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Predicate | Object |
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rdf:type | |
lifeskim:mentions |
umls-concept:C0020094,
umls-concept:C0022337,
umls-concept:C0030481,
umls-concept:C0035648,
umls-concept:C0037928,
umls-concept:C0042776,
umls-concept:C0076560,
umls-concept:C0086418,
umls-concept:C0147139,
umls-concept:C0178555,
umls-concept:C0279477,
umls-concept:C0332281,
umls-concept:C0332307,
umls-concept:C1336626,
umls-concept:C1442734,
umls-concept:C1533179,
umls-concept:C1704619
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pubmed:issue |
11
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pubmed:dateCreated |
1995-12-7
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pubmed:abstractText |
Human T-cell lymphotropic virus type I (HTLV-I) has been etiologically associated with a neurologic syndrome called HTLV-I-associated myelopathy/tropical spastic paraparesis (HAM/TSP) as well as with adult T-cell leukemia/lymphoma. The authors sought to quantify the risk in Jamaica of HAM/TSP associated with HTLV-I infection and cofactors associated with this disease among infected individuals. Between 1988 and 1989, prevalent and incident HAM/TSP patients and controls with other neurologic diseases were enrolled in a retrospective study. A second control group was composed of HTLV-I-seropositive, asymptomatic carriers in Jamaica, ascertained in a separate study conducted in 1988. Although HTLV-I seropositivity was not a component of the case definition for HAM/TSP, all 43 HAM/TSP patients were HTLV-I seropositive compared with two (4.0%) of the controls with other neurologic diseases. Given HTLV-I seropositivity, one cofactor associated with the risk of HAM/TSP was young age at initial heterosexual confidence interval 1.29-12.46 for individuals aged < or = 15; odds ratio = 4.26, 95% confidence interval 1.41-12.90 for individuals aged 16-17 years at initial intercourse). Among individuals who reported this early age at initial sexual intercourse, an increased risk of HAM/TSP was associated with having reported more than five lifetime sexual partners (odds ratio = 2.88, 95% confidence interval 0.90-8.70). Neither an early age at initial sexual intercourse or the number of lifetime sexual partners was a risk factor for adult T-cell leukemia/lymphoma. These data support the hypothesis that HAM/TSP is associated with sexually acquired HTLV-I infection, whereas adult T-cell leukemia/lymphoma is not.
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pubmed:grant | |
pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0002-9262
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:day |
1
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pubmed:volume |
142
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
1212-20
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pubmed:dateRevised |
2007-11-15
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pubmed:meshHeading |
pubmed-meshheading:7485068-Adolescent,
pubmed-meshheading:7485068-Adult,
pubmed-meshheading:7485068-Age Factors,
pubmed-meshheading:7485068-Aged,
pubmed-meshheading:7485068-Female,
pubmed-meshheading:7485068-Humans,
pubmed-meshheading:7485068-Jamaica,
pubmed-meshheading:7485068-Leukemia-Lymphoma, Adult T-Cell,
pubmed-meshheading:7485068-Logistic Models,
pubmed-meshheading:7485068-Male,
pubmed-meshheading:7485068-Middle Aged,
pubmed-meshheading:7485068-Paraparesis, Tropical Spastic,
pubmed-meshheading:7485068-Retrospective Studies,
pubmed-meshheading:7485068-Risk Factors,
pubmed-meshheading:7485068-Serologic Tests,
pubmed-meshheading:7485068-Sexual Behavior,
pubmed-meshheading:7485068-Sexually Transmitted Diseases, Viral
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pubmed:year |
1995
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pubmed:articleTitle |
Risk factors and cofactors for human T-cell lymphotropic virus type I (HTLV-I)-associated myelopathy/tropical spastic paraparesis (HAM/TSP) in Jamaica.
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pubmed:affiliation |
Viral Epidemiology Branch, National Cancer Institute, National Institutes of Health, Rockville, MD, USA.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.
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