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February 1993

Heterosexual Transmission of HIV—Puerto Rico, 1981-1991

Arch Dermatol. 1993;129(2):147-148. doi:10.1001/archderm.1993.01680230027003

Puerto Rico has the second highest overall rate of acquired immunodeficiency syndrome (AIDS) cases among states and territories of the United States and the second highest rate of cases among women.1,2 Although heterosexual transmission of human immunodeficiency virus (HIV) among persons reported with AIDS has increased throughout the United States— accounting for 8% of all U. S. AIDS cases diagnosed in 19912,3— the proportion of cases attributed to heterosexual transmission is highest in Puerto Rico (18%). This report summarizes data collected through the Puerto Rico AIDS Surveillance Program to characterize AIDS cases associated with heterosexual transmission during 1981-1991.

In Puerto Rico, AIDS case reporting includes the collection of data on behavioral and other risk factors for HIV exposure. A standard report form is completed by trained data abstractors and used to identify HIV-transmission categories. Persons with multiple exposure risks for HIV are assigned to a probable mode

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