Document 2477
 DOCN  M94A2477
 TI    The impact of heterosexual transmission on a HIV cohort in the south of
       Spain.
 DT    9412
 AU    Diez F; Laynez F; Collado A; Lopez A; Perez F; Hospital Torrecardenas,
       Almeria, Spain.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):295 (abstract no. PC0109). Unique
       Identifier : AIDSLINE ICA10/94370098
 AB    OBJECTIVE: To study the impact of heterosexual HIV transmission (HT) on
       the AIDS epidemic in Almeria. Almeria is a small province in the South
       of Spain with a population of 455,496 persons. METHODS: Risk information
       of HIV-seropositive adults included in a cohort study from 1/86 to 12/93
       was examined. RESULTS: Of 729 men with HIV infection, 84% were
       heterosexual injecting drug users, 6.5% had sex with other men, 3.5%
       were blood/factors receptors and 1% had no identified risk. Only 5.5% of
       the men claimed HT transmission (0.7% in 1986-87, 2.6% in 1988-89, 5.7%
       in 1990-91 and 15% in 1992-93). 51% of the men reported HT from
       prostitutes, 30% had sexual relations with HIV-infected women and 19%
       had multiple sex partners with HIV-risk unknown. Of 242 women with HIV
       infection, 64% were heterosexual injecting drug users, 3% were
       blood/factors receptors and 1% had no identified risk. 33% of the women
       claimed heterosexual transmission (16% in 1986-87, 26% in 1988-89, 41%
       in 1990-91 and 50% in 1992-93). 67% of the women reported HIV-infected
       sex partners, 8% reported commercial sex and 24% had multiple sex
       partners with HIV-risk unknown. CONCLUSIONS: In the South of Spain, HT
       is responsible for at least 33% of the AIDS epidemic in women, and the
       number of the HT cases is increasing very quickly. Only 5.5% of the men
       claimed HT. Sex relations with HIV-infected partners in women and sex
       relations with prostitutes in men are the most important HIV-risk for HT
       in this area.
 DE    Adult  Female  Human  HIV Infections/EPIDEMIOLOGY/*TRANSMISSION  HIV
       Seropositivity  Male  Risk Factors  *Sex Behavior  Spain/EPIDEMIOLOGY
       MEETING ABSTRACT

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