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M94A2578.TXT
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Document 2578
DOCN M94A2578
TI Edinburgh versus Glasgow (1984-93): the difference in HIV prevalence
among IDUs and the impact on heterosexual spread.
DT 9412
AU Goldberg DJ; Emslie JA; Taylor A; Scott G; Kennedy R; Stewart M;
Scottish Centre for Infection and Environmental Health, Ruchill;
Hospital, Glasgow, UK.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):272 (abstract no. PC0006). Unique
Identifier : AIDSLINE ICA10/94369997
AB OBJECTIVES: Ten years on, to assess the impact of the low (< 5%) and
high (> 30%) prevalence epidemics of HIV among IDUs in two cities 70
kilometers apart--Edinburgh and Glasgow--on the spread of infection into
the heterosexual population. METHODS: A variety of surveillance datasets
including AIDS Registrations, HIV laboratory reports, and unlinked
anonymous studies of pregnant women, genito-urinary clinic, family
planning clinic and hospital patient and general practice attenders are
used to compare and contrast the two epidemics. RESULTS: In Edinburgh
there is clear evidence of first generation heterosexual spread
especially from male injectors to their female non-injecting partners;
second generation spread is occurring but at present the numbers are
small. In Glasgow first generation spread is minimal and indigenous
second generation spread almost absent. However, especially in Glasgow,
imported infection is becoming increasingly prevalent. In both centres
there is little evidence of HIV entering the heterosexual population via
infected bisexual men. DISCUSSION: These observations confirm the
importance of a) sustaining initiatives to prevent HIV among IDUs and b)
targetting interventions on persons travelling to and from high risk
areas, in preventing spread of HIV into the wider heterosexual
community.
DE Comparative Study Female Human HIV
Infections/*EPIDEMIOLOGY/TRANSMISSION Male Risk Factors
Scotland/EPIDEMIOLOGY *Sex Behavior Substance Abuse,
Intravenous/*COMPLICATIONS MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).