Important note: Information in this article was accurate in 1992. The state of the art may have changed since the publication date.
HIV-1 infection among New York City inmates.
AIDS. 1991 Sep;5(9):1133-8. Unique Identifier : AIDSLINE MED/92029733 Weisfuse IB; Greenberg BL; Back SD; Makki HA; Thomas P; Rooney WC; Rautenberg EL; Division of AIDS Program Services, New York City Department of; Health, New York 10013.
Abstract:
A blinded seroprevalence survey for HIV-1 infection was conducted among individuals entering New York City (NYC) prisons in 1989. Data collected included age group, race/ethnicity, syphilis serologic results and self-admitted drug use. Remnant serum specimens were tested for HIV-1 antibody by enzyme-linked immunosorbent assay and confirmed by Western blot. Of 2236 inmates surveyed, 413 (18.5%) were HIV-1 positive. Rates varied by subgroup, and were higher for women than men (25.8 versus 16.1%; odds ratio 1.8; P less than 0.01), for drug users than inmates who denied drug use (25 versus 14%; odds ratio 2.3; P less than 0.01), for intravenous heroin users (43 versus 15% in drug users not using heroin), and for inmates with positive rapid plasma reagin test (RPR) results (34.5 versus 16.1% in RPR-negative inmates). Use of intravenous heroin was most strongly related, by logistic regression, to HIV-1 seropositivity. The results are among the highest found in US inmates, and suggest that there were 12,500 seropositive individuals incarcerated in 1989. This represents approximately 10% of the estimated number of seropositive individuals in NYC. The NYC Correctional System should be viewed as a front-line institution in the fight against AIDS through provision of HIV-related prevention services and clinical care, and drug treatment.
Keywords: Adult Blotting, Western Diacetylmorphine Enzyme-Linked Immunosorbent Assay Female Human HIV Infections/*EPIDEMIOLOGY *HIV Seroprevalence *HIV-1 Male New York City/EPIDEMIOLOGY Prevalence *Prisoners Substance Abuse, Intravenous/COMPLICATIONS Support, U.S. Gov't, P.H.S. Syphilis/COMPLICATIONS Treponema Immobilization Test JOURNAL ARTICLE 920228
M9220831
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