Selik R M, Chu S Y, Buehler J W
Division of HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, GA 30333.
JAMA. 1993 Jun 16;269(23):2991-4.
To describe the extent to which human immunodeficiency virus (HIV) infection has become the leading cause of death among young adults (25 to 44 years of age) in US states and cities of at least 100,000 population.
Analysis of underlying causes of death using national vital statistics for 1990 by state and city. Deaths caused by HIV were defined as those with underlying cause assigned a code number of 042, 043, or 044, as established by the National Center for Health Statistics.
Infection with HIV was the leading cause of death among young men in five states, causing 29% of their deaths in New York, 28% in New Jersey, 24% in California and Florida, and 16% in Massachusetts. Among young women, HIV was not the leading cause of death in any state. Among young men, HIV infection was the leading cause of death in 64 cities, with the proportion of deaths due to HIV ranging from 16% in Bridgeport, Conn, to 61% in San Francisco, Calif. Among young women, HIV infection was the leading cause of death in nine cities, with the proportion of deaths due to HIV ranging from 15% in Baltimore, Md, to 43% in Newark, NJ.
In many US communities, HIV infection is the leading cause of death among young men and women, causing a large proportion of deaths in this age group.
描述在美国至少有10万人口的州和城市中，人类免疫缺陷病毒（HIV）感染在多大程度上已成为25至44岁年轻人死亡的主要原因。
利用1990年按州和城市划分的国家生命统计数据对死亡根本原因进行分析。由HIV导致的死亡定义为根据国家卫生统计中心规定，根本原因被赋予代码042、043或044的那些死亡。
在五个州，HIV感染是年轻男性死亡的主要原因，在纽约导致其29%的死亡，在新泽西为28%，在加利福尼亚和佛罗里达为24%，在马萨诸塞为16%。在年轻女性中，HIV在任何州都不是主要死因。在年轻男性中，HIV感染是64个城市的主要死因，因HIV导致的死亡比例从康涅狄格州布里奇波特的16%到加利福尼亚州旧金山的61%不等。在年轻女性中，HIV感染是九个城市的主要死因，因HIV导致的死亡比例从马里兰州巴尔的摩的15%到新泽西州纽瓦克的43%不等。
在美国许多社区，HIV感染是年轻男性和女性死亡的主要原因，在这个年龄组中导致很大比例的死亡。
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