HIV prevalence among foreign- and US-born clients of public STD clinics

HIV prevalence among foreign- and US-born clients of public STD clinics
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DOI:
10.2105/ajph.92.12.1958
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发表时间:
2002-12-01
影响因子:
12.7
通讯作者:
Cunningham, WE
Cunningham, WE
中科院分区:
医学2区
文献类型:
--
作者:
Harawa, NT;Bingham, TA;Cunningham, WE

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目标。我们检查了不同出生地区的 HIV 血清流行率和 HIV 感染可能时间的差异。方法。我们分析了 1993 年至 1999 年间来自洛杉矶县 7 个公共卫生中心的 61120 个样本的未关联的 HIV 抗体数据。结果。大多数 (87%) 移民客户是中美洲/墨西哥出生的,美国和外国出生的客户的艾滋病毒感染率相似(分别为 1.8% [95% 置信区间 (CI)=1.7%、1.9%] 和 1.6% [95% CI=1.5%、1.8%])。撒哈拉以南非洲女性的血清阳性率较高,而亚洲/太平洋岛民男性和女性的血清阳性率较低。对于 HIV 阳性移民,移民时的平均年龄和移民后的平均时间分别为 20.6 岁和 12.3 岁。结论。外国出生的艾滋病毒呈阳性的客户到达时年龄相对较小,而且到达后时间较长,这表明大多数人在移民后被感染。
Objectives. We examined differences in HIV seroprevalence and the likely timing of HIV infection by birth region.Methods. We analyzed unlinked HIV antibody data on 61120 specimens from 7 public health centers in Los Angeles County from 1993 to 1999.Results. Most (87%) immigrant clients were Central American/ Mexican-born, HIV prevalence was similar for US- and foreign-born clients (1.8% [95% confidence interval (CI)=1.7%, 1.9%] and 1.6% [95% CI=1.5%, 1,8%], respectively). Seroprevalence was high among sub-Saharan African females and low among Asian/Pacific Islander males and females. For HIV-positive immigrants, the average age at and time since immigration were 20.6 years and 12.3 years, respectively.Conclusions. The relatively young age at arrival and long time since arrival for HIV-positive foreign-born clients suggest that most were infected after immigration.