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Document 2583
DOCN M94A2583
TI AIDS-incidence rates in Europe and the United States.
DT 9412
AU Franceschi S; Dal Maso L; Negri E; Serraino D; Epidemiology Unit, Aviano
Cancer Centre, Italy.
SO Int Conf AIDS. 1994 Aug 7-12;10(1):271 (abstract no. PC0002). Unique
Identifier : AIDSLINE ICA10/94369992
AB OBJECTIVE: AIDS surveillance is generally based on absolute numbers of
AIDS cases, often by HIV transmission group and AIDS indicator disease
and, less frequently, on crude incidence rates. Statistics based on
age-standardised incidence rates may, however, facilitate the
quantitative comparison between countries and with other important
diseases. The present paper shows AIDS-incidence rates for 19 countries
belonging to the World Health Organisation (WHO) European Region, and
for comparative purposes, the United States (US). METHODS: Incidence
rates were standardised on the world standard population for all ages
and for ages 15-49 years, from 1985 to 1992. The data were derived from
the European Non-Aggregate AIDS Data Set (ENAADS) of the WHO and the
AIDS Public Information Data Set of the Centres for Disease Control
(CDC) of the US, adjusted for reporting delay in each country. RESULTS:
In 1985 AIDS-incidence rate in males (81/1,000,000) in the US was
four-fold higher than that of the highest European country (Switzerland)
with rates in all other European countries, except France and Denmark,
below 10/1,000,000. Subsequently, AIDS-incidence increased faster in
Southern Europe than in the rest of the continent. In 1992 rates in
males in Spain (243/1,000,000) approached those in the US
(304/1,000,000) and three additional countries (France, Switzerland and
Italy) showed rates above 100 per million. In females, the speed of the
AIDS epidemic in some countries of Southern Europe was faster than in
the US. In 1988 and 1989 female incidence rate in Switzerland and in
1992 in Spain (61/1,000,000) exceeded those in the US. DISCUSSION AND
CONCLUSIONS: Analysis of trends in incidence rates avoids some
weaknesses of the usual AIDS statistics, and should become a standard
tool in AIDS surveillance.
DE Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY Adolescence Adult
Europe/EPIDEMIOLOGY Female Human Male Middle Age Population
Surveillance United States/EPIDEMIOLOGY MEETING ABSTRACT
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).