Foreign Born Status and HIV/AIDS: A Comparative Analysis of HIV/AIDS Characteristics Among Foreign and US Born Individuals

Foreign Born Status and HIV/AIDS: A Comparative Analysis of HIV/AIDS Characteristics Among Foreign and US Born Individuals
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DOI:
10.1007/s10903-011-9455-8
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发表时间:
2012-02-01
影响因子:
1.9
通讯作者:
Thornton, Alice
Thornton, Alice
中科院分区:
医学4区
文献类型:
--
作者:
Crawford, Tim;Caldwell, Glyn;Thornton, Alice

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本研究的目的是观察外国和美国出生的艾滋病毒人群之间艾滋病毒特征的差异。研究样本由 13 岁以下的个人组成,他们被诊断出患有艾滋病毒,并且是列克星敦蓝草护理诊所的患者。为了进行比较分析,样本被分为两组(n = 1070):外国出生的和美国出生的。与美国出生的患者相比,外国出生的患者在诊断出 HIV 时年龄更小(31 岁 vs. 36 岁,P = 0.005),有西班牙裔血统(63.1% vs. 1.1%,P < 0.001),并且报告说异性接触是其传播方式(67.7% vs. 33.9% P < 0.001)。外国出生的患者入院治疗时的 CD4+ 计数要低得多,与美国出生的患者相比,他们更有可能被归类为晚期测试者(53.9% vs. 32.8%,P = 0.006)。在外国出生和美国出生的艾滋病毒患者之间发现了许多差异。在接受护理后,外国出生的人更有可能患有多种成骨不全症并被诊断为艾滋病。在检测方面,与美国出生的人相比,外国出生的人更有可能较晚进行艾滋病毒检测。
The purpose of this study was to observe differences in HIV characteristics between the foreign and U.S. born HIV population. The study sample consisted of individuals, a parts per thousand yen13 years of age, who have been diagnosed with HIV and are patients of the Lexington Bluegrass Care Clinic. For the comparison analysis, the sample was divided into two groups (n = 1070), foreign born and U.S. born. Compared to U.S. born patients, foreign born patients were younger at the time of their HIV diagnosis (31 years vs. 36 years, P = 0.005), of Hispanic origin (63.1% vs. 1.1%, P < 0.001), and reported heterosexual contact as their mode of transmission (67.7% vs. 33.9% P < 0.001). Foreign born patients enrolled into care at a much lower CD4+ count and compared to the U.S. born, they were more likely to be classified as late testers (53.9% vs. 32.8%, P = 0.006). There were many differences found between foreign born and U.S. born HIV patients. Upon enrolling into care, foreign born individuals were more likely to have multiple OI's and have an AIDS diagnosis. In regards to testing, foreign born individuals were more likely to have tested late for HIV compared to their U.S. born counterparts.