Racial/ethnic and age disparities in HIV prevalence and disease progression among men who have sex with men in the United States

Racial/ethnic and age disparities in HIV prevalence and disease progression among men who have sex with men in the United States
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DOI:
10.2105/ajph.2006.087551
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发表时间:
2007-06-01
影响因子:
12.7
通讯作者:
Espinoza, Lorena
Espinoza, Lorena
中科院分区:
医学2区
文献类型:
--
作者:
Hall, H. Irene;Byers, Robert H.;Espinoza, Lorena

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目标.我们根据种族/民族和年龄对男男性行为者(MSM)的HIV诊断率和疾病进展进行了研究。利用从国家艾滋病监测系统获得的数据,我们用泊松回归分析了2001年至2004年艾滋病诊断率的趋势。我们使用标准化Kaplan-Meier方法来确定从HIV到AIDS的进展时间和AIDS生存率的差异。黑人和西班牙裔的艾滋病毒诊断率高于白色男男性行为者,但2001年至2004年各年龄组的趋势没有因种族/族裔而异。在13至19岁(每年14%)、20至24岁(13%)、25至29岁和40至54岁(3%-6%; P
Objectives. We examined HIV diagnosis rates and disease progression among men who have sex with men (MSM) according to race/ethnicity and age.Methods. Using data obtained from the national HIV/AIDS surveillance system, we examined trends in HIV diagnosis rates for 2001 through 2004 using Poisson regression. We used a standardized Kaplan-Meier method to determine differences in time of progression from HIV to AIDS and AIDS survival.Results. HIV diagnosis rates were higher for Black and Hispanic than for White MSM, but trends within age groups from 2001 to 2004 did not differ by race/ethnicity. Diagnosis rates increased among MSM aged 13 to 19 years (14% per year), 20 to 24 years (13%), 25 to 29 years, and 40 to 54 years (3%-6%; P