5th International AIDS Conference


Montreal, Quebec, Canada — Jun 4-9, 1989

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The epidemiology of AIDS in Maryland, 1981 - 1987.

Int Conf AIDS 1989 Jun 4-9; 5:165 (abstract no. A.530)
Horman J, Hamidi C; AIDS Administration, MD Department of Health, Baltimore, MD, USA

OBJECTIVE: Describe the epidemiology of AIDS in Maryland for the years 1981 through 1987.

METHODS: Case reports completed as part of the Maryland AIDS Reporting System were analyzed.

RESULTS: A total of 1,017 nonincarcerated adult AIDS cases was reported during this 7 year period. The greatest proportion of cases occurred in Baltimore City and Prince George's and Montgomery counties (79% of total), Maryland's largest metropolitan areas. These same jurisdictions had the highest cumulative incidence rates for both blacks and whites. Overall, 50.5% of the cases were black. Statewide, the cumulative incidence rate for blacks is 3.6 times that for whites. Many rural counties had relatively high cumulative incidence rate among black residents (up to 1,266 cases per million). Homosexual/bisexual male was the transmission category most responsible for AIDS. Blood transfusion cases represented 6.3% of the total (compared to 2% nationally). IVDA was a greater factor in the black population than in the white (28% vs. 4%). Temporal trends indicate that IVDA, heterosexual contact (particularly for females) and blood transfusion assumed more importance as a risk factor in Maryland during the years 1985-1987 as compared to 1981-1984. During this period, 23 cases of pediatric AIDS were reported. Eight were female and 15 male. Seventeen were black, 5 white, and 1 hispanic.

CONCLUSION: The demographic breakdown of Maryland cases was similar to national data for the years 1981-1987. Two major exceptions were a disproportionate number of black cases and cases due to blood transfusions.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Homosexuality, Substance Abuse, Intravenous, Whites, Blacks, Bisexuality, Hispanic Americans, Risk Factors, Blood Transfusion, Maryland, Caucasoid Race, Incidence, Heterosexuality, Baltimore, Human, Female, Adult, Male, Child, epidemiology, ICA5

890604
A530

Copyright © 1989 - International AIDS Society (IAS). Reproduction of this abstract (other than one copy for personal reference) must be cleared through the IAS.