American Journal of Epidemiology Vol. 128, No. 2: 261-267
Copyright © 1988 by The Johns Hopkins University School of Hygiene and Public Health
research-article |
TEMPORAL TRENDS IN THE INCIDENCE OF NON-HODGKIN'S LYMPHOMA AND SELECTED MALIGNANCIES IN A POPULATION WITH A HIGH INCIDENCE OF ACQUIRED IMMUNODEFICIENCY SYNDROME (AIDS)
1Epidemiological Studies and Surveillance Section, California Department of Health Services 2151 Berkeley Way, Berkeley, CA 94704.
2Northern California Cancer Center Belmont, CA
3California Department of Health Services Sacramento, CA
4School of Public Health, University of California Berkeley, CA
Reprint requests to Martha E. Harnly
Annual incidence rates for 1975–1985 were derived for Kaposi's sarcoma, non-Hodgkin's lymphomas, and seven other malignancies. Never-married men in the San Francisco Bay area constituted the study population. The pattern of increase in incidence of non-Hodgkin's lymphoma among men aged 25–44 years was similar to that seen for Kaposi's sarcoma; both increased significantly in San Francisco between 1980 and 1985 (p < 0.001), with an increase among census tracts with high incidence of acquired immunodeficiency syndrome (AIDS) that was greater than the increase seen in other San Francisco census tracts. Among men in tracts with a high incidence of AIDS, non-Hodgkin's lymphoma reached an incidence in 1985 that was five times greater than preepidemic rates. These increased rates support the conclusion of clinical studies that non-Hodgkin's lymphoma is an additional manifestation of AIDS. Similar increases in incidence rates were not observed for other malignancies, suggesting that reports of these malignancies in homosexuals may be isolated incidents. Whether rates of non-Hodgkin's lymphoma will continue to increase and whether rates of other potentially AIDS-associated malignancies will increase in the future may depend on the latency of these malignancies and the survival period of AIDS patients.
acquired immunodeficiency syndrome; homosexuality; lymphoma; neoplasms; sarcoma
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