Wiewel Ellen W, Torian Lucia V, Hanna David B, Bocour Angelica, Shepard Colin W
HIV Epidemiology and Field Services Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, 22nd Floor, Long Island City, New York, NY, 11101, USA,
AIDS Behav. 2015 May;19(5):890-8. doi: 10.1007/s10461-014-0954-1.
We sought to calculate rates of HIV diagnoses by area of birth among foreign-born persons in a high-incidence US city with many immigrants, and determine probable place of HIV acquisition. Data from the New York City HIV surveillance registry and American Community Survey were used to calculate HIV diagnosis rates by area of birth and determine probable place of HIV acquisition among foreign-born diagnosed in 2006-2012. HIV diagnosis rates varied by area of birth and were highest among African-born persons; absolute numbers were highest among Caribbean-born persons. Probable place of acquisition was a foreign country for 23 % (from 9 % among Middle Easterners to 43 % among Africans), US for 61 % (from 34 % among Africans to 76 % among South Americans), and not possible to estimate for 16 %. HIV prevention and testing initiatives should take into account variability by foreign area of birth in HIV diagnosis rates and place of acquisition.
我们试图计算在美国一个有大量移民的高发病率城市中，外国出生者按出生地区划分的艾滋病毒诊断率，并确定可能感染艾滋病毒的地点。利用纽约市艾滋病毒监测登记处和美国社区调查的数据，计算按出生地区划分的艾滋病毒诊断率，并确定2006 - 2012年期间外国出生且被诊断出感染艾滋病毒者可能感染艾滋病毒的地点。艾滋病毒诊断率因出生地区而异，在非洲出生者中最高；绝对人数在加勒比出生者中最多。23%的人可能感染地点是外国（从中东人的9%到非洲人的43%），61%的人是在美国（从非洲人的34%到南美人的76%），16%的人无法估计。艾滋病毒预防和检测举措应考虑到外国出生地区在艾滋病毒诊断率和感染地点方面的差异。
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