Carotid Artery Stiffness and Cognitive Decline Among Women With or at Risk for HIV Infection

1662 women (1192 [72%] HIV+), median baseline age 41 years (interquartile range 34-47), 60% non-Hispanic black and 28% Hispanic, participating in the Women's Interagency HIV Study.

Baseline carotid stiffness (defined by distensibility index determined at a single visit using carotid artery ultrasound)

Decline in neuropsychological test performance (Trail Making Tests A and B and the Symbol Digit Modalities Test) over 10-year follow-up