HIV incidence trends among white and African-American active duty United States Army personnel (1986-2003)

Christian T. Bautista*, Warren B. Sateren, Jose L. Sanchez, Zahid Rathore, Darrell E. Singer, Deborah L. Birx, Paul T. Scott

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


OBJECTIVE: To analyze HIV incidence rate (IR) trends among white and African-American active duty US Army personnel between 1986 and 2003. METHODS: Joinpoint regression was applied to identify time periods when significant changes in HIV IRs occurred, along with the corresponding annual percentage changes (APCs). RESULTS: African-Americans had a higher IR than white personnel (0.34/1000 vs. 0.07/1000; P < 0.001). Among white personnel, 2 significant time periods of changing HIV IRs were found: between 1986 and 1989 (APC = -31.1; P = 0.006) and between 1989 and 2003 (APC = -5.7; P = 0.003). Among African-Americans, a significant decline in HIV IRs was observed only between 1986 and 1991 (APC = -19.4; P < 0.001). This study revealed that the HIV IRs seem to have increased in 2 African-American groups: unmarried personnel and health care professionals. CONCLUSION: This cohort study (1,280 incident HIV infections among 1.5 million persons with 8.4 million person-years of follow-up) provides invaluable information on HIV trends in the United States Army. Despite an overall decline in HIV IRs, certain subpopulation among African-American personnel were observed to have increasing HIV IRs. Future research is needed to identify the current behavioral risk factors associated with HIV infection among US Army personnel.

Original languageEnglish
Pages (from-to)351-355
Number of pages5
JournalJournal of Acquired Immune Deficiency Syndromes
Issue number3
StatePublished - Nov 2006
Externally publishedYes


  • African American
  • Army personnel
  • HIV
  • Incidence
  • Joinpoint
  • Military personnel
  • Trends
  • United States
  • White


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