title: HIV/AIDS among African-born residents in the United States.
abstract: The number of African-born residents living in the United States (US) increased by more than 750 % between 1980 and 2009. HIV diagnosis rates in this population are six times higher than estimated incidence in the general US population. African-immigrants with HIV are also diagnosed at later stages of infection than US-born residents, but they paradoxically have lower mortality after diagnosis. There are higher rates of HIV among women, higher rates of heterosexual transmission, and lower rates of injection-drug-use-associated transmission among African-born residents in the US relative to the general US population. Despite this distinct epidemiologic profile, surveillance reports often group African-born residents with US-born Blacks. The high rates of HIV among African-born residents in the US combined with increasing immigration and incomplete surveillance data highlight the need for more accurate epidemiologic data along with appropriate HIV service programs.
authors: Department of Health Evidence and Policy, Mount Sinai School of Medicine, One Gustave L. Levy Place, Box 1077, New York City, NY 10029, USA. demetri.blanas@mssm.edu
authors: Demetri A
authors: DA
authors: Blanas
authors: Kim
authors: K
authors: Nichols
authors: Mulusew
authors: M
authors: Bekele
authors: Amanda
authors: A
authors: Lugg
authors: Roxanne P
authors: RP
authors: Kerani
authors: Carol R
authors: CR
authors: Horowitz
mesh_terms: D000328:Adult; D000349:Africa / Q000208:ethnology; D000368:Aged; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis / Q000453:epidemiology*; D006301:Health Services Needs and Demand; D006801:Humans; D008297:Male; D008875:Middle Aged; D012737:Sex Factors; D014481:United States / Q000453:epidemiology