Do people with HIV infection have a normal life expectancy in the era of combination antiretroviral therapy?

Abstract:

:There is evidence that the life expectancy (LE) of individuals infected with the human immunodeficiency virus (HIV) has increased since the introduction of combination antiretroviral therapy (cART). However, mortality rates in recent years in HIV-positive individuals appear to have remained higher than would be expected based on rates seen in the general population. A low CD4 count, whether due to late HIV diagnosis, late initiation of cART, or incomplete adherence to cART, remains the dominant predictor of LE, and thus the individual's disease stage at initiation of cART (or thereafter) certainly contributes to these higher mortality rates. However, individuals with HIV also tend to exhibit lifestyles and behaviors that place them at increased risk of mortality, particularly from non-AIDS causes. Thus, although mortality rates among the HIV population may indeed remain slightly higher than those seen in the general population, they may be no higher than those seen in a more appropriately matched control group. Thus, further improvements in LE may now only be possible if some of the other underlying issues (for example, modification of lifestyle or behavioral factors) are tackled.

journal_name

BMC Med

journal_title

BMC medicine

authors

Sabin CA

doi

10.1186/1741-7015-11-251

subject

Has Abstract

pub_date

2013-11-27 00:00:00

pages

251

issn

1741-7015

pii

1741-7015-11-251

journal_volume

11

pub_type

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