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A Central Auditory Test reveals differences between drug treatment regimens in adults living with HIV.
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- Author(s): Niemczak, Christopher E.; Zhan, Yi; Ren, Junkun; Song, Fengxiang; Lu, Hongzhou; Chen, Guochao; Fellows, Abigail M.; Gui, Jiang; Soli, Sigfrid D.; Buckey, Jay C.; Shi, Yuxin
- Source:
International Journal of Audiology; Mar2024, Vol. 63 Issue 3, p207-212, 6p- Subject Terms:
BRAIN stem physiology; HIV infections; AUDITORY perception testing; SPEECH perception; RESEARCH; HIV-positive persons; AUDITORY evoked response; HEARING levels; CROSS-sectional method; MULTIPLE regression analysis; ANTIRETROVIRAL agents; ACQUISITION of data; MEDICAL records; AUDIOMETRY; DESCRIPTIVE statistics; RESEARCH funding; DATA analysis software; ADULTS - Source:
- Additional Information
- Subject Terms:
- Abstract: This exploratory study examined whether central auditory tests show differences between people living with HIV (PLWH) treated with two predominant antiretroviral drug therapy (ART) regimens. Cross-sectional. 253 PLWH (mean age 39.8 years) from the Shanghai Public Health Clinical Centre, China. The Hearing in Noise Test speech reception threshold (SRT) assessed central auditory function and the Montreal Cognitive Assessment (MoCA) assessed cognition. The relationship between ART regimen and SRT was evaluated with multivariable linear regression incorporating age, HIV duration, and peripheral hearing ability. Multivariable logistic regression was used to ascertain if SRT and ART regimen predicted MoCA impairment. The two predominant ART regimens differed by one drug (zidovudine or tenofovir). Participants taking the zidovudine-containing regimen had poorer SRT performance (p=.012) independent of age and hearing thresholds. MoCA scores did not differ between drug regimens, but a negative relationship was found between SRT and MoCA impairment (p=.048). ART regimens differed in their association with central auditory test performance likely reflecting neurocognitive changes in PLWH taking the zidovudine-containing regimen. Central auditory test performance also marginally predicted cognitive impairment, supporting further assessment of central auditory tests to detect neurocognitive deficits in PLWH. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of International Journal of Audiology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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