Document 0017
 DOCN  M95B0017
 TI    The classification of AIDS cases: concordance between two AIDS
       surveillance systems in Italy.
 DT    9511
 AU    Serraino D; Franceschi S; Dal Maso L; Lepri AC; Tirelli U; Rezza G;
       Epidemiology Unit, Aviano Cancer Centre, Italy.
 SO    Am J Public Health. 1995 Aug;85(8 Pt 1):1112-4. Unique Identifier :
       AIDSLINE MED/95351440
 AB    This study assessed the concordance between the transmission
       classification of 725 acquired immunodeficiency syndrome (AIDS) cases by
       the Italian AIDS Registry (the national surveillance system) and the
       classification of the same cases by the Italian Cooperative Group on
       AIDS-Related Tumors. A high degree of concordance emerged for
       intravenous drug users in both sexes (kappa = 0.88; 95% confidence
       interval [CI] = 0.84, 0.92), for homosexual men (kappa = 0.83; 95% CI =
       0.79, 0.87), and for persons infected through contaminated blood or
       blood derivatives (kappa = 1.00). The concordance was lower among
       heterosexual men (kappa = 0.51; 95% CI = 0.37, 0.65) and especially
       among men whose risk group was not determined (kappa = 0.28; 95% CI =
       0.12, 0.44). The discrepancies observed among heterosexual men indicate
       a need for continuing and accurate monitoring of AIDS reporting by
       transmission category.
 DE    Acquired Immunodeficiency Syndrome/*CLASSIFICATION/TRANSMISSION  Blood
       Transfusion/ADVERSE EFFECTS  Disease Transmission/*CLASSIFICATION
       Female  Homosexuality, Male  Human  HIV Infections/TRANSMISSION  Italy
       Male  Population Surveillance/*METHODS  *Registries  Substance Abuse,
       Intravenous  Support, Non-U.S. Gov't  JOURNAL ARTICLE

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