Blind HIV-ab and syphilis-ab seroprevalence survey in New York State STD clinics.

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Blind HIV-ab and syphilis-ab seroprevalence survey in New York State STD clinics.

Int Conf AIDS. 1989 Jun 4-9;5:89 (abstract no. M.A.P.71). Unique Identifier : AIDSLINE ICA5/00022889
DiFerdinando G; Arthur K; Hipp S; Murphy D; New York State (NYS) Department of Health, Albany, NY, USA

Abstract: OBJECTIVE: To monitor over time the HIV and syphilis seroprevalence among STD clients in all regions of NYS, excluding NYC. METHODS: Sera of clients receiving syphilis testing (RPR, FTA) at 19 STD clinics in 8 NYS counties during 1988 were tested anonymously for HIV (ELISA, WB). Clients were excluded if they had been tested within the previous 90 day period. RESULTS: All sites had a substantial percentage of clients with HIV-ab (1.14 to 3.17%) and syphilis-ab (1.64 to 16.0%) positivity. Of 9011 clients, 179 (1.99%) had HIV-ab+ sera; quarterly period prevalence did not increase over time. HIV-ab was higher in males (139/6198, 2.24%) than females (37/2731, 1.35%) (p less than .001); Hispanics (15/352, 5.77%) than either white (73/3370, 2.17%) or black non-Hispanics (88/5166, 1.70%); and increased with age, from 0.34%, ages 13-19; 1.8%, 20-29; 3.0%. 30-39; to 4.67% in those 40-49; 6.65% of those 50 or older were HIV-ab+. (test for linear trend, p=.0026). Of 8816 with results recorded, 334 (3.79%) had sera RPR+ and FTA+ for syphilis-ab. Overall, those syphilis-ab+ were 3.4 times more likely to have HIV-ab then those without syphilis-ab (5.99 vs. 1.82%, p less than .001). Among counties, however, the association between HIV-ab and syphilis-ab varied greatly (odds ratio ranged from 0.56 to 15.3). CONCLUSION: The HIV epidemic has spread throughout NYS in the STD clinic population. Although HIV-ab status is strongly associated with sero-evidence of current or previous syphilis infection, this association varies widely between clinic location, and those without evidence of syphilis-ab still have a substantial rate of HIV-ab positivity.

Keywords: Adult Ambulatory Care Facilities Female Hispanic Americans Human HIV Infections/COMPLICATIONS *HIV Seroprevalence Male Negroid Race New York/*EPIDEMIOLOGY Sexually Transmitted Diseases/EPIDEMIOLOGY Syphilis/COMPLICATIONS/*EPIDEMIOLOGY Syphilis Serodiagnosis ABSTRACT
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