Document 0078 DOCN M9460078 TI Prevalence and epidemiologic correlates of human T cell lymphotropic virus infection among intravenous drug users. DT 9408 AU Schwebke J; Calsyn D; Shriver K; Saxon A; Kleyn J; Oluoch-Mitchell E; Olmstead L; Fisher LD; Krone M; Ashley R; et al; University of Washington Center for AIDS and Sexually Transmitted; Diseases, Seattle. SO J Infect Dis. 1994 May;169(5):962-7. Unique Identifier : AIDSLINE MED/94223100 AB Intravenous drug users (IVDUs) in Seattle (n = 213) were studied to identify the prevalence and predominant types of and risk factors for human T cell lymphotropic virus (HTLV) infection. Detailed questionnaires, serologic screening, and polymerase chain reaction analysis (for a subset) were used. Evidence of HTLV infection was found in 16.5%, of which 89% were HTLV-II. HTLV infection was significantly associated with nonwhite race, older age, more years of intravenous drug use, prior use of heroin, history of gonorrhea, history of any sexually transmitted disease, hepatitis B virus infection, and antibody to herpes simplex virus type 2 (HSV-2). By stepwise logistic regression analysis, associations persisted with race, age, hepatitis B markers, and HSV-2. Thus, the strong association of HTLV with hepatitis B, a marker for injection behavior, and the independent association with HSV-2 infection, a sexually transmitted pathogen, suggest similarities in the epidemiology of HTLV and human immunodeficiency virus infections in IVDUs. DE Adult Female Human HTLV-I Infections/COMPLICATIONS/*EPIDEMIOLOGY HTLV-II Infections/COMPLICATIONS/*EPIDEMIOLOGY Male Middle Age Polymerase Chain Reaction Prevalence Questionnaires Regression Analysis Risk Factors Substance Abuse, Intravenous/*COMPLICATIONS/EPIDEMIOLOGY Support, U.S. Gov't, P.H.S. Washington/EPIDEMIOLOGY JOURNAL ARTICLE SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).