Document 2580 DOCN M94A2580 TI Trends in recent HIV-1 infection among patients at sentinel hospitals, 1988-1992. DT 9412 AU Weber JT; Satten GA; Hanson DL; Schable CA; Janssen RS; CDC, Atlanta, Georgia. SO Int Conf AIDS. 1994 Aug 7-12;10(1):271 (abstract no. PC0001). Unique Identifier : AIDSLINE ICA10/94369995 AB OBJECTIVE: To use low beta 2-microglobulin (beta 2M) as a marker of recent HIV-1 infection to estimate trends in recent HIV-1 infection in communities served by 30 U.S. acute-care hospitals from 1988-1992. METHODS: To collect a sample resembling the general U.S. adult population, blood specimens were collected from an age- and sex-stratified sample of patients > or = 15 years old with conditions not associated with HIV-1. Specimens were tested anonymously for HIV-1 antibody; positive specimens were tested for beta 2M. beta 2M < 2.1 mg/L (low beta 2M) was considered a marker for recent infection. We used logistic regression to estimate trends in low beta 2M. RESULTS: Trends in low beta 2-microglobulin among Sentinel Hospitals TABULAR DATA, SEE ABSTRACT VOLUME. Predominant (> 50%) exposure category of AIDS cases reported by hospital: male-male sex (MMS), injecting drug use (IDU), or both. Some hospitals had no HIV-1 positive specimens among women. DISCUSSION AND CONCLUSIONS: Incidence of HIV-1 infection among men, as measured by low beta 2M, appears to be decreasing in many communities served by sentinel hospitals, especially those that reported IDU as a major exposure category for AIDS cases. DE beta 2-Microglobulin/ANALYSIS Acquired Immunodeficiency Syndrome/DIAGNOSIS/*EPIDEMIOLOGY Adult AIDS Serodiagnosis Biological Markers/BLOOD Female Hospitals/*STATISTICS & NUMER DATA Human *HIV-1 Incidence Male Population Surveillance Risk Factors United States/EPIDEMIOLOGY MEETING ABSTRACT SOURCE: National Library of Medicine. NOTICE: This material may be protected by Copyright Law (Title 17, U.S.Code).