Sheehan Diana M, Auf Rehab, Cyrus Elena, Fennie Kristopher P, Maddox Lorene M, Spencer Emma C, Rosa Mario De La, Trepka Mary Jo
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University , Miami , FL , USA.
Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Florida International University , Miami , FL , USA.
AIDS Care. 2019 Dec;31(12):1593-1596. doi: 10.1080/09540121.2019.1612019. Epub 2019 Apr 29.
The study's objective was to assess temporal changes in birth country and age among newly diagnosed Latino men who have sex with men (MSM). We used records from Hispanics/Latinos (2007-2016) who were reported to the Florida HIV/AIDS surveillance system. We compared trends in birth country/region and age by year using a two-sided Cochran-Armitage Trend Test. Of 12,427 new diagnoses, 85.9% were among men. Of men, 79.5% were MSM. The proportion attributable to MSM increased from 70.0% in 2007-85.7% in 2016 (-value < .0001). Compared with the trend in the proportion of MSM cases born in US-mainland, the proportion born in Cuba (20.0-29.9%; -value < .0001) and South America (13.8% to 23.2%; -value < .0001) increased significantly over time, and the proportion born in Central America (8.1% to 4.5%; -value < .0001) decreased significantly over time. Compared with the trend in the proportion of MSM aged 35-49 years, the proportion aged 13-24 (15.4% to 20.6%; -value < .0001) and 25-34 (25.0% to 35.6%; -value < .0001) years increased significantly over time. In Florida, HIV prevention and screening strategies should be enhanced for Cuban and South American immigrants and young Latinos to address the increasing trend in new diagnoses among Latino MSM.
该研究的目的是评估新诊断出的男男性行为拉丁裔（MSM）的出生国家和年龄的时间变化。我们使用了向佛罗里达州艾滋病毒/艾滋病监测系统报告的西班牙裔/拉丁裔（2007 - 2016年）的记录。我们使用双侧 Cochr an - Armitage趋势检验按年份比较出生国家/地区和年龄的趋势。在12427例新诊断病例中，85.9%为男性。在男性中，79.5%为男男性行为者。男男性行为者所占比例从2007年的70.0%增至2016年的85.7%（p值<0.0001）。与在美国本土出生的男男性行为病例比例趋势相比，在古巴出生的比例（20.0%至29.9%；p值<0.0001）和南美洲出生的比例（13.8%至23.2%；p值<0.0001）随时间显著增加，而在中美洲出生的比例（8.1%至4.5%；p值<0.0001）随时间显著下降。与35 - 四十九岁男男性行为者比例趋势相比，13 - 24岁（15.4%至20.6%；p值<0.0001）和25 - 34岁（25.0%至35.6%；p值<0.0001）的比例随时间显著增加。在佛罗里达州，应加强针对古巴和南美移民以及年轻拉丁裔的艾滋病毒预防和筛查策略，以应对拉丁裔男男性行为者新诊断病例增加的趋势。
