5th International AIDS Conference Montreal, Quebec, Canada — Jun 4-9, 1989

Int Conf AIDS 1989 Jun 4-9; 5:169 (abstract no. A.551)

Lavenhar MA, Schneider DJ; UMDNJ-New Jersey Medical School, Newark, New Jersey, USA

OBJECTIVE: To demonstrate how trends in AIDS incidence can be assessed utilizing data obtained through active surveillance in 12 hospitals affiliated with the New Jersey Medical School.

METHODS: Analyses will focus on descriptive methods for presenting data in tabular or graphic form. Survival analysis (with co-factors) will be used for comparing survival following diagnosis among population subgroups.

RESULTS: Some of the major findings to be presented include: 1. Since 1981, 2219 confirmed adult cases of AIDS have been reported, including 75% males, 68% Black, 20% White, and 12% Hispanic. 2. After annual increases from 1981 to 1987, new cases declined in 1988. 3. The primary modes of transmission were: a) IV drug use (66%), b) homosexual/bisexual contact (16%), a and b (5%) and heterosexual contact (8%). 4. AIDS incidence among homosexuals/bisexuals has decreased; heterosexually transmitted AIDS has increased, accounting for 12% of new cases in 1988. 5. Case fatality rates are highest among homosexuals/bisexuals with AIDS. 6. Among homosexuals/bisexuals with AIDS, the incidence of Cryptococcosis and Kaposi's sarcoma is increasing; HIV encephalopathy is increasing among heterosexuals with AIDS.

CONCLUSION: The application of descriptive methods to local surveillance data can be useful for projecting future treatment needs, targeting population subgroups for intervention, and identifying leads for further investigation.

Keywords: AEGIS, Acquired Immunodeficiency Syndrome, Incidence, Homosexuality, Sarcoma, Kaposi, Heterosexuality, Hospitals, Schools, Medical, Hispanic Americans, AIDS Dementia Complex, Risk Management, Caucasoid Race, New Jersey, Human, Male, Adult, epidemiology, trends, economics, ICA5

1989-06-04
A551

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