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March 23, 1994

HIV Infection as Leading Cause of Death Among Young Adults in US Cities and States: 1991

Author Affiliations

Centers for Disease Control and Prevention Atlanta, Ga

JAMA. 1994;271(12):903. doi:10.1001/jama.1994.03510360027020

To the Editor.  —Previously, we described the extent to which human immunodeficiency virus (HIV) infection was the leading cause of death in US cities and states in 1990 among men and women aged 25 to 44 years.1 We have now updated our analysis for 1991, using data recently released by the National Center for Vital Statistics.2Among men aged 25 to 44 years, the number of states in which HIV infection was the leading cause of death increased from five in 1990 to nine in 1991. In these nine states, the proportion of deaths caused by HIV ranged from 15% in Rhode Island to 33% in New York, with a median of 21% in Massachusetts (Table).In 1991, HIV infection was not the leading cause of death among women aged 25 to 44 years in any state. In New York and New Jersey, however, where it was the second

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