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Trends in HIV seroprevalence among persons attending sexually transmitted disease clinics in the United States, 1988-1992.
- Source :
-
Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association [J Acquir Immune Defic Syndr Hum Retrovirol] 1995 Aug 15; Vol. 9 (5), pp. 514-22. - Publication Year :
- 1995
-
Abstract
- Trends in seroprevalence of the human immunodeficiency virus (HIV) were examined among patients attending sentinel clinics for sexually transmitted diseases (STDs) throughout the United States. Cross-sectional, unlinked (blinded) surveys of HIV seroprevalence were conducted annually within clinics in 40 metropolitan areas. From 1988 to 1992, 552,665 specimens were tested in 80 STD clinics. The overall HIV seroprevalence was 33% (range among metropolitan areas: 5-52%) among gay and bisexual men, 3% (range: 0.3-11%) among heterosexual men, 2% (range: 0.1-11%) among women, and 10% (range: 0.5-45%) among heterosexual injecting drug users (IDUs). Controlling for clinic, age, and race/ethnicity, HIV seroprevalence decreased among all gay and bisexual men, but especially among white gay and bisexual men from 32% in 1989 to 22% in 1992. Among heterosexual men and women, HIV seroprevalence decreased among whites and, to a lesser degree, Hispanics, but remained essentially stable among African-Americans over time. Among heterosexual IDUs, seroprevalence was also unchanged. These results reflect changes in the HIV epidemic, which is becoming increasingly characterized by infected heterosexuals and IDUs, especially within minority populations.
- Subjects :
- Adolescent
Adult
Confidence Intervals
Cross-Cultural Comparison
Cross-Sectional Studies
Female
HIV Antibodies analysis
Humans
Male
Odds Ratio
Population Surveillance
Sampling Studies
United States epidemiology
Acquired Immunodeficiency Syndrome epidemiology
Ambulatory Care Facilities
HIV Infections epidemiology
HIV Seroprevalence trends
Sexually Transmitted Diseases epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1077-9450
- Volume :
- 9
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- Journal of acquired immune deficiency syndromes and human retrovirology : official publication of the International Retrovirology Association
- Publication Type :
- Academic Journal
- Accession number :
- 7627627