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This report updates data for acquired immunodeficiency syndrome AIDS and human immunodeficiency virus HIV infection associated with heterosexual transmission and is based on national AIDS surveillance, HIV seroprevalence surveys, and studies of populations at varying levels of risk for heterosexual transmission. While the number of heterosexually acquired AIDS cases reported each year has increased, the overall proportion has remained relatively stable--from 5.
However, the composition of the group has changed over time; sincepersons reporting sexual contact with a partner at risk have outnumbered HIV-infected persons born in countries with predominantly heterosexual HIV transmission Figure 1. Men were older than women mean age: In the 12 months before March 31,blacks and Hispanics had the highest incidences of heterosexually acquired AIDS perpopulation: Overall, rates for blacks and Hispanics were 12 and 10 times, respectively, the rate for whites.
The geographic distributions of women who were sex partners of bisexual men or men who used IV drugs were similar to those of men with AIDS from these two groups Table 2A and 2B. Female prostitutes are at increased risk for acquisition and potential transmission of HIV infection.
Seroprevalence data are limited for heterosexuals who are not sex partners of persons known to be infected or at increased risk. HIV transmission among heterosexually active persons without known risks in either partner also can be monitored by interviewing seropositive civilian recruit applicants for military service and blood donors.
HIV seropositivity lower than that in comparable segments of the Main route of hiv transmission heterosexual population would be expected because both groups are screened to exclude persons with histories of male homosexual contact, IV-drug use, or hemophilia. Seropositive recruit applicants and blood donors therefore might be expected to include a relatively large proportion of persons with HIV infection acquired from heterosexual partners who were not suspected or known to be infected.
Main route of hiv transmission heterosexual limited follow-up studies of seropositive male recruit applicants, most had risk factors for HIV infection other than heterosexual contact. Too few seropositive women were available for analysis. Local, state, and territorial health departments. Outstanding direct of hiv dispatching heterosexual.
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