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© 1993 Oxford University Press

other

Geographical Variations in the Prevalence of HIV Infection among Drug Users Receiving Ambulatory Treatment in Spain

PABLO LARDELLI*, LUIS DE LA FUENTE**, JOSÉ MARÍA ALONSO**, ROSA LÓPEZ*, MARÍA JOSÉ BRAVO** and MIGUEL DELGADO-RODRÍGUEZ*,{dagger},

*Department of Preventive Medicine, School of Medicine, University of Granada Granada, Spain
**Government Office for the National Plan on Drugs, Ministry of Health Madrid, Spain
{dagger}Unit of Clinical Epidemiology, Hospital ‘Virgen de las Nieves’ Granada, Spain

Reprint requests to: Professor M Delgado-Rodrlguez, Medicina Preventive. Facultad de Medicina, Avemda de Madrid 11, 18012-Granada. Spain

To identify the factors responsible for the regional differences in HIV-positive serostatus among drug users in Spain receiving outpatient treatment, the 17 autonomous regions into which Spain is divided were classified as high (mean 52%) or low prevalence groups (mean 34%) depending on the prevalence of seropositivity. In regions where the prevalence of positive serostatus was high, unemployment was more markedly associated with HIV infection than in low prevalence regions, while other potential risk factors yielded the same strength of association. Even so, adjustment for all the factors only accounted for 13% of the total difference in HIV+ prevalence between regions. The current distribution of risk factors among the two groups of autonomous regions does not explain these differences.

Received 1 October 1992


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