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The Acquired Immunodeficiency Syndrome in a Cohort of Homosexual Men: A Six-Year Follow-up Study
Abstract
A cohort of 6875 homosexual men, initially seen at the San Francisco City Clinic between 1978 and 1980, were studied to determine the incidence and prevalence of the acquired immunodeficiency syndrome, related conditions, and infection with the human T-lymphotropic virus, type III/lymphadenopathy-associated virus (HTLV-III/LAV). By December 1984, 2.4% of the men had the syndrome; mortality attributable to the syndrome in 1984 was 600/100 000. For each man with the syndrome in a representative sample of 474 cohort members seen in 1984, 7.5 men had generalized lymphadenopathy, 1.1 had other prodromal findings, and 0.8 had hematologic abnormalities. Prevalence of serum antibodies to HTLV-III/LAV, measured by an enzyme-linked immunosorbent assay, increased from 4.5% in 1978 to 67.4% in 1984. Of 31 persons who were seropositive and without the syndrome between 1978 and 1980, 2 developed the syndrome and 8 developed related conditions during a median follow-up of 61 months. Over a 6-year period, two thirds of cohort members were infected with HTLV-III/LAV and almost one third developed related conditions.
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Citations
Cited by
Long-Term Immunogenicity and Efficacy of Hepatitis B Vaccine in Homosexual Men
Hadler, S. C., Francis, D. P., Maynard, J. E., Thompson, S. E., Judson, F. N., Echenberg, D. F., Ostrow, D. G., O'Malley, P. M., Penley, K. A., Altman, N. L., et al. (1986) · New England Journal of Medicine · doi:10.1056/nejm198607243150401 · Cited by 608
Self-citationRisks of chronicity following acute hepatitis B virus infection: a review.
Hyams, K. C. (1995) · Clinical Infectious Diseases · doi:10.1093/clinids/20.4.992 · Cited by 521
Epidemiology of HIV Infection and AIDS in the United States
Curran, J. W., Jaffe, H. W., Hardy, A. M., Morgan, W. M., Selik, R. M., & Dondero, T. J. (1988) · Science · doi:10.1126/science.3340847 · Cited by 455
Self-citationStatistical analysis of the stages of HIV infection using a Markov model
Longini, I. M., Clark, W. S., Byers, R. H., Ward, J. W., Darrow, W. W., Lemp, G. F., & Hethcote, H. W. (1989) · Statistics in Medicine · doi:10.1002/sim.4780080708 · Cited by 304
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Metadata
- Authors
- JAFFE, H. W., DARROW, W. W., ECHENBERG, D. F., O'MALLEY, P. M., GETCHELL, J. P., KALYANARAMAN, V. S., BYERS, R. H., DRENNAN, D. P., BRAFF, E. H., CURRAN, J. W., & FRANCIS, D. P.
- Venue
- Annals of Internal Medicine
- Publisher
- American College of Physicians
- Published
- 1985-08-01
- Volume
- 103
- Issue
- 2
- Pages
- 210-214
- ISSN
- 0003-4819 (ISSN-L)
- 1539-3704
- OpenAlex
- W2168585757
- Cited by
- 218
- References
- 0
- FWCI
- 47.22
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: The Acquired Immunodeficiency Syndrome in a Cohort of Homosexual Men: A Six-Year Follow-up Study. https://app.cochat.ai/papers/10.7326/0003-4819-103-2-210
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- JAFFE, H. W., DARROW, W. W., ECHENBERG, D. F., O'MALLEY, P. M., GETCHELL, J. P., KALYANARAMAN, V. S., BYERS, R. H., DRENNAN, D. P., BRAFF, E. H., CURRAN, J. W., & FRANCIS, D. P. (1985). The Acquired Immunodeficiency Syndrome in a Cohort of Homosexual Men: A Six-Year Follow-up Study. Annals of Internal Medicine. https://doi.org/10.7326/0003-4819-103-2-210
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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