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A Spreadsheet for Aids

Estimating Heterosexual Injection Drug User Population Size from Aids Statistics in San Francisco

Bibliographic Data

ID13914144
AuthorsMichael R Aldrich (a Youth Environment Study , San Francisco , California, corresponding author), Jerry Mandel (a Youth Environment Study , San Francisco , California), John A Newmeyer (b Haight Ashbury Free Clinics , San Francisco , California)
Year1990
Volume22
Issue3
Pages343-349
Publication date1990-07-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueJournal of Psychoactive Drugs (JOURNAL)
Journal identifiersISSN: 0279-1072 • E-ISSN: 2159-9777
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/02791072.1990.10472558
PMID2286868
OpenAlexW2073818138
LanguageEN
Citations received3
References cited6

A single-page computer spreadsheet can be used to back-calculate the size of the population at risk from the reported number of AIDS cases and HIV seropositivity levels for that population. However, Cohen (1988:35) has cautioned that "this method requires some heroic assumptions, and is, therefore, fraught with difficulty." Slight variations in the definition of AIDS, in the progression rate, and in reported seropositivity rates used as data in the spreadsheet can make enormous differences in the results obtained through back-calculation. Despite the limitations of the method, an estimate of the possible size of the IDU population can be derived from back-calculation, with careful consideration of ethnographic realities taken into account. In San Francisco, the present authors believe that there were approximately 13,000 heterosexual IDUs as of the end of 1989. Further demographic divisions by ethnicity, age, sex, and even neighborhood could be made using the same techniques, if AIDS cases and seropositivity levels could be obtained for each variable. Table II predicts a cumulative 705 AIDS diagnoses among San Francisco heterosexual IDUs by the end of 1993, or nearly six times as many as reported through 1988. This prediction is based on an assumption of 2.5% seroconversion per year (1989-1993) and on modest progression-rate increments of 5%, 5%, 4%, 3%, and 3% in the eleventh through fifteenth years after HIV infection. Thus, it shows the magnitude of the epidemic that San Francisco will shortly face and emphasizes the need to act vigorously to prevent further HIV contagion among IDUs as well as from them to their heterosexual partners (drug using or not).(ABSTRACT TRUNCATED AT 250 WORDS)

Eleventh · Fifteenth · Population · Sociology · Statistics · Demography · History · HIV Research and Treatment · HIV, Drug Use, Sexual Risk · HIV/AIDS Research and Interventions · Mathematics · Medicine · Gerontology

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  • Estimation of the Prevalence of Injection Drug Use in Greater Boston in 1993

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  • The estimated prevalence and incidence of HIV in 96 large US metropolitan areas

    Scott D Holmberg•American Journal of Public Health•1996

  • Cocaine Use and HIV Infection in Intravenous Drug Users in San Francisco

    Richard E Chaisson•JAMA•1989

  • The Prevalence of Drug Use in San Francisco in 1987

    John A Newmeyer•Journal of Psychoactive Drugs•1988

  • Human immunodeficiency virus infection in heterosexual intravenous drug users in San Francisco

    Richard E Chaisson, Alison R Mo et al.•American Journal of Public Health•1987

Unique citing works3
Citations per year0.1
Citation span1996 - 2004 (9)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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