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This relationship was unilateral: Police provided health officers access to prostitution records but not vice versa.Between 19, health department and police prostitution records were periodically compared.

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They identified 117 definite or probable deaths and had sufficient information on 100 to calculate a crude mortality rate (CMR) of 391 per 100,000 (95% confidence interval (CI): 314, 471).It is maintained by the Centers for Disease Control and Prevention.Source documentation consists of death certificate information provided by state and territorial registries.These data and the availability of national mortality databases permitted assessment of cause-specific mortality among these women.US Census figures (10) show that in 1970, Colorado Springs had a population of 235,972, of whom 94 percent were White (including an unknown proportion of Hispanics), 5 percent were African-American, and 1 percent were of other races.Female prostitution is embedded in a context of felonious activity, illicit drugs, and violence (1–4) and is associated with premature mortality.

Two cohort studies have directly assessed mortality in prostitutes during short observation periods (5, 6).

Both the prevalence and number of sexual partners of prostitute women in Colorado Springs appear to be representative of prostitutes in the United States (9, 12).

As a first step, we searched the Social Security Death Index (SSDI) in mid-1999 regarding people who had died between 19.

Starting in mid-1985, women visiting the sexually transmitted infection clinic or the HIV testing clinic who provided histories of prostitution were queried about injecting drug use and offered HIV testing; such information was unavailable for prostitutes ascertained solely by means of other sources.

The study cohort included women in Colorado Springs identified by police or health department surveillance as prostitutes, that is, as women who exchanged sex for money or drugs.

The SSDI records information on decedents with Social Security numbers (SSNs) for whom survivor claims have been processed (13, 14).