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Prevalence, Demographic Correlates, and Medical Correlates of Cognitive Impairment Among Iranian People Living With Hiv: A Cross-Sectional Survey Study Publisher Pubmed



Etesami MS1, 2, 3 ; Jones DL4 ; Sadeghifiroozabadi V5 ; Abbasian L6 ; Ghayomzadeh M7, 8 ; Mohraz M9 ; Vance DE10 ; Cysique LA11, 12 ; Asgarabad MH3, 13, 14, 15
Authors
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Authors Affiliations
  1. 1. Clinical Psychologist and Researcher, Iranian Research Center forHIV, AIDS (IRCHA), ImamKhomeini Hospital Complex, Tehran, Iran
  2. 2. Health Promotion Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Center of Excellence in Cognitive Neuropsychology, Institute for Cognitive and Brain Sciences, Shahid Beheshti University, Tehran, Iran
  4. 4. Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, United States
  5. 5. Faculty of Education and Psychology, Shahid Beheshti University, Tehran, Iran
  6. 6. Department of Infectious Diseases and Tropical Medicine, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Exercise Sciences, Murdoch University, Perth, WA, Australia
  8. 8. Murdoch Applied Sports Sciences Laboratory, Murdoch University, Perth, WA, Australia
  9. 9. Iranian Research Center for HIV, AIDS (IRCHA), Department of Infectious Diseases, Imam Khomeini Hospital Complex, Tehran, Iran
  10. 10. School of Nursing, University of Alabama at Birmingham, Birmingham, AL, United States
  11. 11. Department of Psychology, University of New South Wales, Sydney, NSW, Australia
  12. 12. Peter Duncan Neuroscience Unit, St. Vincent's AppliedMedical Research Centre, Sydney, NSW, Australia
  13. 13. Health PromotionResearch Center, Iran University of Medical Sciences, Tehran, Iran
  14. 14. Department of Health Psychology, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran
  15. 15. Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway

Source: Journal of the Association of Nurses in AIDS Care Published:2022


Abstract

While taking antiretroviral therapy, 30%-60% of people living with HIV (PLWH) experience neurocognitive impairment (NCI). To determine NCI prevalence among Iranian PLWH, by the computerized Vienna Test System, 63 adults living without HIV and 63 Iranian PLWH aged 18-50 years (M = 35.3, SD = 7.9) were assessed for cognitive function. NCI was determined by receiver operating characteristic curve cutoff points based on the adults living without HIV. Associations between demographics, HIV serostatus markers, and mean T-scores were investigated. Performance differences were tested by including significant covariates in an analysis of covariance. NCI prevalence rates were 57.14% in PLWH and 19.05% in adults living without HIV. Global neurocognitive performance and all cognitive domains were significantly different between the groups, except for visual memory and selective attention. In Iran, NCI prevalence parallels that reported in PLWH worldwide. There should be a strategy to screen Iranian PLWH for NCI. Copyright © 2022 Association of Nurses in AIDS Care.
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