Geographic Variation in Human Immunodeficiency Virus Seroconversion Rates in the U.S. Navy
Final rept. Oct 90-Sep 91,
NAVAL HEALTH RESEARCH CENTER SAN DIEGO CA
Pagination or Media Count:
The Navy population is centered around 19 U. S. home ports and several inland duty stations. This is a study of variation in human immunodeficiency virus HIV seroconversions in Navy enlisted men by location in the United States, based on 949,570 enzyme-linked immunosorbent assays and 812 seroconversions during 1987-90. Seroconversion rates were higher in personnel in San Francisco P0.0004, Washington, DC p0.001, and Orlando, FL p0.04 than in other areas. They were lower in Charleston, SC, New London, CT, Seattle and Brunswick, ME p0.05. Black men had triple the seroconversion rate of all other men p0.0001. After adjustment for race, age, marital status, and occupation, risk of seroconversion remained high in San Francisco p0.02 and Orlando p0.03. The risk of seroconversion in San Francisco was twice that of other areas in a cohort that did not change location p0.01. In contrast to declining trends overall in the Navy, rates did not decrease in Washington, DC, as a result consistent with previous calculations indicating a delayed second wave of HIV infection in the region. Geographic distribution, Human Immunodeficiency Virus HIV, Acquired Immunodeficiency Syndrome AIDS, Seroconversion rates.
- Medicine and Medical Research