Diaz T, Buehler J W, Castro K G, Ward J W
Division of HIV/AIDS, Centers for Disease Control and Prevention, Atlanta, Ga. 30345.
Am J Public Health. 1993 Apr;83(4):504-9. doi: 10.2105/ajph.83.4.504.
In 1991 the incidence of acquired immunodeficiency syndrome (AIDS) in the United States was 31.6 per 100,000 population among Hispanics and 11.8 per 100,000 among non-Hispanic Whites. The purpose of this study was to further describe the AIDS epidemic among Hispanics by examining differences in risk factors among different Hispanic groups (as defined by birthplace).
AIDS cases reported to the Centers for Disease Control and Prevention from 1988 through 1991 were reviewed.
For men, except for those born in Puerto Rico, the predominant exposure category was male-male sex. The proportion of cases due to injection drug use was 35% among Hispanic men born in the United States, 27% among men born in the Dominican Republic, and 61% among men born in Puerto Rico, but < 10% among other Hispanic men and non-Hispanic White men. For women the predominant exposure category was injection drug use among Hispanics born in the United States (56%) and Puerto Rico (46%) and among non-Hispanic Whites (42%). The proportion of cases associated with injection drug use was significantly lower (< 30%) among other Hispanic women.
AIDS prevention strategies must be geared toward different exposure categories among different Hispanic groups.
1991年，美国西班牙裔人群中获得性免疫缺陷综合征（艾滋病）的发病率为每10万人31.6例，非西班牙裔白人中为每10万人11.8例。本研究的目的是通过检查不同西班牙裔群体（按出生地定义）之间危险因素的差异，进一步描述西班牙裔人群中的艾滋病流行情况。
回顾了1988年至1991年向疾病控制与预防中心报告的艾滋病病例。
对于男性，除了出生在波多黎各的男性外，主要的暴露类别是男男性行为。在美国出生的西班牙裔男性中，因注射毒品导致的病例比例为35%，在多米尼加共和国出生的男性中为27%，在波多黎各出生的男性中为61%，但在其他西班牙裔男性和非西班牙裔白人男性中<10%。对于女性，主要的暴露类别是在美国出生的西班牙裔（56%）和波多黎各（46%）以及非西班牙裔白人（42%）中的注射毒品。在其他西班牙裔女性中，与注射毒品相关的病例比例显著较低（<30%）。
艾滋病预防策略必须针对不同西班牙裔群体中的不同暴露类别。
