Prevalence and correlates of anemia in a large cohort of HIV-infected women: Women's interagency hiv study

Alexandra M. Levine, Kiros Berhane, Lena Masri-Lavine, Maria Lynn Sanchez, Mary Young, Michael Augenbraun, Mardge Cohen, Kathryn Anastos, Margaret Newman, Stephen J. Gange, Heather Watts

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97 Scopus citations

Abstract

Anemia is a common manifestation of HIV infection, occurring in approximately 30% of patients with asymptomatic infection and in as many as 75% to 80% of those with AIDS. Anemia has been associated with decreased quality of life and decreased survival. We performed a cross-sectional study nested within a multicenter prospective cohort study to describe the prevalence of anemia in 2056 HIV-infected and 569 HIV-negative women as well as to define the demographic, clinical, immunologic, and virologic correlates of anemia among HIV-infected women. A total of 37% of HIV-positive women and 17% of HIV-negative women had hemoglobin levels < 12 g/dl (p < .001). Factors associated with anemia in HIV-positive and HIV-negative women included mean corpuscular volume (MCV) < 80 fl (p < .001) and black race (p < .001). Among HIV-infected women, multivariate logistic analyses revealed that African American race (p < .0001), MCV < 80 fl (p < .0001), CD4 count < 200 per microliter (p < .0001), higher HIV RNA in plasma (p = .02), current use of ZDV (p = .01), and history of clinical AIDS (p = .004) were all independent predictors of anemia. These data indicate that worsening parameters of HIV disease are associated with anemia among HIV-infected women. Black women and women with low MCV values are at increased risk for anemia independent of HIV status.

Original languageEnglish (US)
Pages (from-to)28-35
Number of pages8
JournalJournal of Acquired Immune Deficiency Syndromes
Volume26
Issue number1
StatePublished - Jan 1 2001

Keywords

  • Anemia
  • HIV
  • Women

ASJC Scopus subject areas

  • Infectious Diseases
  • Pharmacology (medical)

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    Levine, A. M., Berhane, K., Masri-Lavine, L., Sanchez, M. L., Young, M., Augenbraun, M., Cohen, M., Anastos, K., Newman, M., Gange, S. J., & Watts, H. (2001). Prevalence and correlates of anemia in a large cohort of HIV-infected women: Women's interagency hiv study. Journal of Acquired Immune Deficiency Syndromes, 26(1), 28-35.