Prior research has shown immigrant status to increase the risk of HIV. Utilizing "foreign-born" as a proxy for immigrant status, this analysis examines the similarities and differences between persons diagnosed with AIDS who were born in Sub-Saharan Africa and those who were born in the US. The analysis is based on a sample of 388 persons who were (1) diagnosed with AIDS, (2) residents of New York State at the time of diagnosis, (3) born in Sub-Saharan Africa and (4) appear in the NYS Department of Health HARS. The immigrant sample was further subdivided into two groups: a "hot" group of 151 individuals born in countries were HIV prevalence is documented at 10% or greater and an "other" group of 237 individuals from the remaining countries. Heterosexual contact and IDU are found to be associated with country of origin. Results suggest an older epidemic in the U.S-born population. Interesting, however is the fact infection by MSM is high in both "hot" (18.5%) and "other" (13.1%) Africa. This analysis supports the need for immigrant-specific HIV/AIDS prevention and treatment programs and an improvement in the quality of available information. For example, immigration status and date of arrival in the US could be added to HARS and other data sets used in prevention planing. Risk associated with length if time in US could not be assessed because date of arrival in the US is not collected. The impact of HIV is high in these communities and specific actions should be designed.
Learning Objectives: 1. Assess the differences in HIV risk factors between persons from Sub-Saharan Africa and US-born persons. 2. Suggest ways to create immigrant specific prevention programs
Keywords: Data/Surveillance, Immigration
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.