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ARTICLE | February 27, 1987

HIV Antibodies in Drug-Addicted Prostitutes-Reply

JAMA. 1987;257(8):1047. doi:10.1001/jama.1987.03390080037012.

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In Reply.— The aim of our letter was to caution US soldiers in Aviano, Italy, against using local drug-addicted prostitutes, because a high proportion of them (58%) are infected by HIV. The high prevalence of HIV-antibody positivity among drug addicts in Italy is not attributable to sharing needles with US soldiers, since the proportion of seropositivity among this population is high (between 29% and 76%^1,2) in areas of Italy without US bases and the frequency of HIV seropositivity among US soldiers in Europe seems not to exceed 5%.³The difference between the Italian and the Israeli figures is probably due to different behaviors, in particular the sharing of infected needles, although regional variations in HIV-antibody seropositivity among US intravenous drug abusers have been reported without any clear explanation.^4,5 Prostitution does not constitute an additional risk factor in the prevalence of HIV antibodies among women addicted to intravenous

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