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Trends of HIV Seroconversion Among Young Adults in the US Army, 1985 to 1989
John G. McNeil, MD;
John F. Brundage, MD;
Lytt I. Gardner, PhD;
Z. Frank Wann, MS;
Philip O. Renzullo, MPH;
Robert R. Redfield, MD;
Donald S. Burke, MD;
Richard N. Miller, MD;
the US Army Retrovirus Research Group
JAMA. 1991;265(13):1709-1714.
Abstract
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Because soldiers in the US Army are recurrently tested for the presence of antibody to the human immunodeficiency virus (HIV), HIV seroconversion rates can be directly measured. From November 1985 through October 1989,429 HIV seroconversions were detected among 718 780 soldiers who contributed 1 088 447 person-years of follow-up time (HIV seroconversion rate, 0.39 per 1000 person-years). Period-specific seroconversion rates declined significantly, from 0.49 per 1000 person-years (November 1985 through October 1987) to 0.33 per 1000 person-years (November 1987 through October 1988) to 0.29 per 1000 person-years (November 1988 through October 1989). The HIV seroconversion risk among active-duty soldiers was significantly associated with race/ ethnic group, age, gender, and marital status. Based on these trends, we estimate that approximately 220 soldiers (95% confidence interval, 160 to 297 soldiers) were infected with HIV during 1989 and 1990, with potentially fewer in future years.
(JAMA. 1991;265:1709-1714)
Author Affiliations
From the Divisions of Preventive Medicine (Drs McNeil, Brundage, Gardner, and Miller and Mr Renzullo) and Retrovirology (Drs Redfield and Burke), Walter Reed Army Institute of Research, Washington, DC; and SRA Technologies, Alexandria, Va (Mr Wann). The opinions or assertions contained herein are the private views of the authors and are not to be construed as official or as reflecting the views of the Department of the Army or the Department of Defense.
Footnotes
Reprint requests to Division of Preventive Medicine, Department of Epidemiology, Walter Reed Army Institute of Research, Washington, DC 20307-5100 (Dr McNeil)
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