2018
Changes in alcohol use associated with changes in HIV disease severity over time: A national longitudinal study in the Veterans Aging Cohort
Williams EC, McGinnis KA, Bobb JF, Rubinsky AD, Lapham GT, Skanderson M, Catz SL, Bensley KM, Richards JE, Bryant KJ, Edelman EJ, Satre DD, Marshall BDL, Kraemer KL, Blosnich JR, Crystal S, Gordon AJ, Fiellin DA, Justice AC, Bradley KA. Changes in alcohol use associated with changes in HIV disease severity over time: A national longitudinal study in the Veterans Aging Cohort. Drug And Alcohol Dependence 2018, 189: 21-29. PMID: 29859388, PMCID: PMC6344121, DOI: 10.1016/j.drugalcdep.2018.04.022.Peer-Reviewed Original ResearchConceptsHIV severityAUDIT-C screensViral loadAlcohol useVeterans Aging Cohort Study (VACS) dataPoor HIV controlVeterans Aging CohortHIV disease severityAUDIT-C scoresCohort study dataLow-level drinkingStable drinkingVL analysisHIV controlMean changeAging CohortDisease severityPLWHGreater riskCD4Individual alcohol useSeverityDrinking trajectoriesNational Longitudinal StudyLongitudinal study
2011
Association of Age and Comorbidity with Physical Function in HIV-Infected and Uninfected Patients: Results from the Veterans Aging Cohort Study
Oursler KK, Goulet JL, Crystal S, Justice AC, Crothers K, Butt AA, Rodriguez-Barradas MC, Favors K, Leaf D, Katzel LI, Sorkin JD. Association of Age and Comorbidity with Physical Function in HIV-Infected and Uninfected Patients: Results from the Veterans Aging Cohort Study. AIDS Patient Care And STDs 2011, 25: 13-20. PMID: 21214375, PMCID: PMC3030913, DOI: 10.1089/apc.2010.0242.Peer-Reviewed Original ResearchConceptsChronic pulmonary diseaseAge-associated comorbiditiesPhysical functionUninfected patientsPulmonary diseaseUninfected subjectsSelf-reported physical functionVeterans Aging Cohort StudyAging of HIVHIV care guidelinesVeterans Aging CohortHIV clinical careAging Cohort StudyAssociation of ageCross-sectional analysisOlder HIVCohort studyHIV infectionHIV statusCare guidelinesPoor functionCardiovascular diseaseClinical carePhysical subscaleHIV
2009
The Association Between the Receipt of Lipid Lowering Therapy and HIV Status Among Veterans Who Met NCEP/ATP III Criteria for the Receipt of Lipid Lowering Medication
Freiberg MS, Leaf DA, Goulet JL, Goetz MB, Oursler KK, Gibert CL, Rodriguez-Barradas MC, Butt AA, Justice AC. The Association Between the Receipt of Lipid Lowering Therapy and HIV Status Among Veterans Who Met NCEP/ATP III Criteria for the Receipt of Lipid Lowering Medication. Journal Of General Internal Medicine 2009, 24: 334-340. PMID: 19127386, PMCID: PMC2642578, DOI: 10.1007/s11606-008-0891-7.Peer-Reviewed Original ResearchConceptsNCEP/ATP III criteriaATP III criteriaHIV viral loadViral loadAdult Treatment Panel guidelinesHigher HIV viral loadFive-site studyLipid lowering medicationsVeterans Aging CohortHIV infection statusLipid-Lowering TherapyProspective observational cohortCross-sectional analysisHIV-HCVLowering therapiesModifiable mediatorsObservational cohortResultsThe prevalenceHIV infectionHIV statusPharmacy dataCardiovascular diseasePanel guidelinesMAIN OUTCOMELow prevalence
2008
Impact of Pneumococcal Vaccination on the Incidence of Pneumonia by HIV Infection Status among Patients Enrolled in the Veterans Aging Cohort 5-Site Study
Rodriguez-Barradas MC, Goulet J, Brown S, Goetz MB, Rimland D, Simberkoff MS, Crothers K, Justice AC. Impact of Pneumococcal Vaccination on the Incidence of Pneumonia by HIV Infection Status among Patients Enrolled in the Veterans Aging Cohort 5-Site Study. Clinical Infectious Diseases 2008, 46: 1093-1100. PMID: 18444830, PMCID: PMC3115628, DOI: 10.1086/529201.Peer-Reviewed Original ResearchConceptsPneumococcal polysaccharide vaccineVeterans Aging CohortPPV vaccinationIncidence of pneumoniaAging CohortCox proportional hazards regression methodsLow CD4 cell countsProportional hazards regression methodsCD4 cell countHIV infection statusRisk of pneumoniaLower hemoglobin levelsBenefits of vaccinationHuman immunodeficiency virusOngoing prospective studyElectronic medical recordsPneumococcal vaccinationPneumonia eventsUnvaccinated patientsCurrent smokingPneumococcal diseasePolysaccharide vaccineVaccination statusHIV infectionRetrospective review
2006
Intoxication Before Intercourse and Risky Sexual Behavior in Male Veterans With and Without Human Immunodeficiency Virus Infection
Cook RL, McGinnis KA, Kraemer KL, Gordon AJ, Conigliaro J, Maisto SA, Samet JH, Crystal S, Rimland D, Bryant KJ, Braithwaite RS, Justice AC. Intoxication Before Intercourse and Risky Sexual Behavior in Male Veterans With and Without Human Immunodeficiency Virus Infection. Medical Care 2006, 44: s31-s36. PMID: 16849966, DOI: 10.1097/01.mlr.0000223710.35008.d9.Peer-Reviewed Original ResearchConceptsHIV-positive veteransInconsistent condom useHuman immunodeficiency virus (HIV) infectionHIV-negative veteransImmunodeficiency virus infectionRisky sexual behaviorMale veteransCondom useVirus infectionSexual behaviorSexual partnersVeterans Aging CohortHIV-positive menMeasures of drugMore partnersHIV infectionHIV-positiveOutpatient clinicMeasures of alcoholAging CohortDrug useAlcohol useLast intercourseIntoxicationPast yearAssociations Between Alcohol Use and Homelessness With Healthcare Utilization Among Human Immunodeficiency Virus-Infected Veterans
Gordon AJ, McGinnis KA, Conigliaro J, Rodriguez-Barradas MC, Rabeneck L, Justice AC. Associations Between Alcohol Use and Homelessness With Healthcare Utilization Among Human Immunodeficiency Virus-Infected Veterans. Medical Care 2006, 44: s37-s43. PMID: 16849967, DOI: 10.1097/01.mlr.0000223705.00175.3d.Peer-Reviewed Original ResearchConceptsAlcohol useOutpatient careAlcohol consumptionHealth care service utilizationVA administrative recordsVeterans Aging CohortOutpatient clinic visitsHealth care visitsHuman immunodeficiency virusHealth care providersHomeless HIVCare visitsHIV diseaseClinic visitsCohort studyHealthcare utilizationImmunodeficiency virusService utilizationInpatient utilizationBinge drinkersCare providersAlcohol abuseHazardous drinkersHIVVA hospitals
2004
Psychiatric and neurocognitive disorders among HIV-positive and negative veterans in care
Justice AC, McGinnis KA, Atkinson JH, Heaton RK, Young C, Sadek J, Madenwald T, Becker JT, Conigliaro J, Brown ST, Rimland D, Crystal S, Simberkoff M. Psychiatric and neurocognitive disorders among HIV-positive and negative veterans in care. AIDS 2004, 18: 49-59. PMID: 15075498, DOI: 10.1097/00002030-200401001-00008.Peer-Reviewed Original ResearchConceptsHIV-negative subjectsHIV-positive subjectsNeurocognitive disordersDepressive symptomsAlcohol abuseDrug abuseHIV-negative veteransVeterans Aging CohortGeneral medicine clinicHIV-positive veteransSymptoms of depressionMemory problemsConvenience subsetOlder HIVHIV infectionMedicine clinicPsychiatric testingHigh prevalencePatient reportsSubstantial prevalenceGreater prevalenceAvailable measuresAging CohortNeurocognitive problemsInfectious diseases
2003
Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative data.
McGinnis KA, Fine MJ, Sharma RK, Skanderson M, Wagner JH, Rodriguez-Barradas MC, Rabeneck L, Justice AC. Understanding racial disparities in HIV using data from the veterans aging cohort 3-site study and VA administrative data. American Journal Of Public Health 2003, 93: 1728-33. PMID: 14534229, PMCID: PMC1448041, DOI: 10.2105/ajph.93.10.1728.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAntiretroviral Therapy, Highly ActiveBlack or African AmericanCohort StudiesDisease ManagementFemaleHispanic or LatinoHIV SeropositivityHumansMaleMiddle AgedPatient Acceptance of Health CarePatient ComplianceProportional Hazards ModelsSocioeconomic FactorsSurvival AnalysisUnited StatesUnited States Department of Veterans AffairsVeteransWhite PeopleConceptsWhite veteransClinical managementMinority veteransHealth statusVeterans Aging CohortSeverity of illnessVA administrative dataRace-associated differencesHigh mortality ratePatients' health statusNational administrative dataAdministrative dataPossible etiologiesUS veteransPoor survivalMortality rateAging CohortHIVPoor healthRacial disparitiesVeteransSignificant differencesSurvivalCohortAdherence
2001
Veterans aging cohort three-site study (VACS 3) overview and description
Smola S, Justice AC, Wagner J, Rabeneck L, Weissman S, Rodriguez-Barradas M, Team F. Veterans aging cohort three-site study (VACS 3) overview and description. Journal Of Clinical Epidemiology 2001, 54: s61-s76. PMID: 11750212, DOI: 10.1016/s0895-4356(01)00448-6.Peer-Reviewed Original ResearchConceptsHIV infectionProvider surveyVeterans Affairs Medical CenterMedian CD4 countVeterans Aging CohortMedian viral loadUse of cigarettesFuture clinical interventionsInfluence of ageCD4 countAntiretroviral medicationsComorbid diseasesDisease clinicViral loadPoor outcomeMean ageThree-site studyAlternative therapiesAge-related differencesCopies/Medical CenterHIVAging CohortTwelve-monthClinical interventions