Bakeman R, McCray E, Lumb J R, Jackson R E, Whitley P N
J Natl Med Assoc. 1987 Sep;79(9):921-8.
Compared with whites, the acquired immune deficiency syndrome (AIDS) has affected blacks and Hispanics disproportionately. The cumulative incidence (CI) for black men was 2.6, and for Hispanic men 2.5, times the rate for white men. Intravenous (IV) needle use alone does not account for this difference. Not counting IV needle-using cases, the CIs for black and Hispanic men were 1.7 times the CI for white men. Although there were fewer cases in women than men, the white-to-minority disparity was greater for women. The CIs for black and Hispanic women were 12.2 and 8.5 times, respectively, the CI for white women. Prevention programs are urgently needed and should focus on risky behavior (IV needle sharing and receptive anal intercourse), not just risk groups.
与白人相比，获得性免疫缺陷综合征（艾滋病）对黑人和西班牙裔的影响尤为严重。黑人男性的累积发病率（CI）是白人男性的2.6倍，西班牙裔男性的累积发病率是白人男性的2.5倍。仅静脉注射（IV）针头使用情况并不能解释这种差异。不计算静脉注射针头使用病例，黑人和西班牙裔男性的累积发病率是白人男性的1.7倍。虽然女性病例比男性少，但女性中白人与少数族裔之间的差距更大。黑人女性和西班牙裔女性的累积发病率分别是白人女性的12.2倍和8.5倍。迫切需要预防计划，且应侧重于危险行为（共用静脉注射针头和接受肛交），而不仅仅是危险群体。
