在被诊断为艾滋病毒感染的非美国出生的个人中,艾滋病毒护理结果,2019年
Tebitha T Kajese Mawokomatanda1, Sonia Singh2, Eduardo E Valverde2
1Exposure 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. tkajese@cdc.gov.
Journal of immigrant and minority health
|November 3, 2023
概括
非美国出生的个人面临更高的晚期艾滋病毒诊断率,但实现更好的关联护理和病毒抑制. 量身定制的预防和检测策略对于在这个人群中早期发现艾滋病毒至关重要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 传染性疾病 传染性疾病
背景情况:
- 尽管美国在艾滋病毒治疗方面取得了进展,但非美国出生人口的艾滋病毒负担不成比例地更高.
- 晚期诊断仍然是一个重大挑战,影响治疗有效性和健康结果.
研究的目的:
- 分析非美国出生的非美国人的HIV护理结果,包括诊断阶段,医疗保健联系和病毒抑制.
- 根据出生地区 (RoB) 和人口特征,确定这些结果的变化.
主要方法:
- 利用了2020年国家艾滋病毒监测系统 (NHSS) 的数据.
- 分析了艾滋病毒诊断,诊断时的第三阶段 (艾滋病),与护理的联系和病毒抑制.
- 根据出生地区和非美国出生的选定特征分层结果.
主要成果:
- 与美国出生的个人相比,非美国出生的人的比例更高,接受了晚期诊断 (艾滋病).
- 非洲出生的男性,亚洲出生的女性和55岁以上的人患晚期诊断的比例最高.
- 尽管诊断迟到,但非美国出生的人与美国出生的人相比,与护理和病毒抑制有更高的联系率.
结论:
- 包括诊断时间和治疗成功在内的艾滋病毒护理结果在非美国出生人口中因出生地区而有很大差异.
- 了解出生地区对于制定文化敏感的艾滋病毒预防和检测策略至关重要.
- 努力应集中在增加非美国出生的人群早期艾滋病毒诊断,以改善整体健康结果.
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