HIV in the United States at the turn of the century: An epidemic in transition
HIV in the United States at the turn of the century: An epidemic in transition
复制标题
DOI：
10.2105/ajph.91.7.1060
复制
发表时间：
2001-07-01
影响因子：
12.7
通讯作者：
De Cock, KM
中科院分区：
文献类型：
--
作者：
Karon, JM;Fleming, PL;De Cock, KM
Objectives. The current status of and changes in the HIV epidemic, in the United States am described.Methods. Surveillance data were used to evaluate time trends in AIDS diagnoses and deaths. Estimates of HIV incidence were derived from studies done during the 1990s; time trends in recent HIV incidence were inferred from MV diagnoses and seroprevalence rafts among young persons.Results. Numbers of deaths and AIDS diagnoses decreased dramatically during 1996 and 1997 but stabilized or declined only slightly during 1998 and 1999. Proportional decreases were smallest among African American women, women in the South, and persons infected through heterosexual contact. HIV incidence has been roughly constant since 1992 in most populations with time trend data, remains highest among men who have sex with men and injection chug users, and typically is higher among African Americans than other racial/ethnic groups.Conclusions. The epidemic increasingly affects women, minorities, persons infected through heterosexual contact, and the poor. Renewed interest and investment in HIV and AIDS surveillance and surveillance of behaviors associated with HIV transmission am essential to direct resources fbr prevention to populations with greatest need and to evaluate intervention programs.
