New York City Department of Health and Mental Hygiene, HIV Epidemiology and Field Services Program, New York, NY, USA.
Sex Transm Infect. 2013 Aug;89(5):380-2. doi: 10.1136/sextrans-2012-050677. Epub 2013 Jan 19.
To measure trends in HIV diagnoses among foreign-born (FB) New Yorkers and compare the epidemic in FB with that in non-FB (NFB).
New York City (NYC) HIV/AIDS surveillance registry data were used to measure trends in HIV diagnoses in 2001-2009, calculate HIV diagnosis rates by area of birth, and compare demographic and care characteristics of FB and NFB diagnosed in 2006-2009. The registry contains data on all New Yorkers diagnosed with HIV infection, HIV disease and AIDS, and receives laboratory results on all New Yorkers living with HIV/AIDS.
From 2001 to 2009, new HIV diagnoses among FB increased modestly in number but significantly as a percent of all cases (17% in 2001 to 28% in 2009; p<0.01). In 2006-2009, the annual rate of diagnosis was lower among FB than NFB (37 vs 56 per 100 000). Compared with NFB, FB persons were significantly more likely to be diagnosed concurrently with AIDS; FB had a lower median CD4 count at initiation of care. FB persons were less likely to have insurance, and 13% needed language interpretation services.
The percentage of HIV diagnoses in NYC attributed to FB persons has increased. HIV infection may remain undiagnosed longer in FB than NFB. FB may benefit from targeted prevention outreach and other services.
测量在纽约的外国出生（FB）者中艾滋病毒诊断的趋势，并比较 FB 与非外国出生（NFB）者中的艾滋病流行情况。
利用纽约市（NYC）艾滋病毒/艾滋病监测登记处的数据，测量 2001-2009 年艾滋病毒诊断的趋势，按出生地计算艾滋病毒诊断率，并比较 2006-2009 年诊断出的 FB 和 NFB 的人口统计学和护理特征。该登记处包含所有被诊断患有艾滋病毒感染、艾滋病毒疾病和艾滋病的纽约人的数据，并接收所有艾滋病毒/艾滋病患者的实验室结果。
从 2001 年到 2009 年，FB 中新增艾滋病毒诊断的数量略有增加，但作为所有病例的百分比显著增加（2001 年为 17%，2009 年为 28%；p<0.01）。2006-2009 年，FB 的年诊断率低于 NFB（37 比 56/每 10 万人）。与 NFB 相比，FB 人同时被诊断出患有艾滋病的可能性显著更高；FB 在开始治疗时的 CD4 计数中位数较低。FB 人更不可能有保险，有 13%的人需要语言翻译服务。
纽约市归因于 FB 人的艾滋病毒诊断百分比有所增加。FB 中艾滋病毒感染可能比 NFB 中更久未被诊断。FB 可能受益于有针对性的预防外展和其他服务。
