HIV/STD Program, Public Health - Seattle & King County, Seattle, WA, USA.
Division of Allergy and Infectious Disease, University of Washington, Seattle, WA, USA.
AIDS Behav. 2018 Jul;22(7):2181-2188. doi: 10.1007/s10461-017-1914-3.
To better understand country of birth-related shifts in the demography of people newly diagnosed with HIV infection, we compared demographic and clinical characteristics of foreign-born and U.S.-born residents of King County, WA diagnosed with HIV from 2006 to 2015. The proportion of cases that were foreign-born increased from 23 to 34% during this time. Most foreign-born cases were born in Africa (34%), Latin America (32%), Asia (22%), or Europe (7%). Latin Americans and Asians were similar to U.S.-born individuals by HIV risk factor and gender, while Africans were more likely to be female and less often men who have sex with men. In 2015, approximately 15% of cases presumptively newly diagnosed in King County were foreign-born individuals who self-reported a pre-immigration HIV diagnosis. Increases in foreign-born individuals previously diagnosed out of country may lead to inaccuracy in the count of new diagnoses, including an over-estimate of community-acquired HIV in King County.
为了更好地理解新诊断出 HIV 感染的人群中出生地相关变化的人口统计学特征，我们比较了 2006 年至 2015 年期间在华盛顿州金县新诊断出 HIV 的外国出生和美国出生的居民的人口统计学和临床特征。在此期间，外国出生的病例比例从 23%增加到 34%。大多数外国出生的病例来自非洲（34%）、拉丁美洲（32%）、亚洲（22%）或欧洲（7%）。拉丁美洲人和亚洲人与美国出生的个体在 HIV 风险因素和性别方面相似，而非洲人更有可能是女性，而男男性行为者则较少。2015 年，金县大约有 15%的新诊断病例是自我报告有移民前 HIV 诊断的外国出生个体。国外以前诊断出的外国出生个体的增加可能导致新诊断病例的计数不准确，包括高估金县的社区获得性 HIV。
