AEGiS-05CROI: Epidemiologic trends.

5th Conference on Retroviruses and Opportunistic Infections

Chicago, IL - February 1-5, 1998

Epidemiologic trends.

Conf Retroviruses Opportunistic Infect 1998 Feb 1-5; 5th:227 (abstract no. L2)

De Cock KM; Centers for Disease Control and Prevention, Atlanta, GA.

Advances in the medical management of HIV/AIDS have profoundly influenced AIDS trends in the United States. During 1996 AIDS incidence declined by 6% and AIDS deaths by 23% nationally compared with 1995, the greatest decreases being seen in white men who have sex with men (MSM). AIDS incidence continued to increase among some minority groups such as non-Hispanic black men (19% increase) and non-Hispanic black women (12%) who had heterosexual exposures. Between 1992 and 1996, pediatric AIDS incidence declined by 43%. These changes reflect prevention and therapeutic successes among some groups but pose new challenges. Continued transmission of HIV infection, especially among young gay men and in communities of color, may go undetected since increased AIDS-free survival in HIV-infected persons limits the ability of AIDS case surveillance to document and interpret trends in HIV transmission. Increased survival results in a greater number of persons living with HIV or AIDS who require medical care. Analysis of the current status of the HIV/AIDS epidemic requires attention to HIV incidence and prevalence, AIDS incidence and prevalence, and HIV-associated mortality. Communities of color have been disproportionately affected by HIV/AIDS and some of its risk factors, including low socioeconomic status, injecting drug use, and other sexually transmitted diseases. There is an urgent need to extend AIDS case surveillance to include reporting of all HIV-infected persons to adequately monitor the epidemic of HIV/AIDS, to target interventions to the most affected, and to evaluate prevention efforts.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, HIV Infections, Homosexuality, Male, Prevalence, Hispanic Americans, Incidence, Blacks, Sexually Transmitted Diseases, Whites, Disease Outbreaks, Risk Factors, Ethnic Groups, Caucasoid Race, United States, Human, Male, Female, Child, epidemiology, trends, AIDS

1998-02-01
L2

Copyright © 1998 - Foundation for Retrovirology and Human Health (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the Foundation for Retrovirology and Human Health. Licensed from National Library of Medicine.