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1996-02-27
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Document 0285
DOCN M9630285
TI The epidemiology of human immunodeficiency virus and other sexually
transmitted diseases in the Stockholm area.
DT 9603
AU Christenson B; Stillstrom J; Department of Environmental Health,
Karolinska Hospital,; Stockholm, Sweden.
SO Sex Transm Dis. 1995 Sep-Oct;22(5):281-8. Unique Identifier : AIDSLINE
MED/96100865
AB BACKGROUND AND OBJECTIVES: In Sweden, human immunodeficiency virus has
been almost exclusively spread in three subpopulations. These are
homosexual men (47%), intravenous drug abusers (21%), and immigrants
from highly endemic areas (22%). In contrast to human immunodeficiency
virus, gonorrhea and syphilis have in the past affected the general
population in Sweden. Today, gonorrhea and syphilis, like human
immunodeficiency virus, are referred to the subpopulations. The only
sexually transmitted disease that affects the general population is
chlamydia. GOAL OF THIS STUDY: This is a descriptive analysis of the
epidemiology of human immunodeficiency virus and the other STDs in the
Stockholm area, and an inquiry regarding whether these diseases have
been spread in the general population. The goal also was to evaluate the
actual risk of exposure to human immunodeficiency virus and the other
sexually transmitted diseases in the general population and in the
subpopulations. STUDY DESIGN: The homosexual subpopulation in the
Stockholm area has been estimated at 14,000, or 2.5% of the males. More
than 95% of the human immunodeficiency virus-infected homosexual males
have been found in the 15 to 64-year-old age group. There are 3,000 to
4,000 drug abusers in the Stockholm area, with about 3,000 known to
social workers. The third subpopulation with a high prevalence of human
immunodeficiency virus-infected individuals is immigrants from
sub-Saharan Africa. It is estimated that in the Stockholm area about
9,000 of the individuals in this sub-population are in the sexually
active age-group, 15-64 years old. RESULTS: Through January 1995, 3,958
cases of human immunodeficiency virus have been reported in Sweden, of
which 65% (2,543) were reported in the Stockholm area. Human
immunodeficiency virus in the Stockholm area in 1994 was calculated as
occurring among 6% of the homosexual men, 13% of the intravenous drug
abusers, and 4% of the immigrants from sub-Saharan Africa. The relative
increases (observed number of new cases in a particular year/number of
known cases) were 10%, 4%, and 43%, respectively. CONCLUSION: The
Swedish strategy against sexually transmitted diseases, including human
immunodeficiency virus, has been successful regarding the spread in the
general population. The human immunodeficiency virus epidemic has
remained confined to distinct risk groups. Gonorrhea and syphilis are
being eradicated and the chlamydia trend is declining.
DE Adolescence Adult Africa Emigration and Immigration Female
Homosexuality, Male Human HIV Infections/*EPIDEMIOLOGY/TRANSMISSION
Incidence Male Middle Age Prevalence Sex Behavior Sexually
Transmitted Diseases/EPIDEMIOLOGY Substance Abuse,
Intravenous/EPIDEMIOLOGY Sweden/EPIDEMIOLOGY JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).