Document 2560
 DOCN  M94A2560
 TI    IVDU is a key factor for changes in the AIDS epidemic in Brazil.
 DT    9412
 AU    Castilho E; Rodrigues I; Lauria I; Sereno A; Loures L; Ministry of
       Health, Brasilia, Brazil.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(1):276 (abstract no. PC0025). Unique
       Identifier : AIDSLINE ICA10/94370015
 AB    INTRODUCTION: A significant increase in the number of cases among women
       and adolescents is one of the changes that have been observed overtime
       in the epidemiological profile of the AIDS epidemic in Brazil.
       OBJECTIVE: To examine the factors involved in the increment of AIDS
       cases among women and adolescents in Brazil. METHODS: AIDS cases among
       women (> 15 years old) and adolescents (13-19) reported on a routine
       basis to the Ministry of Health were evaluated. RESULTS: Reported AIDS
       cases among Brazilian women increased from 13 (2.8%) in 1985 to 1525
       (20.5%) in 1993. Of the total number of cases registered in 1993, 344
       (22.5%) involved IVDU women and 438 (28.7%) were associated with
       heterosexual intercourse with IVDU; heterosexual intercourse with
       multiple partners accounted for 464 (30.4%) cases. Among adolescents,
       the number of cases increased from 16 in 1985 to 140 in 1993. This
       increment is largely associated with IVDU. In 1993, 45% of the total
       cases occurred in IVDUs. In parallel to the increment related to IVDU,
       heterosexual transmission increased when compared with homo/bisexual
       transmission. CONCLUSION: Prevention of the dissemination of the AIDS
       epidemic in Brazil must include aggressive strategies for reduction of
       the transmission associated with IVDU combined with strategies to
       control heterosexual transmission of HIV.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION
       Adolescence  Brazil/EPIDEMIOLOGY  Female  Human  Risk Factors  Sex
       Behavior  Substance Abuse, Intravenous/*COMPLICATIONS/EPIDEMIOLOGY
       MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).