Document 0330
 DOCN  M9550330
 TI    [HIV infection in the Rijnmond area, 1985-1993: more transmission via
       heterosexual contact and drug use, and more female patients]
 DT    9505
 AU    van der Ende ME; Gyssens IC; de Marie S; Afd. Inwendige Geneeskunde II,
       Academisch Ziekenhuis; Rotterdam-Dijkzigt, Rotterdam.
 SO    Ned Tijdschr Geneeskd. 1995 Jan 28;139(4):188-92. Unique Identifier :
       AIDSLINE MED/95148013
 AB    OBJECTIVE. To evaluate the characteristics of HIV infected patients in
       the Rijnmond region during 1985-1993. DESIGN. Descriptive. SETTING.
       University Hospital Rotterdam-Dijkzigt (AZR). METHOD. Data of medical
       records of all HIV infected patients in AZR were prospectively collected
       from 1988 on and retrospectively for 1985-1987. RESULTS. During the
       period 1985-1993 510 HIV positive patients consulted an internist at AZR
       (eight were infected with HIV-2). During the study 255 patients
       developed AIDS. Since 1991 fewer than 50% of the new HIV infected
       individuals belonged to the risk group of homosexual and bisexual men.
       The majority was infected by intravenous drug abuse or by heterosexual
       intercourse. Half the population infected by heterosexual transmission
       came from HIV endemic areas. The increasing number of HIV infection
       among heterosexuals was associated with an increasing number of HIV
       infected women. CONCLUSION. The Rijnmond region showed a noticeable
       shift of risk groups with HIV infection: heterosexual transmission and
       intravenous drug abuse were the cause of HIV infection in more than half
       of the HIV infections at AZR in 1992 and 1993. Counselling, health care
       and treatment should take account of the diversity of cultural
       backgrounds of the patient groups.
 DE    Adult  Aged  English Abstract  Female  Homosexuality, Male  Human  HIV
       Infections/*EPIDEMIOLOGY/*TRANSMISSION  Male  Middle Age
       Netherlands/EPIDEMIOLOGY  Prospective Studies  Risk Factors  *Sex
       Behavior  Substance Abuse, Intravenous/*COMPLICATIONS  JOURNAL ARTICLE

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