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August 10, 1994

Female-to-Female Sexual Contact and HIV Transmission

Author Affiliations

Centers for Disease Control and Prevention Atlanta, Ga

JAMA. 1994;272(6):433. doi:10.1001/jama.1994.03520060031018

To the Editor.  —Previous publications on behavioral risks of human immunodeficiency virus (HIV)—infected women who have sex with other women include single case reports or analyses based on limited behavioral information.1,2 As part of a special surveillance project conducted by nine states (Arizona, Colorado, Connecticut, Delaware, Florida, Georgia, Michigan, New Mexico, and South Carolina) and two local health departments (Los Angeles and Washington) we interviewed 1122 women reported with HIV/acquired immunodeficiency syndrome (AIDS) between January 1990 and September 1993. Of these 1122 women with HIV/AIDS, 65 (5.8%) reported that they had had sex with a woman in the past 5 years. Here we describe their self-reported sexual and drug-use behavior.Of the 65 women with HIV/AIDS who reported sexual contact with another woman in the past 5 years, 55(85%) also reported sexual contact with men during the same period. Of these 55 behaviorally bisexual women, 33 (60%) reported a

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