Characteristics of Foreign-Born HIV Infected Individuals and Differences by Region of Origin and Gender
Characteristics of Foreign-Born HIV Infected Individuals and Differences by Region of Origin and Gender
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DOI：
10.1007/s10903-012-9633-3
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发表时间：
2013-08-01
影响因子：
1.9
通讯作者：
Johnson, Steven C.
中科院分区：
文献类型：
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作者：
Carten, Monica L.;Castillo-Mancilla, Jose R.;Johnson, Steven C.
比较美国 HIV 护理计划中外国出生 (FB) 和美国出生 (USB) 患者 (pts)。回顾性审查。数据收集于美国科罗拉多州一家 HIV 诊所的所有 FB 和 5% USB 患者的随机样本。对 FB 患者和 USB 患者之间以及 FB 患者之间按全球原籍地区和性别进行了比较。在 150 名 FB 患者和 59 名 USB 患者中，与 USB 患者相比，FB 患者更年轻（40 岁 vs. 45 岁），女性比例更高（39% vs. 17%），异性性行为是 HIV 危险因素（69% vs. 23%），报告的药物使用较少（6% vs. 38%）（所有千分之一货币符号为 0.001）。 FB 和 USB 女性之间的年龄和物质差异仍然存在。 FB 和 USB 患者之间在 HIV 检测、结核病和心理健康诊断以及 > 1 种合并症诊断方面也存在显着差异，但在平均 CD4 细胞计数（502 与 569）、抗逆转录病毒治疗（ART）（92 % 与 90 %）或饮酒（29 % 与 37 %）方面不存在显着差异。与 FB 女性相比，FB 男性更常见的是与男性发生性关系的男性、来自拉丁美洲/加勒比地区、接受过 HIV 疾病检测、并同时诊断出 HIV 和艾滋病，而 FB 女性更常见的是难民、异性恋和来自非洲。 FB 和 USB HIV 感染者之间以及 FB 患者本身之间存在差异。 HIV 护理和预防计划必须认识到并解决这些差异，以便最大限度地提高临床结果、改善护理的联系和连续性并优化资源分配。
To compare foreign-born (FB) and US-born (USB) patients (pts) in a US HIV care program. Retrospective review. Data were collected on all FB and a random sample of 5 % of USB pts in an HIV clinic in Colorado, USA. Comparisons were made between FB pts and USB pts and among FB pts by global region of origin and sex. Among 150 FB and 59 USB pts, FB pts were younger (40 vs. 45 years), proportionately more female (39 vs. 17 %), with heterosexual sex as HIV risk factor (69 vs. 23 %) and reported substance use less (6 vs. 38 %) (All p a parts per thousand currency sign 0.001) compared to USB pts. Age and substance differences persisted between FB and USB women. Significant differences also existed between FB and USB pts in reason for HIV test, tuberculosis and mental health diagnoses, and diagnosis of > 1 co-morbidity, but not in mean CD4 cell count (502 vs. 569), antiretroviral therapy (ART) (92 vs. 90 %), or alcohol use (29 vs. 37 %). Compared to FB women, FB men were more commonly men that have sex with men, from Latin America/Caribbean, have HIV testing for illness, and have had a concomitant HIV and AIDS diagnosis while FB women were more commonly refugees, heterosexual and from Africa. Differences exist between FB and USB HIV-infected pts, and among FB pts themselves. HIV care and prevention programs must recognize and address these dissimilarities in order to maximize clinical outcomes, improve linkage to and continuity in care and optimize resource allocation.