ASD 2004 Annual Report (PDF format)
HEP, in collaboration with CDC, initiated the ASD Project in 1990 to better define the spectrum of HIV-related diseases. LAC is one of 10 municipal areas participating in the study.
To evaluate trends in the clinical course, treatment and health care utilization of persons living with HIV infection in LAC.
The ASD Project is a medical records-based cohort study. Data are collected from the medical records of HIV-infected patients 13 years of age and older receiving medical care at three outpatient clinics. The participating sites, which provide routine care to HIV-infected patients, are among the largest in the county and report approximately 28% of all the AIDS cases locally. These clinics were selected to be representative of the types of facilities providing HIV care in LAC and include two public clinics (Harbor-UCLA Medical Center, Los Angeles County/USC Medical Center), and a private health maintenance organization (Kaiser Permanente). Until 2001, a private medical practice (Beer Medical Group) was also included. Trained nurses and medical records technicians review medical records for basic demographic data, HIV-exposure category, AIDS-defining conditions, other infections and conditions, treatment and prophylaxis history, and laboratory data, including CD4+ lymphocyte count and viral load. The medical record is subsequently re-abstracted at 6-month intervals
Over 111 articles published in peer-reviewed publications and 150 presentations at scientific conferences have been based on ASD data.
Amy Wohl, Ph.D., Principal Investigator
Wendy Garland, M.P.H., Project Coordinator