Acquired immunodeficiency syndrome among adolescents. Case surveillance profiles in New York City and the rest of the United States
S. H. Vermund, K. Hein, H. D. Gayle, J. M. Cary, P. A. Thomas and E. Drucker
Department of Epidemiology and Social Medicine, Albert Einstein College of Medicine/Montefiore Medical Center, Bronx, NY.
Adolescents engaging in certain sexual or drug-related behavior are at risk
of contracting the human immunodeficiency virus infection in endemic
locales. Local and national surveillance data were analyzed to determine
the characteristics of the acquired immunodeficiency syndrome (AIDS)
epidemic on adolescents. Of the 605 cases of AIDS in people aged 13 to 21
years reported through 1987, 518 were males (83 from New York City [NYC],
NY), and 87 were females (28 from NYC). Over half of all adolescent males
with AIDS reported homosexual contact. Transfusion/blood product-related
human immunodeficiency virus acquisitions (especially in males with
hemophilia) represented 11% of adolescent cases from NYC (1% of NYC adults)
and 22% of adolescent cases in the United States (US) outside of NYC (4% of
adults in the US). Intravenous drug use was more frequently reported among
adolescents with AIDS from NYC (23%) than among adolescents outside NYC
(14%). In females, heterosexual transmission accounts for about half of all
adolescent AIDS cases and 29% of all adult cases. Age-appropriate services
and behavioral interventions are urgently needed for high-risk adolescents.
