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).