PMID- 10378845 OWN - NLM STAT- MEDLINE DCOM- 19990624 LR - 20190727 IS - 0041-1132 (Print) IS - 0041-1132 (Linking) VI - 39 IP - 6 DP - 1999 Jun TI - Human T-lymphotropic virus type I among blood donors from Guadeloupe: donation, demographic, and biologic characteristics. PG - 639-44 AB - BACKGROUND: Epidemiologic data on human T-lymphotropic virus type I (HTLV-I) in Guadeloupe (French West Indies) are scant. STUDY DESIGN AND METHODS: From January 1989 to December 1996, 59,426 blood donors were screened by enzyme immunoassay for antibodies to HTLV-I. All repeatedly reactive samples were confirmed by Western blot. Temporal trends in HTLV-I seropositivity rates were examined during the study period. A multivariate analysis of donation, demographic, and biologic characteristics was performed. RESULTS: Of the screened blood donors, 195 were confirmed as seropositive, for an overall prevalence of 0.33 percent (95% CI 0.28-0.38). A marked decrease in overall HTLV-I prevalence with time (from 0.47% in 1989 to 0.13% in 1996) was observed, which can be explained mainly by the decreasing percentage of recruited new donors during the study period. Four independent risk factors for HTLV-I were identified: new donor status (odds ratio [OR] 12.5), female sex (OR 1.7), increasing age (30-39 years: OR, 2.4; 40-49 years: OR, 3.7; >50 years: OR 6.6), and positive antibodies to hepatitis B virus core antigen (OR, 1.7). Selection of specific locations for blood collection was inversely associated with HTLV-I (OR 0.5). CONCLUSION: New donor status, advancing age, female sex, and positivity for hepatitis B virus core antibodies were the major factors associated with HTLV-I infection in Guadeloupe. FAU - Rouet, F AU - Rouet F AD - Etablissement de Transfusion Sanguine, Pointe-a-Pitre, Guadeloupe, France. rouet.francois@wanadoo.fr FAU - Foucher, C AU - Foucher C FAU - Rabier, M AU - Rabier M FAU - Gawronski, I AU - Gawronski I FAU - Taverne, D AU - Taverne D FAU - Chancerel, B AU - Chancerel B FAU - Casman, O AU - Casman O FAU - Strobel, M AU - Strobel M LA - eng PT - Journal Article PL - United States TA - Transfusion JT - Transfusion JID - 0417360 SB - IM MH - *Blood Donors MH - HTLV-I Infections/blood/*transmission MH - *Human T-lymphotropic virus 1 MH - Humans MH - Multivariate Analysis MH - Seroepidemiologic Studies MH - West Indies EDAT- 1999/06/23 00:00 MHDA- 1999/06/23 00:01 CRDT- 1999/06/23 00:00 PHST- 1999/06/23 00:00 [pubmed] PHST- 1999/06/23 00:01 [medline] PHST- 1999/06/23 00:00 [entrez] AID - 10.1046/j.1537-2995.1999.39060639.x [doi] PST - ppublish SO - Transfusion. 1999 Jun;39(6):639-44. doi: 10.1046/j.1537-2995.1999.39060639.x.