Titre :
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HIV infections and associated costs attributable to syphilis coinfection among African Americans. (2003)
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Auteurs :
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Harrell-W CHESSON ;
COUNTS (George-W) : USA. Division of Std Prevention. Cdc. ;
PINKERTON (Steven-D) : USA. Center for Aids Intervention Research. Department of Psychiatry and Behavioral Medicine. Medical College of Wisconsin. Milwaukee. ;
Richard VOIGT ;
Division of Std Prevention. Centers for Disease Control and Prevention Cdc Atlanta. GA. USA
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Type de document :
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Article
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Dans :
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American journal of public health (vol. 93, n° 6, 2003)
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Pagination :
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943-948
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Langues:
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Anglais
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Mots-clés :
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Sida
;
Virose
;
Infection
;
VIH
;
Rétrovirus
;
Virus
;
Syphilis
;
Bactériose
;
Bactérie
;
Maladie associée
;
Homme
;
Epidémiologie
;
Immunopathologie
;
Maladie sexuellement transmissible
;
Economie santé
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Résumé :
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[BDSP. Notice produite par INIST-CNRS 2pnOR0x5. Diffusion soumise à autorisation]. Objectives. We estimated the number and cost of syphilis-attributable HIV cases among African Americans. Methods. A mathematical model of HIV transmission was used to estimate the number of partnerships consisting of HIV-discordant African Americans in which infectious syphilis was present and the number of new HIV cases attributable to syphilis in these partnerships. Results. In 2000, an estimated 545 new cases of HIV infection among African Americans could be attributed to the facilitative effects of infectious syphilis, at a cost of about $113 million. Conclusions. Syphilis prevention could reduce HIV incidence rates and the disproportionate burden of HIV/AIDS on the African American community, resulting in substantial reductions in future HIV/AIDS medical costs.
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