American Journal of Epidemiology Vol. 140, No. 2: 105-112
Copyright © 1994 by The Johns Hopkins University School of Hygiene and Public Health
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Demographic Differences in Cumulative Incidence Rates of Transfusion-associated Acquired Immunodeficiency Syndrome
Division of HIV/AIDS, National Center for Infectious Diseases, Centers for Disease Control and Prevention Atlanta, GA
Reprint requests to Dr. Richard M. Selik, Surveillance Branch, Division of HIV/AIDS, Mailstop E47, Centers for Disease Control and Prevention, 1600 Clifton Road NE, Atlanta, GA 30333
To describe the demographic patterns of blood transfusion in the United States, the authors analyzed the cumulative incidence rate of transfusion-associated acquired immunodeficiency syndrome (AIDS) (total cases reported from June 1981 through May 1993 per million population) by sex, race/ethnicity, age (at transfusion), and geographic area. Except for a high rate in infants, the rate increased with age, peaking at ages 55–64 years in men and at 65–74 years in women. Overall, the rate in males was 1.7 times that in females. By age, the rate in males was significantly higher than that in females only at ages 0–4 years and 45–84 years, when the rate in males was 2–3 times that in females. Overall, the rates in blacks and Hispanics were twice the rate in non-Hispanic whites. By age, the rates in blacks and Hispanics were significantly higher only at ages 0–4 years and 15–54 years, when they were 2–5 times those in whites, respectively. By state of residence, the incidence of transfusion-associated AIDS was correlated with the rate of all other AIDS cases (Spearman correlation coefficient, 0.83; p = 0.0001). Most of these demographic differences probably reflect differences in exposure to blood transfusion and in the incidence of conditions requiring transfusions.
acquired immunodeficiency syndrome; age factors; blood transfusion; epidemiologic factors; ethnic groups; HIV; racial stocks; sex factors
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