title: Gender Differences in HIV-Related Neurological Progression in a Cohort of Injecting Drug Users Followed for 3.5 Years.
abstract: We evaluated potential gender differences in the development of HIV related neurologic impairment, by matching 38 pairs of HIV positive male and female injecting drug users on their baseline age, education, disease stage and CD4 counts, and following them for 3.5 years. Adjusting for age, education, drug use, history of head injury and baseline CD4 count, more women had sensory abnormalities and symptoms than men at baseline, but the odds of having neurological impairment, particularly extrapyramidal signs and sensory abnormalities were increased over time in men but not in women. Men with ARC or AIDS had more neurological impairment than women in similar stages of illness. This study suggests further investigations of gender differences in HIV disease progression.
authors.affiliation: , New York, NY.
authors.forename: X
authors.initials: X
authors.lastname: Liu
authors.forename: K
authors.initials: K
authors.lastname: Marder
authors.forename: Y
authors.initials: Y
authors.lastname: Stern
authors.forename: G
authors.initials: G
authors.lastname: Dooneief
authors.forename: K
authors.initials: K
authors.lastname: Bell
authors.forename: G
authors.initials: G
authors.lastname: Todak
authors.forename: M
authors.initials: M
authors.lastname: Joseph
authors.forename: W
authors.initials: W
authors.lastname: Elsadr
authors.forename: J B
authors.initials: JB
authors.lastname: Williams
authors.forename: A
authors.initials: A
authors.lastname: Ehrhardt
authors.forename: Z
authors.initials: Z
authors.lastname: Stein
authors.forename: R
authors.initials: R
authors.lastname: Mayeux
mesh_terms: D018791:CD4 Lymphocyte Count; D018450:Disease Progression; D055030:Drug Users; D015658:HIV Infections; D006801:Humans; D015819:Substance Abuse, Intravenous