High CD4 counts associated with better economic outcomes for HIV-positive adults and their HIV-negative household members in the SEARCH Trial.
Aleksandra JakubowskiKatherine SnymanDalsone KwarisiimaNorton SangRachel BurgerLaura BalzerTamara ClarkGabriel ChamieStarley ShadeCraig CohenElizabeth BukusiEdwin CharleboisMoses KamyaMaya PetersenDiane HavlirHarsha ThirumurthyPublished in: PloS one (2018)
Data from a large population-representative sample of households in east Africa showed a strong association between the health of HIV-positive persons and economic outcomes. The findings suggest there may be economic benefits associated with maintaining high CD4 counts, both for HIV-positive persons and their HIV-negative household members. The association of high CD4 counts with improved outcomes is consistent with the hypothesis that early ART initiation can avert declines in employment and other economic outcomes. Prospective longitudinal evaluation is needed to assess the causal impact of early ART initiation on economic functioning of households.
Keyphrases
- hiv positive
- antiretroviral therapy
- men who have sex with men
- south africa
- hiv infected
- human immunodeficiency virus
- hiv testing
- hiv aids
- type diabetes
- clinical trial
- public health
- cross sectional
- adipose tissue
- hepatitis c virus
- randomized controlled trial
- electronic health record
- glycemic control
- climate change
- life cycle
- skeletal muscle
- big data
- risk assessment
- double blind