Roxanne P Kerani1,2,3,4, Amanda Lugg5, Baiba Berzins6, Oumar Gaye7, Lauren E Lipira8,9, Camille Bundy6,10, Helena Kwakwa7, King K Holmes11,12,13, Matthew R Golden11,14,12. 1. Department of Medicine, University of Washington, Seattle, WA, United States. rkerani@uw.edu. 2. HIV/STD Program, Public Health - Seattle and King County, Seattle, WA, United States. rkerani@uw.edu. 3. Department of Epidemiology, University of Washington, Seattle, WA, United States. rkerani@uw.edu. 4. Center for AIDS and STD, Harborview Medical Center, 325 9th Ave, Box 359932, 98104, Seattle, WA, United States. rkerani@uw.edu. 5. African Services Committee, New York, NY, United States. 6. Division of Infectious Diseases, Northwestern University, Evanston, IL, United States. 7. Philadelphia Department of Public Health, Philadelphia, PA, United States. 8. Department of Health Services, University of Washington, Seattle, WA , United States. 9. Oregon Health Authority and the Regional Research Institute, Portland State University, Portland, OR, United States. 10. Institute for Sexual and Gender Minority Health and Wellbeing, Northwestern University, Chicago, IL, United States. 11. Department of Medicine, University of Washington, Seattle, WA, United States. 12. Department of Epidemiology, University of Washington, Seattle, WA, United States. 13. Department of Global Health, University of Washington, Seattle, WA, United States. 14. HIV/STD Program, Public Health - Seattle and King County, Seattle, WA, United States.
Abstract
BACKGROUND: African immigrants in the U.S. are more likely to have a late HIV diagnosis than U.S.-born people, potentially leading to onward transmission. We sought to determine the proportion of African-born people living with HIV (APLWH) who (1) had tested HIV negative prior to diagnosis, and (2) likely acquired HIV in the U.S. METHODS: We interviewed APLWH from 2014 to 2017 and estimated the proportion with post-migration HIV acquisition based on clinical data, HIV testing history, immigration date, and behavioral data. RESULTS: Of 179 participants, 113 (63%) were women. Less than half (44%) reported a negative HIV test prior to diagnosis. Among 142 (79%) participants with sufficient data to evaluate post-migration HIV acquisition, we estimate that 29% acquired HIV post-migration. Most APLWH acquire HIV prior to immigration. DISCUSSION: Approximately one-quarter of APLWH acquire HIV post-migration and HIV testing is infrequent, highlighting the need for prevention efforts for African immigrants in the U.S.
BACKGROUND: African immigrants in the U.S. are more likely to have a late HIV diagnosis than U.S.-born people, potentially leading to onward transmission. We sought to determine the proportion of African-born people living with HIV (APLWH) who (1) had tested HIV negative prior to diagnosis, and (2) likely acquired HIV in the U.S. METHODS: We interviewed APLWH from 2014 to 2017 and estimated the proportion with post-migration HIV acquisition based on clinical data, HIV testing history, immigration date, and behavioral data. RESULTS: Of 179 participants, 113 (63%) were women. Less than half (44%) reported a negative HIV test prior to diagnosis. Among 142 (79%) participants with sufficient data to evaluate post-migration HIV acquisition, we estimate that 29% acquired HIV post-migration. Most APLWH acquire HIV prior to immigration. DISCUSSION: Approximately one-quarter of APLWH acquire HIV post-migration and HIV testing is infrequent, highlighting the need for prevention efforts for African immigrants in the U.S.
Authors: Nikos Pantazis; Christos Thomadakis; Julia Del Amo; Debora Alvarez-Del Arco; Fiona M Burns; Ibidun Fakoya; Giota Touloumi Journal: Stat Methods Med Res Date: 2017-12-12 Impact factor: 3.021
Authors: Ellen W Wiewel; Lucia V Torian; Hani N Nasrallah; David B Hanna; Colin W Shepard Journal: Sex Transm Infect Date: 2013-01-19 Impact factor: 3.519