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M9490744.TXT
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1994-09-24
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Document 0744
DOCN M9490744
TI HIV seroprevalence in a London same-day testing clinic.
DT 9411
AU Bor R; Lipman M; Elford J; Murray D; Miller R; Griffiths P; Janossy G;
Johnson M; Royal Free Hospital National Health Service Trust, London,
UK.
SO AIDS. 1994 May;8(5):697-700. Unique Identifier : AIDSLINE MED/94338609
AB OBJECTIVES: To determine the prevalence of HIV infection among people
attending a confidential, non-genitourinary medicine based testing
clinic that provides HIV antibody test results on the day of
consultation. METHODS: Retrospective analysis of data collected on 2635
individuals attending the Same-Day HIV Testing Clinic at the Royal Free
Hospital, London between March 1992 and February 1993. RESULTS: A total
of 1612 men and 1023 women were tested for HIV antibody. The primary
risk for HIV infection was heterosexual (71.7%; 1889 out of 2635) and
homosexual contact (24.5%; 646 out of 2635). Fifty-four individuals were
given positive HIV test results (46 men, median age 34 years; eight
women, median age 27 years). Overall HIV seroprevalence was 2.0% (95%
confidence interval, 1.5-2.5). HIV seroprevalence was highest among
homosexual men (6.5%; 41 out of 635) and injecting drug users (5.7%;
four out of 70). The rates for heterosexual men and women were 0.2% (two
out of 915) and 0.7% (seven out of 974), respectively. Of the 54
individuals who were HIV-antibody-positive, 44 were Centers for Disease
Control and Prevention stage II/III, eight stage IV and one was tested
at the time of seroconversion (stage I; data were not available for one
patient). Of the total numbers attending this clinic 27% (702 out of
2635) had previously been tested and received a negative result. Of a
total of 54 HIV-antibody-positive individuals, 40% (21) had previously
received a negative test result. CONCLUSIONS: The data suggest that
seroprevalence amongst homosexual men attending a designated HIV testing
clinic in London is lower than that reported by genitourinary clinic
based testing sites. The large number of repeat testers who subsequently
became infected with HIV suggests that there is a population requiring
specific targetting for HIV risk reduction.
DE Adult Ambulatory Care Facilities/*STATISTICS & NUMER DATA AIDS
Serodiagnosis/*STATISTICS & NUMER DATA Female Human HIV
Antibodies/BLOOD *HIV Seroprevalence HIV-1/IMMUNOLOGY
HIV-2/IMMUNOLOGY London/EPIDEMIOLOGY Male Middle Age Occupational
Diseases/EPIDEMIOLOGY Retrospective Studies Risk Factors Sex
Behavior/STATISTICS & NUMER DATA Substance Abuse,
Intravenous/EPIDEMIOLOGY Support, Non-U.S. Gov't JOURNAL ARTICLE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).