Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.
Am J Public Health. 2012 Aug;102(8):1527-34. doi: 10.2105/AJPH.2011.300431. Epub 2012 Jun 14.
We examined racial/ethnic disparities in HIV diagnosis rates for persons aged 50 years and older.
We analyzed surveillance data from the Centers for Disease Control and Prevention regarding HIV diagnoses during 2005 through 2008 in 37 states. Average annual rates of diagnoses were calculated for persons aged 50 years and older and compared with rates for persons aged 13 to 49 years.
The average annual rate of diagnosis (per 100,000 persons) for older persons was 9.8. Rates among older Blacks (49.2) and Hispanics/Latinos (19.5) were 12.6 and 5.0 times, respectively, the rate among older Whites (3.9); rates among younger Blacks (102.5) and Hispanics/Latinos (39.0) were 7.7 and 2.9 times, respectively, the rate among younger Whites (13.3). Older persons were more likely than younger persons to receive a late HIV diagnosis (prevalence ratio=1.5, P<.001).
Racial/ethnic disparities in HIV diagnosis rates are greater among persons aged 50 years and older than among younger persons. The greater HIV diagnosis rates in Blacks and later diagnosis among older persons of all races/ethnicities indicate a need to increase their awareness of risk factors for HIV infection.
我们研究了 50 岁及以上人群中艾滋病毒诊断率的种族/民族差异。
我们分析了疾病预防控制中心关于 2005 年至 2008 年期间 37 个州艾滋病毒诊断的监测数据。计算了 50 岁及以上人群的年平均诊断率，并与 13 至 49 岁人群的诊断率进行比较。
老年人的年平均诊断率（每 10 万人）为 9.8。年龄较大的黑人和西班牙裔/拉丁裔（49.2 和 19.5）的诊断率分别是年龄较大的白人（3.9）的 12.6 和 5.0 倍；年龄较小的黑人和西班牙裔/拉丁裔（102.5 和 39.0）的诊断率分别是年龄较小的白人（13.3）的 7.7 和 2.9 倍。与年轻人相比，老年人更有可能获得晚期艾滋病毒诊断（流行率比=1.5，P<.001）。
与年轻人相比，50 岁及以上人群的艾滋病毒诊断率的种族/民族差异更大。黑人的艾滋病毒诊断率较高，所有种族/民族的老年人诊断较晚，这表明需要提高他们对艾滋病毒感染危险因素的认识。
