PMID- 1488961 OWN - NLM STAT- MEDLINE DCOM- 19930225 LR - 20190509 IS - 0002-9262 (Print) IS - 0002-9262 (Linking) VI - 136 IP - 11 DP - 1992 Dec 1 TI - Markers of health status in an HTLV-I-positive cohort. PG - 1349-57 AB - The health effects of chronic human T-cell lymphotropic virus type I (HTLV-I) infection were examined in a cohort of Japanese men who had emigrated from Okinawa, Japan, and had been participants in a prospective study in Hawaii since 1965. In the present follow-up study carried out in 1987-1988, various health indicators were measured in the subjects, whose mean age was 72.5 years. Participation rates were lower in the HTLV-I seropositives than in the seronegatives (46.7% vs. 76.0%) in the > or = 75-year age group. Lack of participation was significantly correlated with a high HTLV-I antibody titer. Among the participants, seropositive subjects were significantly more likely than the seronegatives to have lymphocytopenia (32.7% vs. 17.7%) and mild anemia (25.5% vs. 14.1%) after adjustment for age and socioeconomic status. The seropositives also had a higher frequency of acupuncture therapy (age-adjusted odds ratios were 2.1 and 4.2 for 1-5 treatments and > or = 6 treatments, respectively). Proportions of subjects who had been hospitalized at least twice were higher among the seropositives in the oldest age groups, 70-74 years and > or = 75 years, but not in those aged 65-69 years. Although specific disease conditions were not identified in this study, hematologic data, treatment histories, and the correlation between participation status and HTLV-I antibody titers suggest that chronic HTLV-I infection may be associated with as yet undefined adverse health effects, particularly in older age groups. FAU - Ho, G Y AU - Ho GY AD - Department of Epidemiology, School of Hygiene and Public Health, Johns Hopkins University, Baltimore, MD. FAU - Nelson, K AU - Nelson K FAU - Nomura, A M AU - Nomura AM FAU - Polk, B F AU - Polk BF FAU - Blattner, W A AU - Blattner WA LA - eng GR - N01 CP-EB-51023-21/CP/NCI NIH HHS/United States GR - R01-CA-33644/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PL - United States TA - Am J Epidemiol JT - American journal of epidemiology JID - 7910653 RN - 0 (Antibodies, Viral) SB - IM MH - Acupuncture Therapy/statistics & numerical data MH - Age Factors MH - Aged MH - Anemia/*epidemiology/etiology MH - Antibodies, Viral/blood MH - Blood Cell Count MH - Educational Status MH - *Emigration and Immigration MH - Follow-Up Studies MH - HTLV-I Infections/blood/complications/*epidemiology MH - Hawaii/epidemiology MH - *Health Status Indicators MH - Hospitalization/statistics & numerical data MH - Humans MH - Japan/ethnology MH - Lymphopenia/*epidemiology/etiology MH - Male MH - Marital Status MH - Patient Participation MH - Prospective Studies MH - Risk Factors MH - Smoking/adverse effects MH - Socioeconomic Factors EDAT- 1992/12/01 00:00 MHDA- 1992/12/01 00:01 CRDT- 1992/12/01 00:00 PHST- 1992/12/01 00:00 [pubmed] PHST- 1992/12/01 00:01 [medline] PHST- 1992/12/01 00:00 [entrez] AID - 10.1093/oxfordjournals.aje.a116447 [doi] PST - ppublish SO - Am J Epidemiol. 1992 Dec 1;136(11):1349-57. doi: 10.1093/oxfordjournals.aje.a116447.