Evidence for the Spread of the Human Immunodeficiency Virus Epidemic into Low Prevalence Areas of the United States
Abstract
Reports of an increased proportion of AIDS cases occurring in small medium-sized cities suggest that the HIV epidemic may be spreading into locations that were previously characterized by their low HIV antibody prevalences. Studying the question of the geographic spread of the HIV infection epidemic (rather than the AIDS epidemic) has been difficult largely because most serial seroprevalence data have been gathered from cohorts of high risk individuals (e.g., homosexual, bisexual cohorts) in New York City, San Francisco, and other geographically circumscribed areas. The U.S. military applicant HIV screening data were used in the current report to examine rates and 24 month temporal trends in geographic areas characterized by their HIV endemicities. The data examined concern the seven most populous states and four hyperendemic metropolitan areas located with those states (New York City, Miami, Houston, and San Francisco). In the nonepidemic regions, seroprevalence rates increased among black and white applicants. Reprints.
Document Details
- Document Type
- Technical Report
- Publication Date
- Jan 01, 1989
- Accession Number
- ADA225843
Entities
People
- Donald S. Burke
- John Brundage
- John G. Mcneil
- Lytt I. Gardner Jr.
- Richard N. Miller
- Robert Visintine
Organizations
- Walter Reed Army Institute of Research