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• W3150901641 abstract "Previously defined in homosexuals with Kaposi's sarcoma may not be causative of (acquired immune deficiency syndrome) but are an important tool in identifying segments of the homosexual population who are at increased risk for the development of and who may benefit from health education and surveillance efforts. The epidemiologic characteristics of such a group of homosexuals from a low incidence area (Pittsburgh, PA) are examined and several factors which may account for differences in incidence are briefly discussed (Am J Public Health 1984; 74:259-260.) Since 1979, the Centers for Disease Control (CDC) has been investigating the development of Kaposi's sarcoma and opportunistic infections of various types in previously healthy persons.' These lesions are presumed to be the result of an acquired, although unexplained, T-cell defect2 and the syndrome has been labeled AIDS (acquired immune deficiency syndrome).3 Homosexual or bisexual males account for the largest number of cases,4 but the syndrome has also been described in heterosexual males and females,4 a majority of whom abuse parenteral drugs, Haitian refugees,5 persons with Hemophilia A,67 and several infants,8 including one who had received multiple blood transfusions for erythroblastosis fetalis.9 The recent observation of immunodeficiency in two female sexual partners of males with AIDS,'0 along with the frequent history of IV drug use in patients, suggest a transmissible etiology. Although the risk factors probably vary among affected groups, it has been documented that male homosexuals with Kaposi's sarcoma have a higher rate of exposure to volatile nitrites and a larger number of sexual contacts when compared to age and race matched homosexual controls. I These characteristics, while not necessarily causal are significant in identifying the homosexual male population at increased risk for the development of AIDS. Within the homosexual community, men who regularly frequent bath-houses for anonymous sexual encounters have not only a larger number of different lifetime sexual partners, but also are at greater risk for the development of venereal infection.'213 These similarities in epidemiologic characteristics suggest that this subset of the homosexual population may represent a high-risk group for and that health education efforts, surveillance programs, and selective screening (when an appropriate test is developed) should be focused accordingly. Utilizing para-professional venereal disease counselors from a local, multiservice community health agency with a significant percentage of male homosexual clients, an health education project was conducted at a homosexual bath house in Pittsburgh, PA. The investigators also wished Address reprint requests to Ronald 0. Valdiserri, MD, Director, PERF Laboratory, Falk Clinic, 3601 Fifth Avenue, Pittsburgh, PA 15213. Dr. Valdiserri is also Assistant Professor of Pathology, University of Pittsburgh School of Medicine. This paper, submitted to the Journal March 29, 1983, was revised and accepted for publication May 25, 1983. X 1984 American Journal of Public Health 0090-0036/84 $1.50 to gather epidemiologic data on the participants to determine if there were any obvious epidemiologic differences which might rationalize differences in the frequency of among promiscuous homosexual males in Pittsburgh and New York City." @default.
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• W3150901641 date "2006-01-01" @default.
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• W3150901641 title "AIDS surveillance and health education: use of previously described risk factors to identify high-risk homosexuals" @default.
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