Hogg Robert S, Strathdee Steffanie, Kerr Thomas, Wood Evan, Remis Robert
BC Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada.
Harm Reduct J. 2005 Dec 24;2:26. doi: 10.1186/1477-7517-2-26.
There is considerable concern about the spread of HIV disease among Aboriginal peoples in British Columbia.
To estimate the number of Aboriginal British Columbians infected with HIV.
A population-based analysis of Aboriginal men and women in British Columbia, Canada from 1980 to 2001.
Epidemic curves were fit for gay and bisexual men, injection drug users, men and women aged 15 to 49 years and persons over 50 years of age.
HIV prevalence for the total Aboriginal population was modeled using the UNAIDS/WHO Estimation and Projection Package (EPP). Monte Carlo simulation was used to estimate potential number infected for select transmission group in 2001.
A total of 170,025 Aboriginals resided in British Columbia in 2001, of whom 69% were 15 years and older. Of these 1,691 (range 1,479-1,955) men and women aged 15 years and over were living with HIV with overall prevalence ranging from 1.26% to 1.66%. The majority of the persons infected were men. Injection drug users (range 1,202-1,744) and gay and bisexual men (range 145, 232) contributed the greatest number of infections. Few persons infected were from low risk populations.
More than 1 in every 100 Aboriginals aged 15 years and over was living with HIV in 2001. Culturally appropriate approaches are needed to tailor effective HIV interventions to this community.
不列颠哥伦比亚省原住民中艾滋病毒疾病的传播令人深感担忧。
估计感染艾滋病毒的不列颠哥伦比亚省原住民人数。
对1980年至2001年加拿大不列颠哥伦比亚省的原住民男女进行基于人群的分析。
绘制了男同性恋者、双性恋者、注射吸毒者、15至49岁的男性和女性以及50岁以上人群的流行曲线。
使用联合国艾滋病规划署/世界卫生组织估计和预测软件包（EPP）对原住民总人口的艾滋病毒流行率进行建模。采用蒙特卡罗模拟法估计2001年特定传播群体的潜在感染人数。
2001年共有170,025名原住民居住在不列颠哥伦比亚省，其中69%为15岁及以上。在这些人中，1,691名（范围为1,479 - 1,955名）15岁及以上的男性和女性感染了艾滋病毒，总体流行率在1.26%至1.66%之间。大多数感染者为男性。注射吸毒者（范围为1,202 - 1,744名）以及男同性恋者和双性恋者（范围为145 - 232名）感染人数最多。感染的低风险人群很少。
2001年，每100名15岁及以上的原住民中就有超过1人感染艾滋病毒。需要采用适合文化背景的方法，为该社区量身定制有效的艾滋病毒干预措施。
