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Late HIV detection among adult males in Los Angeles County, 2000-2004

机译:2000-2004年,洛杉矶县成年男性中的艾滋病毒晚期检测

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We analyzed HIV surveillance data on white, black, and Latino males diagnosed with HIV between 2000 and 2004 in Los Angeles County (LAC) to identify associations between individual- and community-level factors and late HIV detection by race/ethnicity. We defined late HIV detection as an AIDS diagnosis within 6 months of HIV diagnosis. We conducted multilevel analysis to determine individual- and community-level risk factors associated with late HIV detection stratified by race/ethnicity. We mapped HIV-positive males with late HIV detection by race/ethnicity at the zip code level within LAC to determine high burden areas. Overall, 38% of all males met the definition of late HIV detection. By race/ethnicity, 44% of Latinos, 38% of blacks, and 30% of whites were detected late in their course of HIV infection. Latinos and whites had multiple individual-level risk factors associated with late HIV detection. Among black males, only older age at HIV diagnosis was associated with late HIV detection. The only community-level risk factor associated with late HIV detection was among Latinos living in communities with less than 6% of men who have sex with men (proxy for stigma). Mapping the distribution of late HIV detection showed late detection areas generalized across LAC for Latino males in comparison with white and black males whose maps showed clustered areas of late HIV detection. Analysis and mapping of individual- and community-level risk factors associated with late HIV detection provides an important tool for targeting prevention resources to areas and populations with the highest burden of disease. ? 2013
机译:我们分析了洛杉矶县(LAC)在2000年至2004年之间被诊断为HIV的白人,黑人和拉丁裔男性的HIV监测数据,以确定个体和社区水平因素与种族/族裔晚期HIV检测之间的关联。我们将晚期HIV检测定义为在HIV诊断后6个月内的AIDS诊断。我们进行了多级分析,以确定与种族/族裔分层的艾滋病毒晚期检测相关的个人和社区风险因素。我们通过在LAC内的邮政编码级别按种族/种族对HIV阳性男性和较晚的HIV检测进行映射,以确定高负担区域。总体而言,所有男性中有38%符合晚期HIV检测的定义。根据种族/民族,在感染艾滋病毒的晚期发现了44%的拉丁裔,38%的黑人和30%的白人。拉丁美洲人和白人有多个与晚期HIV检测相关的个人风险因素。在黑人男性中,只有在艾滋病毒诊断时年龄较大才与艾滋病毒的晚期发现有关。与艾滋病毒的早期发现有关的唯一社区级危险因素是居住在社区中与男性发生性关系的男性比例不到6%的拉丁裔(耻辱感的代表)。对晚期艾滋病毒检测的分布进行制图显示,与拉丁美洲和加勒比地区的白人和黑人男性的地图显示晚期艾滋病毒检测的聚集区域相比,拉丁美洲人男性在晚期拉丁美洲和加勒比海地区普遍存在晚期检测区域。对与艾滋病毒的早期发现有关的个人和社区风险因素的分析和绘图,为将预防资源用于疾病负担最大的地区和人群提供了重要工具。 ? 2013年

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