TY - JOUR
T1 - Metabolic Syndrome Among People Living with HIV Receiving Medical Care in Southern United States
T2 - Prevalence and Risk Factors
AU - Sears, Sabeena
AU - Buendia, Justin R.
AU - Odem, Sylvia
AU - Qobadi, Mina
AU - Wortley, Pascale
AU - Mgbere, Osaro
AU - Sanders, Jontae
AU - Spencer, Emma C.
AU - Barnes, Arti
N1 - Funding Information:
The authors would like to thank the HIV care facilities and sampled persons who participated in the MMP from the four Southern US states (Texas, Florida, Mississippi, and Georgia). We would also like to acknowledge the MMP staff from the participating project areas for the data collection; and members of the Community Advisory Board, Provider Advisory Board and management of the States? Department of Health Services, local Health Departments and members of the Clinical Outcomes Team in CDC?s Behavioral and Clinical Surveillance Branch of the Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention for their respective support and contributions. The findings and conclusions of this article are solely the responsibility of the authors and do not necessarily represent the official position of the US Centers for Disease Control and Prevention or any of the associated State Departments of Health Services or local Health Departments.
Publisher Copyright:
© 2019, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2019/11/1
Y1 - 2019/11/1
N2 - Using representative data among 1861 in care people living with HIV (PLWH) in four southern states (Texas, Mississippi, Florida, and Georgia) from the 2013–2014 Medical Monitoring Project (MMP) survey, we estimated the prevalence and odds of metabolic syndrome (MetS) among various demographic and HIV related risk factors. Overall MetS prevalence was 34%, with our participants being mostly black (55%), male (72%), ≥ 50 years old (46%), and overweight or obese (60%) with undetectable viral loads (≤ 200 copies/ml, 69%), and were currently taking antiretroviral medication (98%). Compared to those who were ≥ 60 years, 18–39 year olds had a 79% (95% CI 0.13–0.33) lower odds of having MetS. Women were 2.24 times more likely to have MetS than men (95% CI 1.69–2.97). Age and sex were significant predictors of MetS. Since MetS is a combination of chronic disease risk factors, regular screening for MetS risk factors among aging PLWH is crucial.
AB - Using representative data among 1861 in care people living with HIV (PLWH) in four southern states (Texas, Mississippi, Florida, and Georgia) from the 2013–2014 Medical Monitoring Project (MMP) survey, we estimated the prevalence and odds of metabolic syndrome (MetS) among various demographic and HIV related risk factors. Overall MetS prevalence was 34%, with our participants being mostly black (55%), male (72%), ≥ 50 years old (46%), and overweight or obese (60%) with undetectable viral loads (≤ 200 copies/ml, 69%), and were currently taking antiretroviral medication (98%). Compared to those who were ≥ 60 years, 18–39 year olds had a 79% (95% CI 0.13–0.33) lower odds of having MetS. Women were 2.24 times more likely to have MetS than men (95% CI 1.69–2.97). Age and sex were significant predictors of MetS. Since MetS is a combination of chronic disease risk factors, regular screening for MetS risk factors among aging PLWH is crucial.
KW - HIV
KW - Medical Monitoring Project
KW - Metabolic syndrome
KW - Southern United States
UR - http://www.scopus.com/inward/record.url?scp=85064482389&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85064482389&partnerID=8YFLogxK
U2 - 10.1007/s10461-019-02487-8
DO - 10.1007/s10461-019-02487-8
M3 - Article
C2 - 30929149
AN - SCOPUS:85064482389
SN - 1090-7165
VL - 23
SP - 2916
EP - 2925
JO - AIDS and Behavior
JF - AIDS and Behavior
IS - 11
ER -