Rebeiro Peter Francis, Ivey Kelsey Sunderland, Craig Kaylin Smith, Hulgan Todd, Huaman Moises Arturo, Nash Robertson, Raffanti Stephen, Equakun Kehinde Amen, Person Anna Kristine
1 Vanderbilt University Medical Center, Nashville, TN, USA.
2 Vanderbilt Comprehensive Care Clinic, Nashville, TN, USA.
J Int Assoc Provid AIDS Care. 2017 Jul/Aug;16(4):347-352. doi: 10.1177/2325957417710719. Epub 2017 May 31.
Among younger men who have sex with men (MSM), the incidence of HIV is rising nationally. Of the 281 persons who entered into care at a large HIV clinic in the southeastern United States in 2010 to 2012, 78 (27.8%) were <25 years old at the time of diagnosis. Those in the younger group were more likely than those aged ≥25 to be black (59.0% versus 37.4%), MSM (78.2% versus 55.2%), and to have a longer median time from diagnosis to entry into care (71 versus 53 days; P < .05 each). In adjusted survival analysis, persons of black race were less likely to enter care after diagnosis than those of nonblack race (hazard ratio = 0.75, P = .02). Young MSM represent an important target population for prevention and HIV testing interventions, and there is a need to shorten the time from diagnosis to linkage to care, particularly in persons aged <25 and of black race.
在与男性发生性关系的年轻男性（男男性行为者）中，全国范围内艾滋病毒感染率正在上升。2010年至2012年期间，在美国东南部一家大型艾滋病毒诊所接受治疗的281人中，78人（27.8%）在诊断时年龄小于25岁。较年轻组的人比年龄≥25岁的人更有可能是黑人（59.0%对37.4%）、男男性行为者（78.2%对55.2%），并且从诊断到开始治疗的中位时间更长（71天对53天；每项P < 0.05）。在调整后的生存分析中，黑人比非黑人在诊断后开始治疗的可能性更小（风险比 = 0.75，P = 0.02）。年轻男男性行为者是预防和艾滋病毒检测干预措施的重要目标人群，有必要缩短从诊断到与治疗衔接的时间，特别是在年龄小于25岁的黑人群体中。
