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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
3241.0: Monday, December 12, 2005 - Board 5

Abstract #105201

Gender differences in HIV/AIDS patients with co-Infections in the Houston Adult/Adolescent Spectrum of HIV/AIDS Disease (ASD) Surveillance Project

Adebowale Awosika-Olumo, MD, MS, MPH1, Raouf R. Arafat, MD, MPH1, and James T. Gomez, BS2. (1) Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, Houston Department of Health and Human Services, 8000 N Stadium Dr 4th floor, Houston, TX 77054, 713-794-9181, awosika-olumo.adebowale@cityofhouston.net, (2) City of Houston Department of Health and Human Services, Bureau of Epidemiology, Office of Surveillance and Public Health Preparedness, 8000 N. Stadium Drive, Houston, TX 77054

Objective: To examine the association of selected HIV co-infections between genders within age categories, social risk factor, and race/ethnicity in addition to determining the statistical significance between dual and non-dual HIV+ infection groups.

Methods: Analysis of longitudinal medical record cohort study of 5,209 HIV/AIDS positive persons receiving primary health care in four Houston, Texas Public health facilities.

Results: 1305 females enrolled 61% were found to have acquired a dual infection versus 1835 among the male group. A significantly higher proportion (P<.001) of females between the ages of 13 to 19 were found to have contracted a dual infection as compared to males in the same age group. Among males subjects, those most at risk for dual infections were men who have sex with men and injection drug users (MSM & IDU) (P<.001). The HIV co-infections incidence with Syphilis, hepatitis C, or hepatitis B in 1990 to 1991 was 9.74, 0.00, 4.19, and 1.83 cases respectively per 100 persons-years versus data from 2002 to 2003 incidence of 1.83, 6.16, and 4.19 cases respectively.

Conclusions: Our findings indicate that females are more susceptible to contracting a dual infection compared to males. Females are also more susceptible in ages 13 to19 as compared to males indicating a need for intervention activities for females in this age group. This highlights the ongoing need for identifying areas of focus for treatment and prevention of HIV transmission when a dual infection is present.

Learning Objectives:

Keywords: Adult Health, HIV/AIDS

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Care and Services for Individuals Living with HIV/AIDS

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA