Teenagers at risk of human immunodeficiency virus type 1 infection : results from seroprevalence surveys in the United States.
To describe the seroprevalence of human immunodeficiency virus type I (HIV-1) and risk factors for HIV-1 infection among teenagers attending selected clinics.
Anonymous, cross-sectional serosurveys conducted in 130 clinics in 24 cities.
Adolescent medicine clinics, sexually transmitted disease clinics, clinics in juvenile detention and correctional facilities, and homeless and runaway youth centers.
Teenagers in whom serum samples were drawn as part of routine medical services.
Main Outcome Measures
Prevalence of HIV-1 infection and reported HIV risk behaviors.
From January 1,1990 through December 31,1992, serum specimens were collected from 79 802 teenagers ; 591 of these specimens were positive for HIV-1 antibody.
Seropositive test results were found in all 24 cities surveyed, and in 95 (73%) of the 130 clinics surveyed.
The median clinic-specific prevalence was 0.2% (range, 0% to 1.4%) in 22 adolescent medicine clinics, 0.3% (range, 0% to 6.8%) in 33 correctional facilities, 0.5% (range, 0% to 3.5%) in 70 sexually transmitted disease clinics, and 1.1% (range, 0% to 4.1%) in five homeless youth centers.
Rates exceeded 1% in 37 sites (28%). Conclusions : Seroprevalence of HIV was generally low but varied by the of clinic and geographic area.
The highest rates were observed among young women and gay men in some settings, suggesting that targeted prevention messages are needed.
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Prévalence, SIDA, Virose, Infection, Adolescent, Homme, Adulte jeune, Facteur risque, Sans domicile fixe, Médecine sociale, Milieu carcéral, Immunopathologie, Immunodéficit
Mots-clés Pascal anglais : United States, North America, America, Epidemiology, Prevalence, AIDS, Viral disease, Infection, Adolescent, Human, Young adult, Risk factor, Homeless, Social medicine, Carceral environment, Immunopathology, Immune deficiency
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 95-0319265
Code Inist : 002B06D01. Création : 01/03/1996.