Age, gender, and other predictors of the wasting syndrome among HIV-1-infected injecting drug users

John D. Sorkin, Paul A. Bolton, Jesse Greenblatt, Pornchai Sithisarankul, David Vlahov, Neil M.H. Graham

Research output: Contribution to journalArticlepeer-review

Abstract

We conducted a study to identify predictors of the wasting syndrome among human immunodeficiency virus 1 (HIV-1)- seropositive injecting drug users. We enrolled 113 cases (defined as an unexplained loss of > 10% baseline weight) and 226 controls (defined as < 5% weight loss or any weight gain) from a HIV-1-seropositive cohort of injecting drug users (N = 630) into a nested case-control study. Crude predictors of wasting included: older age [odds ratio (OR) for a 1-year difference = 1.06], female gender (OR = 1.66), more years spent injecting drugs (OR for 1-year difference = 1.05), presence of diarrhea (OR = 3.78), lower percentage of CD4 T-lymphocytes (OR for 10-unit difference = 0.73), and higher log β2-microglobulin concentration (OR for 1 log difference = 11.3). After adjusting for CD4 cell level, β2-microglobulin concentration, diarrhea, gender, length and frequency of drug use, age, the presence of thrush, and education, independent predictors of weight loss in HIV-seropositive injecting drug users were female gender (OR = 2.23) and increasing age (OR for 1-year difference = 1.06). Frequency and duration of drug use were not strongly associated with the odds of developing wasting syndrome in this HIV-1-seropositive cohort. These data indicate that HIV wasting syndrome in injecting drug users is distinct from complications of drug use.

Original languageEnglish (US)
Pages (from-to)172-177
Number of pages6
JournalEpidemiology
Volume6
Issue number2
DOIs
StatePublished - Mar 1995

Keywords

  • Aquired immune deficiency syndrome
  • Ntrition
  • Sbstance abuse
  • Wsting syndrome
  • β-microglobulin

ASJC Scopus subject areas

  • Epidemiology

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