title: Decade of HIV in Rhode Island: demographic and clinical characteristics of patients diagnosed in 2001 and 2010.
abstract: This article provides an overview of the current epidemiology of HIV infection in Rhode Island, summarizes disease trends over the last decade, and describes circumstances surrounding patient diagnosis.
  
  
  METHODS
  We performed a retrospective chart review of patients newly diagnosed with HIV who presented to the Immunology Clinic of The Miriam Hospital in 2001 and 2010.
  
  
  RESULTS
  From 2001 to 2010 there was an increase in patients reporting MSM (men who have sex with men) as their primary risk factor, and in diagnosis occurring at outpatient sites (p=.03). CD4 count at diagnosis was highest when diagnosed at an HIV testing site and lowest in inpatients (p=.0003). Late presenters were more likely to be tested because of illness (p=.001), as inpatients (p=.000), and heterosexuals (p=.017)).
  
  
  CONCLUSIONS
  MSM and minorities are overrepresented in the RI HIV population. Patients without traditional risk factors are more likely to present late and are poorly served by historic screening practices.
authors: 2012 graduate of the Warren Alpert Medical School at Brown University.
authors: Sarah
authors: S
authors: Leeper
authors: Katie
authors: K
authors: Fillion
authors: Fizza S
authors: FS
authors: Gillani
authors: Aadia
authors: A
authors: Rana
authors: Karen
authors: K
authors: Tashima
authors: Heather
authors: H
authors: Ross
mesh_terms: D000328:Adult; D018791:CD4 Lymphocyte Count; D057210:Delayed Diagnosis / Q000706:statistics & numerical data*; D005260:Female; D006679:HIV Seropositivity / Q000175:diagnosis* / Q000453:epidemiology / Q000208:ethnology; D020010:Heterosexuality; D018451:Homosexuality, Male; D006801:Humans; D008297:Male; D008403:Mass Screening; D008875:Middle Aged; D010342:Patient Acceptance of Health Care / Q000208:ethnology / Q000706:statistics & numerical data*; D015995:Prevalence; D012189:Retrospective Studies; D012237:Rhode Island / Q000453:epidemiology; D012307:Risk Factors; D012725:Sexual Behavior; D013997:Time Factors
keywords: CD4; HIV/AIDS; MSM
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