Document 0222
 DOCN  M9440222
 TI    Rising HIV-1 prevalence among sexually transmitted disease clinic
       attenders in Jamaica: traumatic sex and genital ulcers as risk factors.
 DT    9404
 AU    Figueroa JP; Brathwaite A; Morris J; Ward E; Peruga A; Blattner W;
       Vermund SH; Hayes R; Ministry of Health, Kingston, Jamaica.
 SO    J Acquir Immune Defic Syndr. 1994 Mar;7(3):310-6. Unique Identifier :
       AIDSLINE MED/94149567
 AB    Between November 1990 and January 1991, status of human immunodeficiency
       virus (HIV) infection was assessed for 522 men and 484 women attending
       the Comprehensive Health Centre in Kingston, Jamaica, for a new sexually
       transmitted disease (STD) complaint. Prevalence of HIV type 1 (HIV-1)
       infection was 3.1% (31 of 1,006), a tenfold rise in seroprevalence in
       4.5 years. Nineteen of 517 (3.7%) heterosexual men, 3 of 5 (60%)
       homosexual/bisexual men, and 9 of 484 (1.9%) women were infected with
       HIV. In heterosexual men, factors associated with HIV infection after
       age adjustment included present complaint of genital ulcer [odds ratio
       (OR) 7.3; 95% confidence interval (CI) 1.4-72], past history of genital
       ulcer (OR, 4.3; CI, 1.4-12), positive MHATP syphilis serology (OR, 3.4;
       CI, 1.1-10), sex with a prostitute in the past month (OR, 3.8; CI,
       1.1-11). Three or more sex partners in the month prior to complaint (OR,
       3.6; CI, 1.0-12), and bruising during sex (OR, 4.0; CI, 1.4-13). On
       multiple logistic regression analysis, independent associations with HIV
       infection were shown for bruising during sex (OR, 3.0; CI, 1.1-8.3),
       positive MHATP syphilis serology (OR, 3.2; CI, 1.1-9.5), and history of
       genital ulcer (OR, 2.9; CI, 1.0-8.0).(ABSTRACT TRUNCATED AT 250 WORDS)
 DE    Adult  Age Factors  Confidence Intervals  Cross-Sectional Studies
       Female  Genital Diseases, Female/*COMPLICATIONS  Genital Diseases,
       Male/*COMPLICATIONS  Genitalia/*INJURIES  Human  HIV
       Infections/*EPIDEMIOLOGY/ETIOLOGY  *HIV-1  Jamaica/EPIDEMIOLOGY  Male
       Odds Ratio  Prevalence  Regression Analysis  Risk Factors  Sex Behavior
       Sexual Partners  Sexually Transmitted Diseases/COMPLICATIONS  Support,
       Non-U.S. Gov't  Support, U.S. Gov't, P.H.S.  Ulcer  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).