Exposure Investigation Section (EIS), Office of Community Health and Hazard Assessment (OCHHA), Agency of Toxic Substance and Disease Registry (ATSDR), Centers for Disease Control and Prevention (CDC), 4770 Buford Highway, Atlanta, GA, 30341, USA.
National Center for HIV, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), 1600 Clifton Road NE, Atlanta, GA, 30329, USA.
J Immigr Minor Health. 2024 Jun;26(3):443-452. doi: 10.1007/s10903-023-01568-0. Epub 2023 Nov 3.
Despite the improvements in HIV care outcomes in the United States (US), non-US-born persons continue to be disproportionately affected by HIV. We analyzed National HIV Surveillance System (NHSS) data on HIV diagnoses, stage 3 (AIDS) at diagnosis, linkage to medical care, and viral suppression for non-US-born persons by region of birth (RoB) reported to the (NHSS) in 2020 to determine care outcomes among this population. Overall, a larger proportion of non-US-born persons received a late-stage diagnosis [stage 3 (AIDS)] classification. Among all non-US-born persons, African-born males, Asian-born females, and persons aged 55 + years had the highest proportions of late-stage diagnosis. Despite a late-stage of diagnosis, a higher proportion of non-US-born persons were linked to medical care and were virally suppressed compared to US-born persons. HIV care outcomes varied by RoB and selected characteristics. Knowing the RoB of non-US-born persons is necessary to identify culturally sensitive approaches for prevention planning and increasing testing activities to ultimately increase early diagnosis in this population.
尽管美国（美国）在改善艾滋病毒护理方面取得了进展，但非美国出生的人继续不成比例地受到艾滋病毒的影响。我们分析了 2020 年向国家艾滋病毒监测系统（NHSS）报告的非美国出生者按出生地区（RoB）报告的艾滋病毒诊断、诊断时的第 3 期（艾滋病）、与医疗保健的联系以及病毒抑制的 NHSS 数据，以确定该人群的护理结果。总体而言，较大比例的非美国出生者接受了晚期诊断[第 3 期（艾滋病）]分类。在所有非美国出生者中，非洲出生的男性、亚洲出生的女性以及 55 岁以上的人群的晚期诊断比例最高。尽管诊断处于晚期，但与美国出生者相比，更多的非美国出生者与医疗保健机构建立了联系，并实现了病毒抑制。艾滋病毒护理结果因 RoB 和选定特征而异。了解非美国出生者的 RoB 对于确定针对预防规划的文化敏感方法以及增加检测活动以最终增加该人群的早期诊断是必要的。
