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M94A2452.TXT
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1994-10-25
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Document 2452
DOCN M94A2452
TI Survival among injecting drug users with AIDS, United States, 1988-1990.
DT 9412
AU Neal JJ; Fleming PL; Green TA; Chu SY; Burgess DA; Centers for Disease
Control and Prevention, Atlanta, GA 30333.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):300 (abstract no. PC0126). Unique
Identifier : AIDSLINE ICA10/94370123
AB OBJECTIVE: Most estimates of survival time after AIDS diagnosis have
been based on studies of white men who have sex with men (MSM). We
examined survival time after AIDS diagnosis among heterosexual injecting
drug users (IDUs). METHODS: Reports of persons > or = 15 years of age
with AIDS diagnosed from 1988 through 1990 and reported to CDC through
June 1993 were selected from the 14 states and 3 cities that cross-match
AIDS reports with the National Death Index. We used the product-limit
method to calculate median survival time in months after AIDS diagnosis
and survival time by year of diagnosis for MSM and IDUs. For IDUs, we
also calculated survival time by sex, race/ethnicity, and geographic
region of residence. Observations were censored in June 1992 to minimize
bias caused by reporting delays. Differences in survival time were
tested for significance at the p < .01 level. RESULTS: The median
survival time was shorter for IDUs (14 months, n = 14,760) than for MSM
(19 months, n = 34.425). Survival time increased by diagnosis year from
1988 through 1992 among both IDUs (13 months to 16 months) and MSM (18.5
months to 20 months). Among IDUs, survival time was shorter for older
persons (11 months for persons aged 45-64) than for younger persons (19
months for persons aged 15-24), for blacks and Hispanics (both 13
months) than for whites (19 months), and for persons living in the
Northeast (13 months) than in other regions (19 months). No significant
differences in survival time by sex were found. DISCUSSION AND
CONCLUSIONS: Differences in survival time by risk, diagnosis year, age,
race, and region may be attributable to the effects of injected drugs or
to differences in access to and use of HIV-related and other health-care
services.
DE Acquired Immunodeficiency Syndrome/*MORTALITY/TRANSMISSION Adolescence
Adult Female Human Male Middle Age 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).