PMID- 10209944 OWN - NLM STAT- MEDLINE DCOM- 19990429 LR - 20190708 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 81 IP - 3 DP - 1999 May 5 TI - Geographical clustering of human T-cell lymphotropic virus type I in Guadeloupe, an endemic Caribbean area. PG - 330-4 AB - Between January 1989 and December 1996, 59,426 blood donors from Guadeloupe (French West Indies) were screened for antibodies to human T-cell lymphotropic virus type I (HTLV-I). Of these, 195 were confirmed as being positive for HTLV-I, yielding an overall prevalence of 0.33% [95% confidence interval (CI) 0.28-0.38]. On multiple logistic regression analysis, risk factors for HTLV-I were female gender [odds ratio (OR) 1.8; CI 1.3-2.4], increasing age (30-39 years, OR 2.2, CI 1.4-3.4; 40-49 years, OR 3.1, CI 2.1-4.7; > or =50 years, OR 5.6, CI 3.6-8.6) and positive hepatitis B core antibodies (OR 2.0; CI 1.5-2.8). HTLV-I seropositivity was also significantly associated with current residence in certain areas, highlighting microgeographic clustering: individuals living along the Atlantic Facade of Guadeloupe, which is a traditional sugar cane plantation area where Africans were brought during slave trading, were at increased risk for HTLV-I infection (OR 1.9; CI 1.3-2.7) compared with other areas in Guadeloupe devoted to other activities. Our report of HTLV-I cluster identification in Guadeloupe probably reflects both its low spread and its highly intrafamilial restricted transmission within this endemic Caribbean population. FAU - Rouet, F AU - Rouet F AD - Etablissement de Transfusion Sanguine, Hopital Ricou, Pointe-a-Pitre, Guadeloupe, France. FAU - Rabier, R AU - Rabier R FAU - Foucher, C AU - Foucher C FAU - Chancerel, B AU - Chancerel B FAU - Agis, F AU - Agis F FAU - Strobel, M AU - Strobel M LA - eng PT - Journal Article PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (Deltaretrovirus Antibodies) SB - IM MH - Adolescent MH - Adult MH - Age Factors MH - Aged MH - Cluster Analysis MH - Deltaretrovirus Antibodies/blood MH - Female MH - Guadeloupe/epidemiology MH - Human T-lymphotropic virus 1/*isolation & purification MH - Humans MH - Male MH - Middle Aged MH - Seroepidemiologic Studies EDAT- 1999/04/21 02:03 MHDA- 2000/06/20 09:00 CRDT- 1999/04/21 02:03 PHST- 1999/04/21 02:03 [pubmed] PHST- 2000/06/20 09:00 [medline] PHST- 1999/04/21 02:03 [entrez] AID - 10.1002/(SICI)1097-0215(19990505)81:3<330::AID-IJC3>3.0.CO;2-2 [pii] AID - 10.1002/(sici)1097-0215(19990505)81:3<330::aid-ijc3>3.0.co;2-2 [doi] PST - ppublish SO - Int J Cancer. 1999 May 5;81(3):330-4. doi: 10.1002/(sici)1097-0215(19990505)81:3<330::aid-ijc3>3.0.co;2-2.