Racial and socioeconomic disparities in the symptom reporting of persons living with HIV.

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Title: Racial and socioeconomic disparities in the symptom reporting of persons living with HIV.
Authors: Schnall, Rebecca, Siegel, Karolynn, Jia, Haomiao, Olender, Susan, Hirshfield, Sabina
Source: AIDS Care. Jun2018, Vol. 30 Issue 6, p774-783. 10p. 1 Color Photograph, 1 Diagram, 3 Charts.
Subjects: Anxiety diagnosis, Diagnosis of mental depression, Fatigue (Physiology), Attention, Behavior modification, Black people, Demography, Epidemics, Ethnic groups, Health behavior, Health services accessibility, Health status indicators, Hispanic Americans, HIV infections, HIV-positive persons, Income, Medical needs assessment, Memory, Peripheral neuropathy, Online information services, Pain, Poverty, Race, Report writing, Sleep disorders, Survival, Socioeconomic factors, Muscle fatigue, Symptoms, Diagnosis
Abstract: Persons living with HIV (PLWH) today can survive decades with the disease, making the symptom experience much more relevant to their lifestyle and health outcomes. The goal of the research reported here was to assess the symptom reporting of PLWH in the Unites States (US) in the combined antiretroviral therapy (cART) age of the epidemic. We conducted an anonymous online survey of symptomatic PLWH in the US and asked participants to report the frequency and intensity of 28 frequently occurring symptoms in the past 30 days. The relationship between symptom reporting and demographic factors was investigated using the adaptive least absolute shrinkage and selection operator (LASSO) method. Fatigue was the most frequently reported symptom in our study population. Those with the lowest income were more likely to report more burdensome symptoms. In comparison to other racial and ethnic groups, Black non-Hispanic participants were significantly more likely to report a lower symptom burden score for fatigue, depression, muscle aches, anxiety, difficulties with memory and concentration. There were no racial/ ethnic differences in the burden of the symptoms related to sleep or neuropathy. Findings from this study present new evidence on the symptom reporting of PLWH in the US. Neuropathy continues to be a pervasive neurological symptom with no difference noted between racial/ ethnic groups. [ABSTRACT FROM AUTHOR]
Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Racial and socioeconomic disparities in the symptom reporting of persons living with HIV.
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  Data: <searchLink fieldCode="AR" term="%22Schnall%2C+Rebecca%22">Schnall, Rebecca</searchLink><br /><searchLink fieldCode="AR" term="%22Siegel%2C+Karolynn%22">Siegel, Karolynn</searchLink><br /><searchLink fieldCode="AR" term="%22Jia%2C+Haomiao%22">Jia, Haomiao</searchLink><br /><searchLink fieldCode="AR" term="%22Olender%2C+Susan%22">Olender, Susan</searchLink><br /><searchLink fieldCode="AR" term="%22Hirshfield%2C+Sabina%22">Hirshfield, Sabina</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jun2018, Vol. 30 Issue 6, p774-783. 10p. 1 Color Photograph, 1 Diagram, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22Anxiety+diagnosis%22">Anxiety diagnosis</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis+of+mental+depression%22">Diagnosis of mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Fatigue+%28Physiology%29%22">Fatigue (Physiology)</searchLink><br /><searchLink fieldCode="DE" term="%22Attention%22">Attention</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+modification%22">Behavior modification</searchLink><br /><searchLink fieldCode="DE" term="%22Black+people%22">Black people</searchLink><br /><searchLink fieldCode="DE" term="%22Demography%22">Demography</searchLink><br /><searchLink fieldCode="DE" term="%22Epidemics%22">Epidemics</searchLink><br /><searchLink fieldCode="DE" term="%22Ethnic+groups%22">Ethnic groups</searchLink><br /><searchLink fieldCode="DE" term="%22Health+behavior%22">Health behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Health+services+accessibility%22">Health services accessibility</searchLink><br /><searchLink fieldCode="DE" term="%22Health+status+indicators%22">Health status indicators</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22Income%22">Income</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+needs+assessment%22">Medical needs assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Memory%22">Memory</searchLink><br /><searchLink fieldCode="DE" term="%22Peripheral+neuropathy%22">Peripheral neuropathy</searchLink><br /><searchLink fieldCode="DE" term="%22Online+information+services%22">Online information services</searchLink><br /><searchLink fieldCode="DE" term="%22Pain%22">Pain</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink><br /><searchLink fieldCode="DE" term="%22Race%22">Race</searchLink><br /><searchLink fieldCode="DE" term="%22Report+writing%22">Report writing</searchLink><br /><searchLink fieldCode="DE" term="%22Sleep+disorders%22">Sleep disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Survival%22">Survival</searchLink><br /><searchLink fieldCode="DE" term="%22Socioeconomic+factors%22">Socioeconomic factors</searchLink><br /><searchLink fieldCode="DE" term="%22Muscle+fatigue%22">Muscle fatigue</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink><br /><searchLink fieldCode="DE" term="%22Diagnosis%22">Diagnosis</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Persons living with HIV (PLWH) today can survive decades with the disease, making the symptom experience much more relevant to their lifestyle and health outcomes. The goal of the research reported here was to assess the symptom reporting of PLWH in the Unites States (US) in the combined antiretroviral therapy (cART) age of the epidemic. We conducted an anonymous online survey of symptomatic PLWH in the US and asked participants to report the frequency and intensity of 28 frequently occurring symptoms in the past 30 days. The relationship between symptom reporting and demographic factors was investigated using the adaptive least absolute shrinkage and selection operator (LASSO) method. Fatigue was the most frequently reported symptom in our study population. Those with the lowest income were more likely to report more burdensome symptoms. In comparison to other racial and ethnic groups, Black non-Hispanic participants were significantly more likely to report a lower symptom burden score for fatigue, depression, muscle aches, anxiety, difficulties with memory and concentration. There were no racial/ ethnic differences in the burden of the symptoms related to sleep or neuropathy. Findings from this study present new evidence on the symptom reporting of PLWH in the US. Neuropathy continues to be a pervasive neurological symptom with no difference noted between racial/ ethnic groups. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of AIDS Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2017.1417532
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 10
        StartPage: 774
    Subjects:
      – SubjectFull: Anxiety diagnosis
        Type: general
      – SubjectFull: Diagnosis of mental depression
        Type: general
      – SubjectFull: Fatigue (Physiology)
        Type: general
      – SubjectFull: Attention
        Type: general
      – SubjectFull: Behavior modification
        Type: general
      – SubjectFull: Black people
        Type: general
      – SubjectFull: Demography
        Type: general
      – SubjectFull: Epidemics
        Type: general
      – SubjectFull: Ethnic groups
        Type: general
      – SubjectFull: Health behavior
        Type: general
      – SubjectFull: Health services accessibility
        Type: general
      – SubjectFull: Health status indicators
        Type: general
      – SubjectFull: Hispanic Americans
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: Income
        Type: general
      – SubjectFull: Medical needs assessment
        Type: general
      – SubjectFull: Memory
        Type: general
      – SubjectFull: Peripheral neuropathy
        Type: general
      – SubjectFull: Online information services
        Type: general
      – SubjectFull: Pain
        Type: general
      – SubjectFull: Poverty
        Type: general
      – SubjectFull: Race
        Type: general
      – SubjectFull: Report writing
        Type: general
      – SubjectFull: Sleep disorders
        Type: general
      – SubjectFull: Survival
        Type: general
      – SubjectFull: Socioeconomic factors
        Type: general
      – SubjectFull: Muscle fatigue
        Type: general
      – SubjectFull: Symptoms
        Type: general
      – SubjectFull: Diagnosis
        Type: general
    Titles:
      – TitleFull: Racial and socioeconomic disparities in the symptom reporting of persons living with HIV.
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            NameFull: Schnall, Rebecca
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            NameFull: Siegel, Karolynn
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            NameFull: Jia, Haomiao
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            NameFull: Olender, Susan
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              M: 06
              Text: Jun2018
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              Y: 2018
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