Sexual assessment and the epidemiology of AIDS

Abstract

Research on the transmission dynamics of AIDS necessitates an extraordinarily rigorous sexual science. Thus, the purpose of the present paper is to isolate sexual parameters which are crucial to the epidemiology of AIDS. Several representative mathematical models of the proliferation of HIV are described. From these models, three consistent sexual parameters emerge (sexual orientation, anal intercourse, and selection of sexual partners). Consequently, each parameter is examined for the feasibility of assessment and the reliability of existing data. However, as the present review suggests, the relevant data on sexual parameters are either marginal or nonexistent. Therefore, alternatives are described, and the broader implications of measurement error on epidemiological predictions is developed.