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Predictors of HIV-Infection in Older Adults

Dwight D. Eisenhower Medical Center

Karen B. Desalvo

Tulane University Health Science Center

Harold M. Szerlip

Medical College of Georgia

This article is a retrospective case-control study of patients from a Veteran’s Affairs Medical Center and an urban public hospital. Patients (53) older than 55 at the time of their HIV diagnosis were age- and gender-matched to 106 HIV-negative controls. Potential predictors of HIV-infection were abstracted from the medical records. HIV-positive patients were more likely to have a history of sexually transmitted diseases, have Hepatitis B+, and have significant differences in their mean globulin, serum sodium, albumin, and hemoglobin levels. The mean albumin to globulin ratio was also statistically, significantly different between the HIV-positive patients and the controls. These data suggest that for patients older than 55, certain medical history parameters may be useful in predicting risk of being HIV-positive. An albumin to globulin ratio < 1.0, especially when combined with a history of alcohol abuse or prior sexually transmitted disease, should prompt all physicians to screen their older patients for HIV.

Key Words: HIV-infection • risk assessment • aged

Journal of Aging and Health, Vol. 17, No. 3, 293-304 (2005)
DOI: 10.1177/0898264305276298


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