EPIDEMIC KAPOSI'S SARCOMA AND SEXUAL PRACTICES AMONG MALE HOMOSEXUALS NLM AIDSLINE Important note: Information in this article was accurate in 1985. The state of the art may have changed since the publication date.

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EPIDEMIC KAPOSI'S SARCOMA AND SEXUAL PRACTICES AMONG MALE HOMOSEXUALS

AIDS. The Epidemic of Kaposi's Sarcoma and Opportunistic Infections. Friedman-Kien AE, Laubenstein LJ, eds. New York, Masson, p.291-6, 1984.. Unique Identifier : AIDSLINE ICDB/85610705
Marmor M; Lab. of Bio-Statistics and Epidemiology, Inst. of Environmental; Medicine, New York Univ. Medical Center, New York, NY 10010

Abstract: In a demographic analysis of risk factors for Kaposi's sarcoma (KS) among homosexual men, 20 of the first 21 men with biopsy-proven KS seen at the New York University Medical Center were compared with 40 age- and race-matched homosexual controls. The subjects were interviewed by questionnaire regarding sexual practices in the yr before diagnosis of KS. No significant differences between KS cases and controls were observed for age, race, ancestry, religion, birthplace, or residential history. Duration of homosexual activity was 17.5 +/- 7.7 yr for the KS cases and 15.0 +/- 7.3 yr for the controls. Relative risks of KS were 1.3 for active oral-genital intercourse (OGI), 1.5 for passive OGI, 1.9 for passive OGI with partner ejaculation, and 2.7 for passive OGI with swallowing of partner ejaculate; the risks were 1.2 for active anal-genital intercourse (AGI), 4.6 for passive AGI, and 11.3 for passive AGI with partner ejaculation. Multiple logistic regression analysis demonstrated a relative risk of 8.1 for passive AGI with partner ejaculation and 2.0 for lifetime use of amyl nitrites; the author concluded that these two practices are independent risk factors for KS in homosexual men. Enhancement by amyl nitrites of the absorption of semen or a semen-borne agent is hypothesized, and the use of condoms during sexual activity with persons at risk for the Acquired Immune Deficiency Syndrome is recommended. (8 Refs)
Keywords: Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult *Disease Outbreaks Hepatitis B/EPIDEMIOLOGY *Homosexuality Human Male Middle Age Risk Sarcoma, Kaposi's/*EPIDEMIOLOGY *Sex Behavior MEETING PAPER

KWDacquiredimmunodeficiencysyndrome/KWDcomplicationsadultKWDdiseaseoutbreakshepatitisb/epidemiologyKWDhomosexualityhumanmalemiddleagerisksarcoma,kaposi's/KWDepidemiologyKWDsexbehaviormeetingpaper
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Copyright © 1985 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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