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Автор CYSIQUE, LUCETTE A.
Автор JIN, HUA
Автор FRANKLIN, DONALD R.
Автор MORGAN, ERIN E.
Автор SHI, CHUAN
Автор YU, XIN
Автор WU, ZUNYOU
Автор TAYLOR, MICHAEL J.
Автор MARCOTTE, THOMAS D.
Автор LETENDRE, SCOTT
Автор AKE, CHRISTOPHER
Автор GRANT, IGOR
Автор HEATON, ROBERT K.
Автор GROUP, THE HNRC
Дата выпуска 2007
dc.description The HIV epidemic in China has been increasing exponentially, yet there have been no studies of the neurobehavioral effects of HIV infection in that country. Most neuroAIDS research has been conducted in Western countries using Western neuropsychological (NP) methods, and it is unclear whether these testing methods are appropriate for use in China. Twenty-eight HIV seropositive (HIV+) and twenty-three HIV seronegative (HIV−) individuals with comparable gender, age, and education distributions were recruited in Beijing and the rural Anhui province in China. Thirty-nine HIV+ and thirty-one HIV− individuals were selected from a larger U.S. cohort recruited at the HIV Neurobehavioral Research Center, in San Diego, to be matched to the Chinese sample for age, disease status, and treatment variables. The NP test battery used with the U.S. and China cohorts included instruments widely used to study HIV infection in the United States. It consisted of 14 individual test measures, each assigned to one of seven ability areas thought to be especially vulnerable to effects of HIV on the brain (i.e., verbal fluency, abstraction/executive function, speed of information processing, working memory, learning, delayed recall, and motor function). To explore the cross-cultural equivalence and validity of the NP measures, we compared our Chinese and U.S. samples on the individual tests, as well as mean scaled scores for the total battery and seven ability domains. On each NP test measure, the mean of the Chinese HIV+ group was worse than that of the HIV− group. A series of 2 × 2 analyses of variance involving HIV+ and HIV− groups from both countries revealed highly significant HIV effects on the Global and all Domain mean scaled scores. Country effects appeared on two of the individual ability areas, at least partly due to education differences between the two countries. Importantly, the absence of HIV-by-Country interactions suggests that the NP effects of HIV are similar in the two countries. The NP test battery that was chosen and adapted for use in this study of HIV in China appears to have good cross-cultural equivalence, but appropriate Chinese norms will be needed to identify disease-related impairment in individual Chinese people. To inform the development of such norms, a much larger study of demographic effects will be needed, especially considering the wide range of education in that country. (JINS, 2007, 13, 781–790.)
Издатель Cambridge University Press
Тема HIV/AIDS
Тема Neuropsychological functioning
Тема Cognition
Тема China
Тема Cross-cultural assessment
Тема Everyday functioning
Название Neurobehavioral effects of HIV-1 infection in China and the United States: A pilot study
DOI 10.1017/S1355617707071007
Electronic ISSN 1469-7661
Print ISSN 1355-6177
Журнал Journal of the International Neuropsychological Society
Том 13
Первая страница 781
Последняя страница 790
Аффилиация CYSIQUE LUCETTE A.; University of California at San Diego
Аффилиация JIN HUA; University of California at San Diego; VA San Diego Health Care System
Аффилиация FRANKLIN DONALD R.; University of California at San Diego
Аффилиация MORGAN ERIN E.; University of California at San Diego
Аффилиация SHI CHUAN; Peking University
Аффилиация YU XIN; Peking University
Аффилиация WU ZUNYOU; Peking University
Аффилиация TAYLOR MICHAEL J.; University of California at San Diego
Аффилиация MARCOTTE THOMAS D.; University of California at San Diego
Аффилиация LETENDRE SCOTT; University of California at San Diego
Аффилиация AKE CHRISTOPHER; University of California at San Diego
Аффилиация GRANT IGOR; University of California at San Diego
Аффилиация HEATON ROBERT K.; University of California at San Diego; VA San Diego Health Care System; University of California, San Diego
Аффилиация GROUP THE HNRC; University of California at San Diego
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