist who has analyzed these data in collaboration with neurological scientists and HIV physicians.
Any relevant financial relationships? No
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and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed
in my presentation.