title: Diagnoses of human immunodeficiency virus (HIV) infection among foreign-born persons living in the District of Columbia.
abstract: This study characterizes available surveillance data for HIV infected foreign-born residents in the District of Columbia (DC) to inform local HIV prevention and care efforts. HIV surveillance data were reviewed for adults and adolescents (ages ≥13 years) living with HIV in 2008. Variables analyzed included demographics, region of origin (for persons born outside of the U.S.), insurance coverage, linkage to and continuous HIV care. Of the 16,513 DC residents living with HIV diagnoses, 1,391 (8.4%) were foreign-born. Of foreign-born infected, 71.9% were male; 33.3% were from Africa and 20.8% from Central America; 80.6% were exposed through sex; 36.3% had health coverage at diagnosis. While 100% of foreign-born persons had documented linkage to HIV care, only 18.0% had documentation of continued HIV care. These data suggest that strengthening continuous HIV care support after successful care linkage is warranted for foreign-born persons living with HIV in DC.
authors.affiliation: Division of HIV/AIDS Prevention, National Centers for HIV, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Druid Hills, GA, USA, lwillis@cdc.gov.
authors.forename: Leigh A
authors.initials: LA
authors.lastname: Willis
authors.forename: Jenevieve
authors.initials: J
authors.lastname: Opoku
authors.forename: Ashley
authors.initials: A
authors.lastname: Murray
authors.forename: Tiffany
authors.initials: T
authors.lastname: West
authors.forename: Anna Satcher
authors.initials: AS
authors.lastname: Johnson
authors.forename: Gregory
authors.initials: G
authors.lastname: Pappas
authors.forename: Madeline Y
authors.initials: MY
authors.lastname: Sutton
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa / Q000208:ethnology; D002489:Central America / Q000208:ethnology; D004219:District of Columbia / Q000453:epidemiology; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000208:ethnology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011159:Population Surveillance; D014171:Transients and Migrants / Q000706:statistics & numerical data*
references.citation: MMWR Morb Mortal Wkly Rep. 2011 Dec 2;60(47):1618-23
references.pmid: 22129997
references.citation: AIDS Educ Prev. 2009 Oct;21(5):484-94
references.pmid: 19842831
references.citation: JAMA. 2008 Aug 6;300(5):571-3
references.pmid: 18677029
references.citation: J Natl Med Assoc. 2009 Dec;101(12):1230-6
references.pmid: 20070011
references.citation: AIDS. 2010 Nov 13;24(17):2665-78
references.pmid: 20841990
references.citation: J Acquir Immune Defic Syndr. 2008 Sep 1;49(1):102-6
references.pmid: 18667924
references.citation: J Urban Health. 2005 Jun;82(2 Suppl 3):iii13-25
references.pmid: 15933327
references.citation: AIDS Care. 2005 Nov;17(8):1030-43
references.pmid: 16176899
references.citation: AIDS. 2009 Jun 19;23(10):1277-84
references.pmid: 19440142
references.citation: J Immigr Minor Health. 2012 Feb;14(1):82-8
references.pmid: 21327966
references.citation: J Immigr Minor Health. 2007 Jan;9(1):49-54
references.pmid: 17031578
references.citation: Am J Public Health. 2002 Dec;92(12):1958-63
references.pmid: 12453816
references.citation: N Engl J Med. 2011 Aug 11;365(6):493-505
references.pmid: 21767103
references.citation: J Immigr Health. 1999 Oct;1(4):195-205
references.pmid: 16228723
references.citation: PLoS One. 2010 Sep 15;5(9):e12756
references.pmid: 20856793
references.citation: Public Health Rep. 2010 Jul-Aug;125 Suppl 4:61-9
references.pmid: 20626194
references.citation: J Natl Med Assoc. 2005 Jul;97(7 Suppl):32S-37S
references.pmid: 16080455
references.citation: Sex Transm Infect. 2002 Feb;78(1):37-9
references.pmid: 11872857