Update on the seroepidemiology of human immunodeficiency virus in the United States household population: NHANES III, 1988-1994.

Update on the seroepidemiology of human immunodeficiency virus in the United States household population: NHANES III, 1988-1994.
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美国家庭人口中人类免疫缺陷病毒血清流行病学的最新情况:NHANES III,1988-1994。

DOI:
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发表时间:
1997
期刊:
Journal of Acquired Immune Deficiency Syndromes & Human Retrovirology
影响因子:
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通讯作者:
D. Vlahov
D. Vlahov
中科院分区:
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文献类型:
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作者:
G. Mcquillan;M. Khare;J. Karon;C. Schable;D. Vlahov

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To update the estimate of seroprevalence of HIV from the third National Health and Nutrition Examination Survey (NHANES III), data from the second phase of the survey were combined with previously published data to produce a more precise estimate. The testing was performed anonymously on 11,203 individuals 18-59 years of age examined from 1988 to 1994. Fifty-nine individuals were HIV positive, for an overall prevalence of 0.32%. The number of individuals living in households with HIV infection based on this estimate was 461,000, with a 95% confidence interval of 290,000-733,000. Analysis of nonresponse demonstrated that white and black men 40-59 years of age were least likely to participate in the survey. A sensitivity analysis demonstrated that this nonresponse may have biased the NHANES III estimate downward by 190,000 persons. Data from the second phase of the survey were used to analyze the association between drug use and HIV infection. Black women who used cocaine were 12 times more likely to be HIV positive compared with all tested black women (6.5% vs. 0.55%). This survey provides an estimate of HIV prevalence for individuals who reside in households but excludes some persons who are at higher risk for HIV infection, including prisoners and the homeless not residing in shelters.