Chu A, Torbert A, Brown L, Ellison J, Matthew I, McFarland J, Forlenza S; Conference on Retroviruses and Opportunistic Infections.

Program Abstr 5th Conf Retrovir Oppor Infect Conf Retrovir Oppor Infect 5th 1998 Chic Ill. 1998 Feb 1-5; 5th: 103 (abstract no. 129).

New York City Department of Health, New York, NY.

BACKGROUND: NYC AIDS cases attributed to HT increased 33% annually between 1990-1995 even though NYC historically reported less than 1% male HTs. HT could be obscured by IDU or MSM because CDC's hierarchical exposure risk categories report only one primary risk. OBJECTIVES: To describe (1) multiple transmission risks in IDU and HT cases, (2) the role of HT in AIDS cases in NYC. METHODS: A multi-site project investigated risk behaviors of a sample of 381 NYC AIDS cases reported between 2/95-10/95. Cases were investigated by review of hospital records (343), clinic records (70), interviews with patient (171), medical personnel (327), or deceased patients' relatives (40). RESULTS: Among cases with documented risk, multiple risks were reported in 35% of 101 IDU men, 61% of 69 IDU women, 42% of 90 HT men and 55% of 64 HT women. HT was often reported among those with multiple risks: 89% of 35 IDU men, 98% of 42 IDU women, 92% of 38 HT men and all 35 HT women. MSM/bisexuality was reported in men with multiple risks: 17% of IDUs, 18% of HTs. IDU&HT risks were reported in 45% of HT men and 37% of HT women. Bisexual women were reported in 11% of 72 IDUs and 4% of 79 HTs. Patient interviews revealed serious use of cocaine (58%), heroin (42%), crack (39%), and other illicit drugs (50%). CONCLUSION: Multiple risks especially HT risks were reported in 44% of all (182) IDUs, and HT&IDU in 41% of 73 multiple risk cases originally reported as HTs. These findings reinforce the importance of overlapping HT and IDU epidemic in NYC and suggest that HT may be more prevalent than reported.

Publication Types:

• Meeting Abstracts

Keywords:

• Accidents
• Acquired Immunodeficiency Syndrome
• Bisexuality
• Disease Outbreaks
• Female
• Humans
• Male
• New York City
• Risk-Taking
• Street Drugs
• Substance-Related Disorders
• injuries

Other ID:

• 98929057

UI: 102235710

From Meeting Abstracts