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Comorbidities among persons living with HIV (PLWH) in Florida: a network analysis.

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Title: Comorbidities among persons living with HIV (PLWH) in Florida: a network analysis.
Authors: Ahmed, Shyfuddin, Algarin, Angel B., Thadar, Hsu, Zhou, Zhi, Taskin, Tanjila, Vaddiparti, Krishna, Villalba, Karina, Wang, Yan, Ennis, Nicole, Morano, Jamie P., Somboonwit, Charurut, Cook, Robert L, Ibañez, Gladys E.
Source: AIDS Care. Jul2023, Vol. 35 Issue 7, p1055-1063. 9p. 2 Diagrams, 3 Charts.
Subjects: HIV-positive persons, HIV infections, Hypertension, Nosology, Communicable diseases, Endocrine diseases, Nutrition disorders, Viral hepatitis, Syphilis, Chronic diseases, Acquisition of data, Risk assessment, Behavior disorders, Metabolic disorders, Hyperlipidemia, Medical records, Descriptive statistics, Mental depression, Mixed infections, Research funding, Vascular diseases, Comorbidity, Mental illness, Disease risk factors
Geographic Terms: Florida
Abstract: People living with HIV (PLWH) experience a higher rate of age-related comorbidities at younger ages. Understanding common comorbidities among PLWH and their relationship to one another could be significant in improving aging for PLWH. The goal of the present study is to identify the most common comorbidities among PLWH and the relationship between them using network analysis. We used abstracted electronic medical record (EMR) data of PLWH from the Florida Cohort study, a prospective cohort study conducted in eight cities in Florida, USA. We used International Classification of Diseases (10th revision, ICD-10) code to classify comorbidities and organ systems. Network analysis was conducted to determine the degree and betweenness centrality among comorbidities. We included 756 PLWH with an average age of 46.4 years (SD 11.3) in the analysis. Infectious diseases (A00–B99, 50.8%), mental and behavioural (F01–F99, 47.0%), endocrine, nutritional and metabolic (E00–E88, 45.2%), and circulatory (I00–I99, 39%) disorders were the most prevalent system comorbidities among PLWH. Hypertensive disorder (I10–I1635.8%), dyslipidaemia (E78, 25.7%) and major depressive disorder (F32–F33, 23.9%) were the most common non-infectious conditions affecting PLWH. Viral hepatitis (B15–B19, 17.1%) and syphilis (A15–A53, 12%) were the most common coinfections among PLWH. Hypertension, dyslipidaemia and major depressive disorder were the most central of the comorbidities among PLWH. Comorbidities among PLWH were most prevalent for chronic disease and mental illness. Targeting shared disease risk factors in addition to monitoring known pathological pathways may prevent comorbidities among PLWH. [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.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Comorbidities among persons living with HIV (PLWH) in Florida: a network analysis.
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  Data: <searchLink fieldCode="AR" term="%22Ahmed%2C+Shyfuddin%22">Ahmed, Shyfuddin</searchLink><br /><searchLink fieldCode="AR" term="%22Algarin%2C+Angel+B%2E%22">Algarin, Angel B.</searchLink><br /><searchLink fieldCode="AR" term="%22Thadar%2C+Hsu%22">Thadar, Hsu</searchLink><br /><searchLink fieldCode="AR" term="%22Zhou%2C+Zhi%22">Zhou, Zhi</searchLink><br /><searchLink fieldCode="AR" term="%22Taskin%2C+Tanjila%22">Taskin, Tanjila</searchLink><br /><searchLink fieldCode="AR" term="%22Vaddiparti%2C+Krishna%22">Vaddiparti, Krishna</searchLink><br /><searchLink fieldCode="AR" term="%22Villalba%2C+Karina%22">Villalba, Karina</searchLink><br /><searchLink fieldCode="AR" term="%22Wang%2C+Yan%22">Wang, Yan</searchLink><br /><searchLink fieldCode="AR" term="%22Ennis%2C+Nicole%22">Ennis, Nicole</searchLink><br /><searchLink fieldCode="AR" term="%22Morano%2C+Jamie+P%2E%22">Morano, Jamie P.</searchLink><br /><searchLink fieldCode="AR" term="%22Somboonwit%2C+Charurut%22">Somboonwit, Charurut</searchLink><br /><searchLink fieldCode="AR" term="%22Cook%2C+Robert+L%22">Cook, Robert L</searchLink><br /><searchLink fieldCode="AR" term="%22Ibañez%2C+Gladys+E%2E%22">Ibañez, Gladys E.</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22AIDS+Care%22">AIDS Care</searchLink>. Jul2023, Vol. 35 Issue 7, p1055-1063. 9p. 2 Diagrams, 3 Charts.
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  Data: <searchLink fieldCode="DE" term="%22HIV-positive+persons%22">HIV-positive persons</searchLink><br /><searchLink fieldCode="DE" term="%22HIV+infections%22">HIV infections</searchLink><br /><searchLink fieldCode="DE" term="%22Hypertension%22">Hypertension</searchLink><br /><searchLink fieldCode="DE" term="%22Nosology%22">Nosology</searchLink><br /><searchLink fieldCode="DE" term="%22Communicable+diseases%22">Communicable diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Endocrine+diseases%22">Endocrine diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Nutrition+disorders%22">Nutrition disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Viral+hepatitis%22">Viral hepatitis</searchLink><br /><searchLink fieldCode="DE" term="%22Syphilis%22">Syphilis</searchLink><br /><searchLink fieldCode="DE" term="%22Chronic+diseases%22">Chronic diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Acquisition+of+data%22">Acquisition of data</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Behavior+disorders%22">Behavior disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Metabolic+disorders%22">Metabolic disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Hyperlipidemia%22">Hyperlipidemia</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+records%22">Medical records</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Mixed+infections%22">Mixed infections</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Vascular+diseases%22">Vascular diseases</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+illness%22">Mental illness</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink>
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  Label: Geographic Terms
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  Data: <searchLink fieldCode="DE" term="%22Florida%22">Florida</searchLink>
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  Label: Abstract
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  Data: People living with HIV (PLWH) experience a higher rate of age-related comorbidities at younger ages. Understanding common comorbidities among PLWH and their relationship to one another could be significant in improving aging for PLWH. The goal of the present study is to identify the most common comorbidities among PLWH and the relationship between them using network analysis. We used abstracted electronic medical record (EMR) data of PLWH from the Florida Cohort study, a prospective cohort study conducted in eight cities in Florida, USA. We used International Classification of Diseases (10th revision, ICD-10) code to classify comorbidities and organ systems. Network analysis was conducted to determine the degree and betweenness centrality among comorbidities. We included 756 PLWH with an average age of 46.4 years (SD 11.3) in the analysis. Infectious diseases (A00–B99, 50.8%), mental and behavioural (F01–F99, 47.0%), endocrine, nutritional and metabolic (E00–E88, 45.2%), and circulatory (I00–I99, 39%) disorders were the most prevalent system comorbidities among PLWH. Hypertensive disorder (I10–I1635.8%), dyslipidaemia (E78, 25.7%) and major depressive disorder (F32–F33, 23.9%) were the most common non-infectious conditions affecting PLWH. Viral hepatitis (B15–B19, 17.1%) and syphilis (A15–A53, 12%) were the most common coinfections among PLWH. Hypertension, dyslipidaemia and major depressive disorder were the most central of the comorbidities among PLWH. Comorbidities among PLWH were most prevalent for chronic disease and mental illness. Targeting shared disease risk factors in addition to monitoring known pathological pathways may prevent comorbidities among PLWH. [ABSTRACT FROM AUTHOR]
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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:
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    Identifiers:
      – Type: doi
        Value: 10.1080/09540121.2022.2038363
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 9
        StartPage: 1055
    Subjects:
      – SubjectFull: HIV-positive persons
        Type: general
      – SubjectFull: HIV infections
        Type: general
      – SubjectFull: Hypertension
        Type: general
      – SubjectFull: Nosology
        Type: general
      – SubjectFull: Communicable diseases
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      – SubjectFull: Endocrine diseases
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      – SubjectFull: Nutrition disorders
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      – SubjectFull: Viral hepatitis
        Type: general
      – SubjectFull: Syphilis
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      – SubjectFull: Chronic diseases
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      – SubjectFull: Acquisition of data
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      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Behavior disorders
        Type: general
      – SubjectFull: Metabolic disorders
        Type: general
      – SubjectFull: Hyperlipidemia
        Type: general
      – SubjectFull: Medical records
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      – SubjectFull: Research funding
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      – SubjectFull: Vascular diseases
        Type: general
      – SubjectFull: Comorbidity
        Type: general
      – SubjectFull: Mental illness
        Type: general
      – SubjectFull: Disease risk factors
        Type: general
      – SubjectFull: Florida
        Type: general
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      – TitleFull: Comorbidities among persons living with HIV (PLWH) in Florida: a network analysis.
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              Text: Jul2023
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