HIV Among African-Born Persons in the United States: A Hidden Epidemic?
| Autor: | Robert W. Wood, James B. Kent, Matthew R. Golden, Greg Dennis, Helene Cross, Abdel R Ibrahim, Ellen W. Wiewel, Roxanne P. Kerani, Tracy Sides |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Gerontology medicine.medical_specialty media_common.quotation_subject Immigration Population HIV Infections Disease Outbreaks Foreign born Acquired immunodeficiency syndrome (AIDS) Epidemiology Humans Medicine Pharmacology (medical) education Sida media_common education.field_of_study biology business.industry Emigration and Immigration biology.organism_classification medicine.disease Metropolitan area United States Black or African American Infectious Diseases Lentivirus Female business Demography |
| Zdroj: | JAIDS Journal of Acquired Immune Deficiency Syndromes. 49:102-106 |
| ISSN: | 1525-4135 |
| Popis: | Background Although a large proportion of HIV diagnoses in Western Europe occur in African-born persons, analyses of US HIV surveillance data do not routinely assess the proportion of diagnoses occurring in African-born US residents. Objective To determine the percentage of newly reported HIV diagnoses occurring in African-born persons in selected areas of the United States with large African-born immigrant populations. Methods We collated and analyzed aggregate data on persons diagnosed with HIV in 2003-2004 and reported to HIV surveillance units in the states of California, Georgia, Massachusetts, Minnesota, and New Jersey and in King County, Washington; New York City; and the portion of Virginia included in the Washington, DC, metropolitan area. Results African-born persons accounted for 0.6% of the population and 3.8% of HIV diagnoses in participating areas (HIV diagnoses range: 1%-20%). Across all areas, up to 41% of diagnoses in women (mean: 8.4%, range: 4%-41%) and up to 50% of diagnoses in blacks (mean: 8.0%, range: 2%-50%) occurred among African-born individuals. Conclusions In some areas, classifying HIV cases among foreign-born blacks as occurring in African Americans dramatically alters the epidemiological picture of HIV. Country of birth should be consistently included in local and national analyses of HIV surveillance data. |
| Databáze: | OpenAIRE |
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