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M94A2152.TXT
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Document 2152
DOCN M94A2152
TI HIV seroprevalence trends in the United States 1988-1992.
DT 9412
AU Petersen LR; Gwinn M; Janssen R; Centers for Disease Control and
Prevention, Atlanta, GA.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):37 (abstract no. 123C). Unique
Identifier : AIDSLINE ICA10/94370423
AB OBJECTIVE: Determine trends in HIV-1 seroprevalence among sentinel
populations in the United States. METHODS: We reviewed seroprevalence
data from annual anonymous [unlinked] surveys among childbearing women
(N = 9,000,000) and clients of sexually transmitted disease (STD)
clinics (N = 349,000) and drug treatment (DT) clinics (N = 43,500) in 40
cities and from national routine screening of military applicants (N =
3,726,000), disadvantaged youth entering a national job training program
(Job Corps; N = 270,000), and first-time blood donors (N = 7,205,000).
We compared rates for 1989-90 surveys with rates in 1991-92. RESULTS:
During 1991-92, prevalence exceeded 15% among men who had sex with men
(MSM) in nearly every STD clinic (median 26%); the absolute HIV
prevalence decreased by a median of 5.7% from 1989-90. In contrast,
prevalence in 1991-92 among injection drug users (IDU) entering DT
ranged from 15-40% in eastern cities and was < 7% elsewhere, without a
clear trend in prevalence. Prevalence among men applying for military
service, entering the Job Corps, and donating blood decreased markedly,
while prevalence among women remained stable or increased. In these
populations, seroprevalence in women now is nearly equal to or exceeds
that of men. Prevalence among childbearing women increased from 0.16% in
1989-90 to 0.17% in 1991-92, with decreasing trends in the Northeast and
increasing trends in the South, particularly among blacks. CONCLUSION:
Prevalence among men is generally decreasing, particularly among MSM
attending STD clinics, while prevalence among women is stable or
increasing. Prevalence among IDUs entering DT did not change. These
results indicate a substantial shift in the HIV epidemic, with greater
relative importance of HIV in women, IDUs and African Americans.
DE Female Homosexuality Human HIV Seroprevalence/*TRENDS Male
*Population Surveillance Pregnancy Pregnancy Complications, Infectious
Risk Factors Seroepidemiologic Methods Sexually Transmitted
Diseases/COMPLICATIONS Substance Abuse, Intravenous/COMPLICATIONS
United States/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).