Hospitalizations for cardiovascular disease in African Americans and whites with HIV/AIDS

Christine U. Oramasionwu, Gene D. Morse, Kenneth A. Lawson, Carolyn M. Brown, Jim M. Koeller, Chris Frei

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Therapeutic advances have resulted in an epidemiological shift in the predominant causes of hospitalization for patients with HIV/AIDS. An emerging cause for hospitalization in this patient population is cardiovascular disease (CVD); however, data are limited regarding how this shift affects different racial groups. The objective of this observational, retrospective study was to evaluate the association between race and hospitalization for CVD in African Americans and whites with HIV/AIDS and to compare the types of CVD-related hospitalizations between African Americans and whites with HIV/AIDS. Approximately 1.5 million hospital discharges from the US National Hospital Discharge Surveys for the years of 1996 to 2008 were identified. After controlling for potential confounders, the odds of CVD-related hospitalization in patients with HIV/AIDS were 45% higher for African Americans than whites (odds ratio [OR]=1.45, 95% CI, 1.39-1.51). Other covariates that were associated with increased odds of hospitalization for CVD included chronic kidney disease (OR=1.43, 95% CI, 1.36-1.51), age≥50 years (OR=3.22, 95% CI, 2.94-3.54), region in the Southern United States (OR=1.17, 95% CI, 1.11-1.23), and Medicare insurance coverage (OR=1.71, 95% CI, 1.60-1.83). Male sex was not significantly associated with the study outcome (OR=0.99, 95% CI, 0.96-1.02). Compared to whites with HIV/AIDS, African Americans with HIV/AIDS had more hospitalizations for heart failure and hypertension, but fewer hospitalizations for stroke and coronary heart disease. In conclusion, African Americans with HIV/AIDS have increased odds of CVD-related hospitalization as compared to whites with HIV/AIDS. Furthermore, the most common types of CVD-related hospitalizations differ significantly in African Americans and whites.

Original languageEnglish (US)
Pages (from-to)201-207
Number of pages7
JournalPopulation Health Management
Volume16
Issue number3
DOIs
StatePublished - Jun 1 2013

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African Americans
Acquired Immunodeficiency Syndrome
Hospitalization
Cardiovascular Diseases
HIV
Odds Ratio
Health Care Surveys
Insurance Coverage
Medicare
Chronic Renal Insufficiency
Observational Studies
Coronary Disease
Heart Failure
Retrospective Studies
Stroke
Outcome Assessment (Health Care)
Hypertension

ASJC Scopus subject areas

  • Health Policy
  • Leadership and Management
  • Public Health, Environmental and Occupational Health

Cite this

Oramasionwu, C. U., Morse, G. D., Lawson, K. A., Brown, C. M., Koeller, J. M., & Frei, C. (2013). Hospitalizations for cardiovascular disease in African Americans and whites with HIV/AIDS. Population Health Management, 16(3), 201-207. https://doi.org/10.1089/pop.2012.0043

Hospitalizations for cardiovascular disease in African Americans and whites with HIV/AIDS. / Oramasionwu, Christine U.; Morse, Gene D.; Lawson, Kenneth A.; Brown, Carolyn M.; Koeller, Jim M.; Frei, Chris.

In: Population Health Management, Vol. 16, No. 3, 01.06.2013, p. 201-207.

Research output: Contribution to journalArticle

Oramasionwu, CU, Morse, GD, Lawson, KA, Brown, CM, Koeller, JM & Frei, C 2013, 'Hospitalizations for cardiovascular disease in African Americans and whites with HIV/AIDS', Population Health Management, vol. 16, no. 3, pp. 201-207. https://doi.org/10.1089/pop.2012.0043
Oramasionwu, Christine U. ; Morse, Gene D. ; Lawson, Kenneth A. ; Brown, Carolyn M. ; Koeller, Jim M. ; Frei, Chris. / Hospitalizations for cardiovascular disease in African Americans and whites with HIV/AIDS. In: Population Health Management. 2013 ; Vol. 16, No. 3. pp. 201-207.
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