Shah P N, Iatrakis G M, Smith J R, Wells C, Barton S E, Kitchen V S, Kourounis G, Steer P J
Department of Obstetrics and Gynaecology, Charing Cross and Westminister Medical School, London, UK.
Genitourin Med. 1993 Dec;69(6):439-40. doi: 10.1136/sti.69.6.439.
To determine the changing patterns of HIV infection in women in three units in London.
Three hundred and fifty seven HIV seropositive women who have attended outpatient clinics between 1984 and 1992.
A retrospective review of data obtained from a computerised database and supplemented by direct inspection of the notes.
The number of newly identified women with HIV has risen steadily over the period of study with a significant shift towards a heterosexual mode of transmission. This is a reflection of increasing numbers of women from Sub-Saharan Africa rather than a rise in the incidence of HIV in women born in the UK.
The increase in women infected by HIV remains predominantly restricted to women in "high risk" groups. Although encouraging, our data should be interpreted with caution since it suffers from the inherent bias of selective testing. Safer sex education and epidemiological surveillance should continue despite the apparent low risk to women born in the UK.
确定伦敦三个单位女性艾滋病毒感染情况的变化模式。
1984年至1992年间到门诊就诊的357名艾滋病毒血清反应阳性女性。
对从计算机数据库获取的数据进行回顾性分析,并通过直接查阅病历进行补充。
在研究期间,新确诊感染艾滋病毒的女性人数稳步上升,且传播方式显著转向异性传播。这反映出撒哈拉以南非洲女性人数增加,而非英国出生女性艾滋病毒感染率上升。
感染艾滋病毒的女性人数增加主要仍局限于“高危”群体中的女性。尽管令人鼓舞,但我们的数据应谨慎解读,因为它存在选择性检测固有的偏差。尽管英国出生的女性感染风险明显较低,但仍应继续开展安全性行为教育和流行病学监测。