Abstract:
:The Bangkok (Thailand) Metropolitan Administration cohort of injecting drug users (IDUs) consisted of 1,209 IDUs initially seronegative for human immunodeficiency virus (HIV) who were followed from 1995 to 1998 at 15 Administration drug treatment clinics. At enrollment and approximately every 4 months thereafter, participants were assessed for HIV seropositivity. As of December 1998, there were 133 HIV type 1 seroconversions and approximately 2,300 person-years of follow-up. Of the 133 observed seroconversions, specimens from 126 persons were available for subtyping (27 subtype B, 99 subtype E). In this analysis, the authors assessed differences in subtype-specific transmission while controlling for important risk factors. The methodology used accounts for left truncation, interval censoring, and competing risks as well as for time-varying covariates such as each IDU's history of reported frequency of injection and of incarceration. Using plausible epidemiologic assumptions and controlling for behavioral risks, the authors found that a significantly higher transmission probability was associated with subtype E compared with subtype B in this population. Since many epidemiologic, virologic, and host factors can influence HIV transmission, it was difficult to conclude whether these differences in transmission probabilities were due to biologic properties associated with subtype.
journal_name
Am J Epidemioljournal_title
American journal of epidemiologyauthors
Hudgens MG,Longini IM Jr,Vanichseni S,Hu DJ,Kitayaporn D,Mock PA,Halloran ME,Satten GA,Choopanya K,Mastro TDdoi
10.1093/aje/155.2.159subject
Has Abstractpub_date
2002-01-15 00:00:00pages
159-68issue
2eissn
0002-9262issn
1476-6256journal_volume
155pub_type
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