Document 0361
 DOCN  M9460361
 TI    The expanding regional diversity of the acquired immunodeficiency
       syndrome epidemic in the United States.
 DT    9404
 AU    Hu DJ; Fleming PL; Mays MA; Ward JW; Division of HIV/AIDS, National
       Center for Infectious Diseases,; Centers for Disease Control and
       Prevention, Atlanta, GA.
 SO    Arch Intern Med. 1994 Mar 28;154(6):654-9. Unique Identifier : AIDSLINE
       MED/94175650
 AB    BACKGROUND: The geographic spread of the human immunodeficiency virus
       (HIV) epidemic reflects multiple subepidemics in different regions and
       population groups. METHODS: To describe regional trends in the acquired
       immunodeficiency syndrome (AIDS) in the United States, we analyzed
       national surveillance data for persons with AIDS diagnosed from 1988
       through 1991. RESULTS: Highest annual AIDS incidence rates were in the
       US territories (52.7 per 100,000) and the Northeast (27.7 per 100,000).
       The greatest percentage increases were in the US territories (68.8%),
       the South (60.1%), and the Midwest (52.4%). Men who have sex with men
       constituted the majority of AIDS cases nationally (54.6%), as well as in
       the Midwest (67.8%), the South (57.4%), and the West (75.3%). Among
       injecting drug users, the greatest rates of increase in AIDS cases were
       observed among blacks in the South. Although large increases in the
       number of persons with HIV transmitted through heterosexual contact were
       reported from almost all regions, the largest increase was in the South.
       CONCLUSION: High rates of increase in AIDS cases from the Midwest,
       South, and US territories probably reflect later entry of HIV into these
       regions compared with the earlier HIV epidemics in large metropolitan
       areas of the Northeast and West. In particular, because the South has
       the largest population of the regions, and sexually transmitted disease
       surveillance data suggest that substantial populations in the South are
       at risk, the marked increase in AIDS incidence in this region suggests
       that the major impact of the epidemic may yet be seen. The continuing
       spread of HIV and AIDS in different communities and regions demonstrates
       the need to expand preventive and therapeutic services.
 DE    Acquired Immunodeficiency Syndrome/ETHNOLOGY/*EPIDEMIOLOGY/  ETIOLOGY
       Adolescence  Adult  Child  Disease Outbreaks/STATISTICS & NUMER DATA
       Female  Human  Male  Middle Age  United States/EPIDEMIOLOGY  JOURNAL
       ARTICLE

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