title: Foreign-Born Persons Diagnosed with HIV: Where are They From and Where Were They Infected?
abstract: We sought to calculate rates of HIV diagnoses by area of birth among foreign-born persons in a high-incidence US city with many immigrants, and determine probable place of HIV acquisition. Data from the New York City HIV surveillance registry and American Community Survey were used to calculate HIV diagnosis rates by area of birth and determine probable place of HIV acquisition among foreign-born diagnosed in 2006-2012. HIV diagnosis rates varied by area of birth and were highest among African-born persons; absolute numbers were highest among Caribbean-born persons. Probable place of acquisition was a foreign country for 23 % (from 9 % among Middle Easterners to 43 % among Africans), US for 61 % (from 34 % among Africans to 76 % among South Americans), and not possible to estimate for 16 %. HIV prevention and testing initiatives should take into account variability by foreign area of birth in HIV diagnosis rates and place of acquisition.
authors.affiliation: HIV Epidemiology and Field Services Program, New York City Department of Health and Mental Hygiene, 42-09 28th Street, 22nd Floor, Long Island City, New York, NY, 11101, USA, ewiewel@health.nyc.gov.
authors.forename: Ellen W
authors.initials: EW
authors.lastname: Wiewel
authors.forename: Lucia V
authors.initials: LV
authors.lastname: Torian
authors.forename: David B
authors.initials: DB
authors.lastname: Hanna
authors.forename: Angelica
authors.initials: A
authors.lastname: Bocour
authors.forename: Colin W
authors.initials: CW
authors.lastname: Shepard
mesh_terms: D000293:Adolescent; D000328:Adult; D000349:Africa / Q000208:ethnology; D000368:Aged; D044383:Black People / Q000706:statistics & numerical data*; D017691:Caribbean Region / Q000208:ethnology; D002489:Central America / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000175:diagnosis* / Q000453:epidemiology / Q000208:ethnology* / Q000635:transmission; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000453:epidemiology; D011159:Population Surveillance / Q000379:methods*; D012307:Risk Factors; D017678:Sex Distribution; D055815:Young Adult; D001741:Black or African American