Neilsen G, Hill P S
AIDS Medical Unit, Specialised Health Services, Brisbane, Qld.
Med J Aust. 1993 Feb 1;158(3):155-7. doi: 10.5694/j.1326-5377.1993.tb121691.x.
To describe the epidemiology of HIV infection based on notifications of HIV infection in Aboriginal and Torres Strait Islander people in Queensland and to review their implications for Aboriginal and Torres Strait Islander communities.
Descriptive study of data obtained through HIV notifications to the AIDS Medical Unit, Specialised Health Services, Queensland Health from 1 July 1985 to 31 August 1991.
Aboriginal and Torres Strait Islander people of Queensland.
Centers for Disease Control (CDC) classification of HIV infection, as at 31 August 1991.
Twenty-nine individuals identified as Aboriginal or Torres Strait Islander were notified as positive for HIV antibodies in the period 1 July 1985 to 31 August 1991. Of those diagnosed, three were female and 26 male. At 31 August 1991, only 10 were asymptomatic (CDC Group II, III), eight were symptomatic (AIDS-related complex) and 11 were diagnosed as having AIDS. Seven of those with a diagnosis of AIDS had died by the end of the study period. By comparison, 1158 non-Aboriginal or Torres Strait Islander people were notified for the same time period. Of these, 48 were female, 1105 were male and five were transsexual. In the non-Aboriginal and Torres Strait Islander group, 633 were asymptomatic and 297 were diagnosed with AIDS. By the end of the study period, 228 had died.
The data show an estimated prevalence of diagnosed HIV infection in Aboriginal and Torres Strait Islander people in Queensland comparable with the rest of the population. Cases are distributed throughout the State, though some clustering is evident. There has been a stable pattern of notifications over the past five years. The proportion of asymptomatic (CDC groups II, III) HIV-positive Aboriginal and Torres Strait Islander clients was significantly lower than for the non-Aboriginal and Torres Strait Islander group. These data have implications in terms of projections of total cases, diagnosed and undiagnosed, and relative access to the advantages attending early diagnosis.
根据昆士兰州原住民和托雷斯海峡岛民的艾滋病毒感染报告描述艾滋病毒感染的流行病学情况，并探讨其对原住民和托雷斯海峡岛民社区的影响。
对1985年7月1日至1991年8月31日期间向昆士兰州卫生部专门卫生服务机构艾滋病医疗单位报告的艾滋病毒数据进行描述性研究。
昆士兰州的原住民和托雷斯海峡岛民。
截至1991年8月31日的疾病控制中心（CDC）艾滋病毒感染分类。
在1985年7月1日至1991年8月31日期间，有29名被确定为原住民或托雷斯海峡岛民的个体被报告艾滋病毒抗体呈阳性。在这些被诊断出的人中，3名是女性，26名是男性。截至1991年8月31日，只有10人无症状（CDC第二、三组），8人有症状（艾滋病相关综合征），11人被诊断患有艾滋病。在研究期结束时，7名被诊断患有艾滋病的人已经死亡。相比之下，在同一时期有1158名非原住民或托雷斯海峡岛民被报告感染。其中，48名是女性，1105名是男性，5名是变性人。在非原住民和托雷斯海峡岛民组中，633人无症状，297人被诊断患有艾滋病。到研究期结束时，228人已经死亡。
数据显示，昆士兰州原住民和托雷斯海峡岛民中已诊断出的艾滋病毒感染患病率估计与其他人群相当。病例分布在全州各地，不过明显存在一些聚集现象。在过去五年中报告情况呈稳定模式。艾滋病毒呈阳性的无症状原住民和托雷斯海峡岛民客户（CDC第二、三组）的比例明显低于非原住民和托雷斯海峡岛民组。这些数据对于已诊断和未诊断的病例总数预测以及早期诊断带来的相对优势的获取具有影响。
