Document Detail


Human immunodeficiency virus infection in North American women: experience with 200 cases and a review of the literature.
MedLine Citation:
PMID:  1921705     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This study was designed to define the epidemiology and natural history of human immunodeficiency virus (HIV) infection in women in Rhode Island. Two hundred women referred to Brown University physicians from 1986 through 1990 were evaluated at 3-to-6-month intervals for 12 to 60 months. All received antiretroviral therapy and prophylaxis against opportunistic infections when indicated on the basis of CD4 lymphocyte counts. Major findings included: 1) rapid shift of dominant mode of transmission from intravenous drug sharing to heterosexual route; 2) significant gender-specific differences in clinical presentation; 3) increased frequency of cervical dysplasia in women infected via intravenous needle sharing; 4) no definite gender-specific differences in progression of HIV infection; 5) enormous societal impact of HIV infection in women. Principal conclusions are: 1) rapid change to predominantly heterosexual HIV transmission can occur in North America, with serious societal impact; 2) gender-specific clinical features can lead to earlier diagnosis of HIV infection in women; 3) HIV infection in women does not pursue an inherently more rapid course than that observed in men.
Authors:
C C Carpenter; K H Mayer; M D Stein; B D Leibman; A Fisher; T C Fiore
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Medicine     Volume:  70     ISSN:  0025-7974     ISO Abbreviation:  Medicine (Baltimore)     Publication Date:  1991 Sep 
Date Detail:
Created Date:  1991-11-07     Completed Date:  1991-11-07     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  2985248R     Medline TA:  Medicine (Baltimore)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  307-25     Citation Subset:  AIM; IM; X    
Affiliation:
Brown University AIDS Program, Providence, RI 02906.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Demography
Female
HIV Infections / complications,  epidemiology*,  transmission
Humans
Incidence
Rhode Island / epidemiology
Sex Factors
Sexual Behavior
Social Problems
Socioeconomic Factors
Substance Abuse, Intravenous
Uterine Cervical Dysplasia / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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