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This Article Figures Only Full Text Full Text (PDF) All Versions of this Article: AJPH.2004.054759v1 96/6/1091    most recent Submit a response View responses View Shopping Cart Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Similar articles in this journal Similar articles in Web of Science Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via HighWire Citing Articles via Web of Science (14) Citing Articles via Google Scholar Google Scholar Articles by Morris, M. Articles by Udry, J. R. Search for Related Content PubMed PubMed Citation Articles by Morris, M. Articles by Udry, J. R. Related Collections HIV/AIDS Adolescent Health Surveys

Martina Morris, PhD, Mark S. Handcock, PhD, William C. Miller, MD, PhD, Carol A. Ford, MD, John L. Schmitz, PhD, Marcia M. Hobbs, PhD, Myron S. Cohen, MD, Kathleen M. Harris, PhD and J. Richard Udry, PhD

Martina Morris and Mark S. Handcock are with the Departments of Sociology and Statistics, University of Washington, Seattle. William C. Miller and Myron S. Cohen are with the Schools of Medicine and Public Health, University of North Carolina, Chapel Hill. Carol A. Ford, John L. Schmitz, and Marcia M. Hobbs are with the School of Medicine, University of North Carolina, Chapel Hill. Kathleen M. Harris is with the Sociology Department, University of North Carolina, Chapel Hill. J. Richard Udry is with the Sociology Department and the School of Public Health, University of North Carolina, Chapel Hill.

Correspondence: Requests for reprints should be sent to Martina Morris, PhD, Department of Sociology, Box 353340, University of Washington, Seattle, WA 98125 (e-mail: morrism{at}u.washington.edu).

Objectives. We estimated HIV prevalence rates among young adults in the United States.

Methods. We used survey data from the third wave of the National Longitudinal Study of Adolescent Health, a random sample of nearly 19000 young adults initiated in 1994–1995. Consenting respondents were screened for the presence of antibodies to HIV-1 in oral mucosal transudate specimens. We calculated prevalence rates, accounting for survey design, response rates, and test performance.

Results. Among the 13184 participants, the HIV prevalence rate was 1.0 per 1000 (95% confidence interval [CI] = 0.4, 1.7). Gender-specific prevalence rates were similar, but rates differed markedly between non-Hispanic Blacks (4.9 per 1000; 95% CI=1.8, 8.7) and members of other racial/ethnic groups (0.22 per 1000; 95% CI=0.00, 0.64).

Conclusions. Racial disparities in HIV in the United States are established early in the life span, and our data suggest that 15% to 30% of all cases of HIV occur among individuals younger than 25 years.

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