Document 2474
 DOCN  M94A2474
 TI    Increasing HIV infection due to heterosexual exposure in England and
       Wales.
 DT    9412
 AU    Noone A; Gilbart V; Nicoll A; Gill ON; Wright M; Macdonald N; PHLS AIDS
       Centre, Communicable Disease Surveillance Centre,; London.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):296 (abstract no. PC0111). Unique
       Identifier : AIDSLINE ICA10/94370101
 AB    In England and Wales the continuing occurrence of HIV infection due to
       heterosexual exposure has been questioned by the media and others.
       Information on the extent, characteristics and trends in such infection
       can be obtained from AIDS case and HIV infection reporting and from
       unlinked anonymous (UA) surveys. In England and Wales, by the end of
       1993, 2868 men and women had been reported with HIV infection due to
       heterosexual exposure. Of these 77% had probably become infected abroad,
       many in countries where spread of HIV through heterosexual exposure is
       common; 13% had acquired their infection through sex with a partner who
       had a high risk of infection; 7% were not known to have a high risk
       partner and had not been exposed to infection heterosexually abroad. The
       remainder were in the 'undetermined' category or were under
       investigation. UA surveys of HIV infection in attenders at STD and
       antenatal clinics in London show that infection is occurring in persons
       who have had heterosexual exposure to HIV infection. Among pregnant
       women the prevalence of infection is increasing in all age groups.
       Detailed interviews have been undertaken with 46 of the 117 persons
       infected through heterosexual exposure within the United Kingdom. In
       general the sexual risk behaviour reported by this small group appears
       similar to that reported by heterosexuals taking part in the UK National
       Study of Sexual Attitudes and Lifestyles. However, nearly 50% of those
       infected with HIV through heterosexual exposure had had an STD in the
       past. It is clear that in England and Wales a small but increasing
       number of HIV infections is occurring as a result of heterosexual
       exposure. It is appropriate that HIV/AIDS and Sexual Health is one of
       the five key areas in the government of the United Kingdom's 'Wealth of
       the Nation' initiative.
 DE    England/EPIDEMIOLOGY  Female  Human  HIV
       Infections/EPIDEMIOLOGY/*TRANSMISSION  Male  Risk Factors  *Sex Behavior
       Wales/EPIDEMIOLOGY  MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
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