Bartholomew C, Cleghorn F
Bull Pan Am Health Organ. 1989;23(1-2):76-80.
Transmission of HIV in many Caribbean countries has followed the pattern of initial predominance among homosexual and bisexual males, with the infection subsequently spreading into the heterosexual community. However, on Saint Lucia the epidemic began among heterosexual contacts of Saint Lucian laborers from Florida; in Bermuda 58% of AIDS cases have been in intravenous drug abusers; and in the Bahamas 59% of the AIDS patients have been heterosexuals and 19% children infected via the perinatal route. Seroprevalence of the human T-lymphotropic virus, type 1 (HTLV-I), whose modes of transmission resemble those of HIV, has been found to range from 2.3% in Trinidad and Tobago to 5.4% in Jamaica. In a study of HIV and HTLV-1 infection patterns in homosexual males in Trinidad and Tobago, the cohort was too small for confirmation that coinfection with these two viruses hastened progression in AIDS, but further investigation is warranted.
在许多加勒比国家，艾滋病毒的传播模式起初是在男同性恋者和双性恋男性中占主导地位，随后感染扩散到异性恋群体。然而，在圣卢西亚，疫情始于来自佛罗里达的圣卢西亚劳工的异性性接触者；在百慕大，58%的艾滋病病例是静脉注射吸毒者；在巴哈马，59%的艾滋病患者是异性恋者，19%是通过围产期途径感染的儿童。已发现人类T淋巴细胞病毒1型（HTLV-I）的血清阳性率在特立尼达和多巴哥为2.3%，在牙买加为5.4%，其传播方式与艾滋病毒相似。在一项对特立尼达和多巴哥男同性恋者中艾滋病毒和HTLV-1感染模式的研究中，队列规模太小，无法证实这两种病毒的合并感染会加速艾滋病的进展，但有必要进行进一步调查。
