Risk factor analysis among men referred for possible acquired immune deficiency syndrome. 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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Risk factor analysis among men referred for possible acquired immune deficiency syndrome.

Prev Med. 1985 Jan;14(1):81-91. Unique Identifier : AIDSLINE MED/85298178
Newell GR; Mansell PW; Wilson MB; Lynch HK; Spitz MR; Hersh EM


Abstract: Responses to a lifestyle questionnaire among 13 patients with Kaposi's sarcoma and 18 with an opportunistic infection were compared with those of 29 symptom-free referred individuals. Odds ratios (OR) with 95% confidence limits were calculated as an estimate of risk. Significantly elevated odds ratios (P less than 0.05) were found for cigarette smoking (OR = 3.4), marijuana use (OR = 3.7), nitrite use (OR = 5.5), frequenting bathhouses (OR = 7.6), prior syphilis (OR = 3.4), and fist-rectal sexual practices (OR = 3.5). A response gradient for the risk estimates was found for marijuana use (OR = 2.7 for occasional, OR = 4.3 for frequent use); nitrites (OR = 4.0 for occasional; OR = 6.3 for frequent use); and prior syphilis (OR = 2.9 for one to two previous infections and 9.0 for three or more). We believe the evidence is now sufficient to recommend preventive practices which may reduce the male homosexual's risk for developing acquired immune deficiency syndrome, Kaposi's sarcoma, and/or opportunistic infections. These include cessation of cigarette smoking, marijuana use, and nitrite inhalation; reduction in number of anonymous sexual partners to decrease risk of sexually transmitted diseases; and avoidance of fisting.
Keywords: Acquired Immunodeficiency Syndrome/*ETIOLOGY/PREVENTION & CONTROL Adult *Homosexuality Human Life Style Male Middle Age Risk Sarcoma, Kaposi's/PREVENTION & CONTROL Sex Behavior Sexually Transmitted Diseases/COMPLICATIONS Smoking Socioeconomic Factors Substance Abuse/COMPLICATIONS Support, Non-U.S. Gov't Support, U.S. Gov't, P.H.S. JOURNAL ARTICLE

KWDacquiredimmunodeficiencysyndrome/KWDetiology/prevention&controladultKWDhomosexualityhumanlifestylemalemiddleagerisksarcoma,kaposi's/prevention&controlsexbehaviorsexuallytransmitteddiseases/complicationssmokingsocioeconomicfactorssubstanceabuse/complicationssupport,non-uKWDsKWDgov'tsupport,uKWDsKWDgov't,pKWDhKWDsKWDjournalarticle
851230
M85C0160


Copyright © 1985 - National Library of Medicine. Reproduced under license with the National Library of Medicine, Bethesda, MD.

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