title: Is diabetes prevalence higher among HIV-infected individuals compared with the general population? Evidence from MMP and NHANES 2009-2010.
abstract: BACKGROUND
  Nationally representative estimates of diabetes mellitus (DM) prevalence among HIV-infected adults in the USA are lacking, and whether HIV-infected adults are at increased risk of DM compared with the general adult population remains controversial.
  
  
  METHODS
  We used nationally representative survey (2009-2010) data from the Medical Monitoring Project (n=8610 HIV-infected adults) and the National Health and Nutrition Examination Survey (n=5604 general population adults) and fit logistic regression models to determine and compare weighted prevalences of DM between the two populations, and examine factors associated with DM among HIV-infected adults.
  
  
  RESULTS
  DM prevalence among HIV-infected adults was 10.3% (95% CI 9.2% to 11.5%). DM prevalence was 3.8% (CI 1.8% to 5.8%) higher in HIV-infected adults compared with general population adults. HIV-infected subgroups, including women (prevalence difference 5.0%, CI 2.3% to 7.7%), individuals aged 20-44 (4.1%, CI 2.7% to 5.5%), and non-obese individuals (3.5%, CI 1.4% to 5.6%), had increased DM prevalence compared with general population adults. Factors associated with DM among HIV-infected adults included age, duration of HIV infection, geometric mean CD4 cell count, and obesity.
  
  
  CONCLUSIONS
  1 in 10 HIV-infected adults receiving medical care had DM. Although obesity contributes to DM risk among HIV-infected adults, comparisons to the general adult population suggest that DM among HIV-infected persons may develop at earlier ages and in the absence of obesity.
authors.affiliation: Department of Epidemiology , Rollins School of Public Health, Emory University , Atlanta, Georgia , USA.
authors.forename: Alfonso C
authors.initials: AC
authors.lastname: Hernandez-Romieu
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, Georgia, USA; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: Shikha
authors.initials: S
authors.lastname: Garg
authors.affiliation: Department of Epidemiology , Rollins School of Public Health, Emory University , Atlanta, Georgia , USA.
authors.forename: Eli S
authors.initials: ES
authors.lastname: Rosenberg
authors.affiliation: Division of Heart Disease and Stroke Prevention , Centers for Disease Control and Prevention , Atlanta, Georgia , USA.
authors.forename: Angela M
authors.initials: AM
authors.lastname: Thompson-Paul
authors.affiliation: Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, Atlanta, Georgia, USA; Centers for Disease Control and Prevention, Atlanta, Georgia, USA.
authors.forename: Jacek
authors.initials: J
authors.lastname: Skarbinski
keywords: HIV/Aids; Health Disparities; National Health Surveys; Type 2 Diabetes