Document 0873
 DOCN  M9460873
 TI    [Recent trends in human immunodeficiency virus (HIV) infection and
       anti-HIV testing in foreign residents in Japan]
 DT    9404
 AU    Kihara M; Kihara M; Shimizu M; Soda K; Department of Epidemiology,
       Kanagawa Cancer Center Research; Institute.
 SO    Nippon Koshu Eisei Zasshi. 1993 Dec;40(12):1169-75. Unique Identifier :
       AIDSLINE MED/94154321
 AB    To explore the recent situation of the human immunodeficiency virus
       (HIV) epidemic in foreign residents in Japan, a survey of medical
       records between 1989-1992 was performed in a clinic located in a small
       district of Tokyo metropolitan area where foreign prostitutes were
       relatively concentrated. From medical records results of laboratory
       tests for HIV, syphilis, gonorrhea and chlamydial infection were
       collected. The present study revealed (1) that more than 1000
       foreigners, of whom the majority were Thai, with a female to male ratio
       over 10, visited the clinic during the 4 years with a marked increase
       from 1990 to 1991, (2) that among the laboratory tests only anti-HIV
       testing rate markedly increased by 2-3 fold from 1990 to 1991 in both
       sexes (3) that anti-HIV seropositives were 41 in total (F = 39, M = 2),
       around 4% in both sexes, with a slight increasing trend in females and
       particularly high infection rate (14.0%) in females aged < 20 and (4)
       that no significant correlation was observed between HIV infection and
       other sexually transmitted diseases. These results suggest that the
       remarkable increase witnessed by the recent AIDS surveillance in Japan
       could have been influenced at least in part by the sudden increase in
       the testing rate for anti-HIV as well as by the increase in the number
       of foreigners visiting clinics. It also suggests the critical importance
       of targeting foreign females of high risk behaviour in the AIDS
       prevention strategies in Japan since HIV infection rates were high among
       foreign females, especially in teenagers.
 DE    Adolescence  Adult  AIDS Serodiagnosis  Emigration and
       Immigration/*STATISTICS & NUMER DATA  English Abstract  Female  Human
       HIV Infections/*EPIDEMIOLOGY  Japan/EPIDEMIOLOGY  Male  Middle Age
       Sexually Transmitted Diseases/*EPIDEMIOLOGY  Support, Non-U.S. Gov't
       JOURNAL ARTICLE

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