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Heterosexual Transmission of Acquired Immunodeficiency Syndrome-Reply

Margaret A. Fischl, MD; Gordon M. Dickinson, MD
JAMA. 1987;257(17):2288-2289. doi:10.1001/jama.1987.03390170044012.
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In Reply.—  The major purpose of our prospective study was to evaluate the efficiency of and the potential mechanisms associated with the heterosexual transmission of HIV among spouses and monogamous heterosexual couples, as well as to evaluate any potential household transmission of HIV. Due to the broad scope of the study, our data analysis and presentation focused on these particular issues.Spouses with other potential risk factors for HIV infection were excluded from the study. However, it became apparent during the course of the study that heterosexual contact with other partners, particularly prostitutes, could also represent a risk factor for HIV infection. In analyzing our data, it was noted that male spouses of Haitian ancestry had a higher seroprevalence rate of HIV antibody at entry into the study. Correlation between a history of other heterosexual partners, in particular sexual contact with female prostitutes, gonorrhea, and syphilis, and antibody to HIV


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