HIV-1 infection and cognitive impairment in minority groups
Abstract
self-selected sexuals cation. been has been devoted ledmale with high Althoughhomo-stage trends2 and are3/4subjects. thatThese factorslevels of eduthis may have years ago, there attention of HIV ona fewas a dramatictesting.in academicWe definedperforthat professionalconsiderable to the effectother than I-LIV might be accounting for the observed differences in neuropsychological performances. 4. The authors inappropriately inferincidence tional refer dence nitive data. rates For from cross-secthey incihigh example,to seekhelp.we agreeDr.neuropsychiatric less educated ity groups,2 with mission,functioning in subjects and minoras well as in groupsto a ârelatively of neuropsychologicalMedalia that the validity of this criterion may be limited, we believesuch andas patientsof transwith studies5 studies6impairmentâlimitationsââacquiredin thecogDiscus-that we probably underestimated the incidence of cognitive changesas well tations study. as other because psychiatric of the nature manifesof ourdrug users.4 Large-scale as well as longitudinalsion section cross-sectionalmit conclusionsof the paper. Their design may perabout prevalenceDr. Medaliaâs finding that neurologically impaired patients are more likely to show cognitivedeficits is consistent with ours that all WD patients presentations, with psychiatric including cognitiveinvolving military personnel have also been published. None of the above studies have provided substantial support for thehypothesis tions educated vulnerable that subjects to the cognitive groups funcor less in minoritychanges,ings.studies, suchmay be more effects of HIVof