Document 2508 DOCN M94A2508 TI Incidence of HIV-1 seroconversion among inductees of the Royal Thai Army. DT 9412 AU Sirisopana N; Royal Thai Army-US Army HIV Research Collaboration, AFRIMS,; Bangkok. SO Int Conf AIDS. 1994 Aug 7-12;10(1):288 (abstract no. PC0075). Unique Identifier : AIDSLINE ICA10/94370067 AB OBJECTIVE: To determine the seroconversion rate for HIV-1 among inductees to the Royal Thai Army during their service. METHODS: Two cohorts of 21 y/o men who were seronegative at induction into the Royal Thai Army in Nov 91 (n = 8,898) and May 92 (n = 8,701) were followed at intervals to determine the incidence of HIV-1 infection during 2 year follow-up. Diagnosis of HIV was made by EIA and by Western Blot. Three geographic areas in Thailand were studied, Bangkok Metropolitan Administration (BMA), the Upper North (UN) and the Lower North (LN). RESULTS: Through Aug 93, the average follow-up was 55% for the Nov 91 cohort and 46% for the May 92 cohort. The combined incidence of HIV-1 infection for the 2 cohorts was 211/16,455 person-year (py) (1.28%/py). Incidence in BMA was significantly lower than in the two northern areas (BMA = 0.59%/py, RR = 1; LN = 0.95%/py, RR = 1.63; UN = 3.27%/py, RR = 5.59). The lowest incidences were seen in 2 provinces in the LN. The highest incidence was in Phayao (6.16%/py) in the UN. Significantly lower incidences were found in inductees who were married at induction (married = 0.6%/py, RR = 1; not married = 1.48%/py, RR = 2.49) and in those with more than primary school education (PSE) (PSE = 1.45%/py, RR = 1.57; > PSE = 0.92%/py, RR = 1). CONCLUSIONS: The incidence of HIV-1 infection is very high in inductees beginning service in the Royal Thai Army. Incidence is higher in regions where prevalence in inductees is highest, especially the UN. DE Adult Human HIV Infections/EPIDEMIOLOGY HIV Seropositivity/*EPIDEMIOLOGY *HIV-1 Incidence Male *Military Personnel Thailand/EPIDEMIOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).