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2009 - 2018年纽约市艾滋病病毒感染者的预期寿命

Life Expectancy Among People With HIV in New York City, 2009-2018.

作者信息

Xia Qiang, Maduro Gil A, Li Wenhui, Huynh Mary, Torian Lucia V

机构信息

Bureau of HIV, Hepatitis, and Sexually Transmitted Infections, Queens, NY; and.

Bureau of Vital Statistics, New York City Department of Health and Mental Hygiene, New York, NY.

出版信息

J Acquir Immune Defic Syndr. 2022 Dec 15;91(5):434-438. doi: 10.1097/QAI.0000000000003095.

DOI:10.1097/QAI.0000000000003095
PMID:36084201
Abstract

OBJECTIVE

To conduct a population-based analysis and compare life expectancy between people with HIV and the general population in New York City (NYC).

METHODS

We obtained the annual total number and age, sex, and race/ethnicity distributions of people with HIV from the NYC HIV registry and generated comparable numbers for the NYC general population from the Census 2000 and 2010 data using linear interpolation.

RESULTS

Life expectancy at age 20 among people with HIV increased from 38.5 years [95% confidence interval (CI): 37.4 to 39.5] in 2009 to 50.6 (95% CI: 48.5 to 52.7) in 2018, whereas it increased from 62.0 years (95% CI: 61.8 to 62.1) to 63.6 (95% CI: 63.5 to 63.7) among the NYC general population. The gap between the 2 populations narrowed from 23.5 years (95% CI: 22.4 to 24.6) in 2009 to 13.0 (95% CI: 10.9 to 15.1) in 2018. By sex and race/ethnicity, life expectancy at age 20 among people with HIV increased from 36.7 years in 2009 to 47.9 in 2018 among Black men; 37.5 to 50.5 years among Black women; 38.6 to 48.9 years among Hispanic men; 46.0 to 51.0 years among Hispanic women; 44.7 to 59.7 years among White men; and 38.0 years in 2009-2013 to 50.4 years in 2014-2018 among White women.

CONCLUSIONS

Life expectancy among people with HIV improved greatly in NYC in 2009-2018, but the improvement was not equal across sex and racial/ethnic groups. The gap in life expectancy between people with HIV and the general population narrowed but remained.

摘要

目的

进行一项基于人群的分析,比较纽约市(NYC)艾滋病毒感染者与普通人群的预期寿命。

方法

我们从纽约市艾滋病毒登记处获取了艾滋病毒感染者的年度总数以及年龄、性别和种族/族裔分布情况,并使用线性插值法根据2000年和2010年人口普查数据生成了纽约市普通人群的可比数据。

结果

艾滋病毒感染者20岁时的预期寿命从2009年的38.5岁[95%置信区间(CI):37.4至39.5]增至2018年的50.6岁(95%CI:48.5至52.7),而纽约市普通人群的预期寿命则从62.0岁(95%CI:61.8至62.1)增至63.6岁(95%CI:63.5至63.7)。这两个人群之间的差距从2009年的23.5岁(95%CI:22.4至24.6)缩小至2018年的13.0岁(95%CI:10.9至15.1)。按性别和种族/族裔划分,艾滋病毒感染者20岁时的预期寿命在2009年至2018年间,黑人男性从36.7岁增至47.9岁;黑人女性从37.5岁增至50.5岁;西班牙裔男性从38.6岁增至48.9岁;西班牙裔女性从46.0岁增至51.0岁;白人男性从44.7岁增至59.7岁;白人女性从2009 - 2013年的38.0岁增至2014 - 2018年的50.4岁。

结论

2009 - 2018年纽约市艾滋病毒感染者的预期寿命有了很大改善,但不同性别和种族/族裔群体的改善情况并不相同。艾滋病毒感染者与普通人群之间的预期寿命差距虽有所缩小,但仍然存在。

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