A study of prevalence of anemia by sociodemographic, clinical, and laboratory characteristics among HIV-positive patients
Keywords:AIDS, anemia, blood indices, clinical features, HIV, sociodemographic
Anemia in HIV-infected patients can have serious implications, which vary from functional and quality of life decrements to an
association with disease progression and decreased survival. As anemia burden on morbidity and mortality among HIV patients
increases, there is justified need to understand risk factors for the development of anemia. This study tends to establish risks
for development of anemia among patients with HIV infection. The study was conducted at the department of medicine of a
tertiary care teaching hospital in western Maharashtra from July 2015 to September 2016. A total of 316 HIV-infected patients
were recruited. The overall prevalence of anemia in this study was 164 (51.9%). Severe anemia was seen in 10.4% of patients. The
prevalence of anemia was comparable in both sexes. Low socioeconomic status was associated with higher prevalence of anemia
than seen in medium- and high-income patients. The prevalence was significantly higher among indoor patients, among patients
who reported the use of herbal medication, and among patients with moderate-to-severe malnutrition. Clinically, the presence of
jaundice, blackening of nails, lymphadenopathy, skin changes, and fever was significantly associated with anemia. Body mass index
assessment revealed underweight as well as normal weight patients who had anemia. On laboratory characteristics, leukopenia
and leukocytosis were associated with anemia.
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