[The users of centers for AIDS information and prevention in the Comunidad Valenciana, Spain: a study based on cluster analysis].
OBJECTIVE
To measure the usefulness of multiple correspondence analysis (MCA) and cluster analysis applied to the epidemiological research of HIV infection. The specific are to explore the relationships between the different variables that characterize the users of the AIDS Information and Prevention Center (CIPS) and to identify clusters of characteristics which in terms of the attendance to these centers, could be considered similar.


METHODS
The clinical history the CIPS in the Valencian region in Spain was used as data source. The target population target were intravenous drug users (IDUSs) attending these centers between 1987 and 1994 (n = 6211). Information about socio-demographic and HIV type I infection-related variables (drug use and sexual behaviour) was collected by means of a semistructured questionnaire. A MCA was carried out to obtain a group of quantitative factors that were used in a cluster analysis.


RESULTS
A 44.8% HIV type I prevalence was found. Five factors were detected by MCA that explain 51.14% of the total variability, of which sex, age and the usual sexual partner were the variables best explained. Cluster analysis allowed to describe 5 different subgroups of CIPS users according to their socio-demographics characteristics, risk behaviours and serologic status. It is necessary to highlight the categories 1 and 2, which collect the serologic status and the most relevant characteristics of HIV infection. Category I contains users with a negative serology and characterized by being mainly single adolescent men, with a low educational level; they stated that they have no steady sexual partner, do not share syringes and have been intravenous drug users between 3 and 10 years. They mainly come from the city of Alicante. Category 2 contains mainly people that are HIV positive and older. They also share syringes and have been intravenous drug users for a longer time; they have a higher education level and most of them come from the city of Valencia.


CONCLUSIONS
The proposed method of analysis was able to characterise the CIPS users, identifying those socio-demographic variables and risk behaviours that are more related to the serologic status. The applicability of these techniques to epidemiologic studies of HIV type I infection is discussed.
González Aracil
J
J
Area de Epidemiología y Estadística, Institut Valencià d'Estudis en Salut Pública (IVESP), Valencia, 46017, España.
Ruiz Pérez
I
I
Aviñó Rico
M J
MJ
Hernández Aguado
I
I
D000163:Acquired Immunodeficiency Syndrome / Q000517:prevention & control*; D000328:Adult; D016000:Cluster Analysis; D005260:Female; D015528:HIV Seroprevalence; D015497:HIV-1; D006293:Health Promotion / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D012307:Risk Factors; D012959:Socioeconomic Factors; D013030:Spain / Q000453:epidemiology; D015819:Substance Abuse, Intravenous; D014505:Urban Population / Q000706:statistics & numerical data