Fordyce E J, Williams R D, Surick I W, Shum R T, Quintyne R A, Thomas P A
Office of AIDS Surveillance, New York City Department of Health, NY 10013, USA.
AIDS Educ Prev. 1995;7(5 Suppl):3-12.
New York City is a major urban epicenter of the AIDS epidemic in the United States, and has reported nearly one fifth of the nation's cases. This paper chronicles trends in the AIDS epidemic among men who have sex with men (MSM) from 1981 through 1993 in New York City. Annual AIDS incidence and cumulative deaths are described, results of survival analysis by race/ethnicity for three time periods are reported, and the effects of the epidemic on premature mortality are shown from the beginning of the epidemic through 1993. Among 25,812 cases reported in MSM, 52% were white, 25% were black and 21% were Hispanic. AIDS incidence among whites has been declining since 1987 and is continuing to increase among minorities. Survival has been improving over time among all groups analyzed, but a persistent differential in survival between different race and ethnic groups is found, with whites surviving longer than minorities. Overall, nearly one half a million person years of life before age 65 were lost among MSM between 1981 and 1993. A rapid increase in AIDS cases among men born 1970-79 who were diagnosed after 1988 suggests a new wave of the epidemic may be occurring, and continued efforts in AIDS education and prevention among MSM entering the age of sexual activity is required.
纽约市是美国艾滋病流行的一个主要城市中心，报告的病例数占全国近五分之一。本文记录了1981年至1993年纽约市男男性行为者（MSM）中艾滋病流行的趋势。描述了艾滋病的年发病率和累积死亡情况，报告了三个时间段按种族/族裔进行生存分析的结果，并展示了从疫情开始到1993年该流行病对过早死亡的影响。在报告的25812例男男性行为者病例中，52%为白人，25%为黑人，21%为西班牙裔。自1987年以来，白人中的艾滋病发病率一直在下降，而少数族裔中的发病率仍在上升。在所分析的所有群体中，生存情况一直在改善，但不同种族和族裔群体之间在生存方面存在持续差异，白人的存活时间比少数族裔长。总体而言，1981年至1993年间，男男性行为者中在65岁之前损失了近50万人年的寿命。1988年后被诊断出的1970 - 1979年出生的男性中艾滋病病例迅速增加，这表明可能正在出现新一轮疫情，因此需要继续对进入性活跃年龄的男男性行为者开展艾滋病教育和预防工作。
