"Seroprevalence of Human Immunodeficiency Virus Infection at Sentinel" Hospitals

Important note: Information in this article was accurate in 1990. The state of the art may have changed since the publication date.

"Seroprevalence of Human Immunodeficiency Virus Infection at Sentinel" Hospitals

New England Journal of Medicine (12/27/90) Vol. 323, No. 26, P. 1843
Shih, Deborah P., et al.

Abstract: Cord blood samples from parturient women in Durham, North Carolina, showed an HIV-positive rate higher than the national average as estimated by the Centers for Disease Control and significantly higher than similar studies from New York, Massachusetts, and California, report Deborah Shih and colleagues of the Duke University Medical Center. The rate found was also higher than that reported by St. Louis et al. for 26 sentinel metropolitan hospitals, although St. Louis et al. claimed that their data was likely to be indicative of the situation across the United States. Shih et al. write that AIDS shows no geographic bias, and generalization from studies must be undertaken with caution because of the focal nature of the HIV epidemic. More surveys outside metropolitan areas and without geographic bias are needed, they write, to provide estimates of HIV seroprevalence and to develop effective screening policies for childbearing women. All of the studies mentioned found a high rate of seroprevalence among women of childbearing age, they observe.

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