HIV transmission among black college student and non-student men who have sex with men--North Carolina, 2003.
HIV transmission among black college student and non-student men who have sex with men--North Carolina, 2003.
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DOI：
10.1001/jama.292.11.1295
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发表时间：
2003-12
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--
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在美国，与男性发生性关系（MSM）并居住在城市环境中的年轻黑人男性感染人类免疫缺陷病毒（HIV）的比例很高，发病率和患病率分别高达14%和32%。很少有流行病学和行为学的研究已经在这个人群中进行，甚至更少的数据是从美国南部的非城市地区的黑人男男性接触者。2002年11月，北卡罗来纳州卫生部在非西班牙裔黑人男大学生中发现了两例急性艾滋病毒感染病例。对2000年1月至2003年5月期间确诊的所有18-30岁男性艾滋病毒感染者的回顾性审查表明，男大学生艾滋病毒病例报告从2000年的2例增加到2001年1月至2003年5月期间的56例。在这56人中，共有49人（88%）是黑人，几乎所有人都是男男性行为者，包括一些同时与男性和女性发生性关系的男性。2003年8月，国家卫生和发展委员会邀请疾病预防控制中心协助对北卡罗来纳州艾滋病毒阳性的年轻黑人男男性行为者进行流行病学调查。这份报告总结了调查结果，这表明，黑人男男性接触者的大学生和非学生在北卡罗来纳州艾滋病毒的危险行为的高利率，强调需要加强艾滋病毒预防计划在这些人群。
In the United States, young black men who have sex with men (MSM) and reside in urban settings have high rates of infection with human immunodeficiency virus (HIV), with incidence and prevalence as high as 14% and 32%, respectively. Few epidemiologic and behavioral studies have been conducted in this population, and even fewer data are available for black MSM from non-urban areas of the southern United States. In November 2002, the North Carolina Department of Health (NCDOH) identified two cases of acute HIV infection among non-Hispanic black male college students. A retrospective review of all men aged 18-30 years with HIV diagnosed during January 2000-May 2003 indicated an increase in HIV case reports in male college students, from two cases in 2000 to 56 during January 2001-May 2003. Of these 56, a total of 49 (88%) were black, and nearly all were MSM, including some men who had sex with both men and women. In August 2003, NCDOH invited CDC to assist with an epidemiologic investigation of young HIV-positive black MSM in North Carolina. This report summarizes the results of that investigation, which indicated that black MSM college students and non-students in North Carolina had high rates of HIV risk behaviors, underscoring the need for enhanced HIV-prevention programs in these populations.