       Document 0744
 DOCN  M9490744
 TI    HIV seroprevalence in a London same-day testing clinic.
 DT    9411
 AU    Bor R; Lipman M; Elford J; Murray D; Miller R; Griffiths P; Janossy G;
       Johnson M; Royal Free Hospital National Health Service Trust, London,
       UK.
 SO    AIDS. 1994 May;8(5):697-700. Unique Identifier : AIDSLINE MED/94338609
 AB    OBJECTIVES: To determine the prevalence of HIV infection among people
       attending a confidential, non-genitourinary medicine based testing
       clinic that provides HIV antibody test results on the day of
       consultation. METHODS: Retrospective analysis of data collected on 2635
       individuals attending the Same-Day HIV Testing Clinic at the Royal Free
       Hospital, London between March 1992 and February 1993. RESULTS: A total
       of 1612 men and 1023 women were tested for HIV antibody. The primary
       risk for HIV infection was heterosexual (71.7%; 1889 out of 2635) and
       homosexual contact (24.5%; 646 out of 2635). Fifty-four individuals were
       given positive HIV test results (46 men, median age 34 years; eight
       women, median age 27 years). Overall HIV seroprevalence was 2.0% (95%
       confidence interval, 1.5-2.5). HIV seroprevalence was highest among
       homosexual men (6.5%; 41 out of 635) and injecting drug users (5.7%;
       four out of 70). The rates for heterosexual men and women were 0.2% (two
       out of 915) and 0.7% (seven out of 974), respectively. Of the 54
       individuals who were HIV-antibody-positive, 44 were Centers for Disease
       Control and Prevention stage II/III, eight stage IV and one was tested
       at the time of seroconversion (stage I; data were not available for one
       patient). Of the total numbers attending this clinic 27% (702 out of
       2635) had previously been tested and received a negative result. Of a
       total of 54 HIV-antibody-positive individuals, 40% (21) had previously
       received a negative test result. CONCLUSIONS: The data suggest that
       seroprevalence amongst homosexual men attending a designated HIV testing
       clinic in London is lower than that reported by genitourinary clinic
       based testing sites. The large number of repeat testers who subsequently
       became infected with HIV suggests that there is a population requiring
       specific targetting for HIV risk reduction.
 DE    Adult  Ambulatory Care Facilities/*STATISTICS & NUMER DATA  AIDS
       Serodiagnosis/*STATISTICS & NUMER DATA  Female  Human  HIV
       Antibodies/BLOOD  *HIV Seroprevalence  HIV-1/IMMUNOLOGY
       HIV-2/IMMUNOLOGY  London/EPIDEMIOLOGY  Male  Middle Age  Occupational
       Diseases/EPIDEMIOLOGY  Retrospective Studies  Risk Factors  Sex
       Behavior/STATISTICS & NUMER DATA  Substance Abuse,
       Intravenous/EPIDEMIOLOGY  Support, Non-U.S. Gov't  JOURNAL ARTICLE

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

