| Titre : | Increased incidence of cancer among homosexual men, New York City and San Francisco, 1978-1990. (1996) |
| Auteurs : | B.A. KOBLIN ; S.P. BUCHBINDER ; N.A. HESSOL ; M.H. KATZ ; C.E. STEVENS ; P.E. TAYLOR ; A.G. ZAUBER ; The Wolf Szmuness Laboratory of Epidemiology. The New York Blood Center. New York NY. USA |
| Type de document : | Article |
| Dans : | American journal of epidemiology (vol. 144, n° 10, 1996) |
| Pagination : | 916-923 |
| Langues: | Anglais |
| Mots-clés : | Cancer ; Homosexualité ; Virose ; Infection ; Virus ; Epidémiologie ; Incidence ; Homme ; Etats Unis ; Amérique ; Peau [pathologie] ; Sida |
| Résumé : | [BDSP. Notice produite par INIST wgUwyR0x. Diffusion soumise à autorisation]. Several studies have shown that human immunodeficiency virus type 1 (HIV-1) is associated with an increase in the incidence of Kaposi's sarcoma and non-Hodgkin's lymphoma among homosexual men. The role of HIV-1 in increasing the incidence of other malignancies is more controversial. The incidence of non-Kaposi's sarcoma cancer was examined from 1978 to 1990 among 15,565 homosexual men who participated in studies of hepatitis B virus infection in the late 1970s in New York City, New York, and San Francisco, California. The standardized incidence ratio (SIR) for all cancers was 1.6 (95% confidence interval (CI) 1.4-1.8). Excesses were observed for non-Hodgkin's lymphoma (SIR=12.7 ; 95% CI 11.0-14.6), Hodgkin's disease (SIR=2.5 ; 95% CI 1.5-3.9), and anal cancer (SIR=24.2 ; 95% CI 13.5-39.9). As seen with non-Hodgkin's lymphoma, a cancer known to be associated with HIV-1, Hodgkin's disease incidence was significantly higher in more recent years compared with earlier years. No cases of Hodgkin's disease were found among HIV-1 antibody-negative men, and Hodgkin's disease was diagnosed near the time of initial acquired immunodeficiency syndrome diagnoses. Anal cancer incidence did not correlate with HIV-1 antibody status and did not tend to occur near the time of AIDS diagnoses. This study confirms the association of non-Hodgkin's lymphoma with HIV-1 infection and suggests an association between Hodgkin's disease and HIV-1 infection. (...) |
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