African-Born Men in the United States Are Diagnosed With HIV Later Than African-Born Women

被引:8
|
作者
Kwakwa, Helena A.
Doggett, Patrick [1 ]
Ubaldi-Rosen, Regina [2 ]
McLellan, Kim [2 ]
Gaye, Oumar H.
Gebreselassie, Millen
Robbins, Jessica M.
机构
[1] Thomas Jefferson Univ, Sch Med, Philadelphia, PA 19107 USA
[2] AIDS Care Grp, Chester, PA USA
关键词
HIV/AIDS; gender; Africans; CD4 CELL COUNTS; ANTIRETROVIRAL THERAPY; INFECTION; DISEASE; HIV/AIDS; STAGE; ERA;
D O I
10.1016/S0027-9684(15)30130-9
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Objective: This paper evaluates gender differences in CD4 cell counts at human immunodeficiency virus (HIV) diagnosis of an African-born population receiving care for HIV infection in a publicly financed clinic setting in Philadelphia, Pennsylvania, in comparison with a non-African, foreign-born cohort in the same setting. Methods: Records of foreign-born individuals receiving HIV care at the Philadelphia city health centers between January 2007 and December 2008 were reviewed. Data abstracted included demographics, country of origin, reason for HIV testing, and baseline CD4 cell count. Associations among baseline CD4 cell count, demographic variables and reason for testing were assessed by gender and by world region of origin (African or non-African). Results: During the review period, 107 African patients and 127 non-African patients met inclusion criteria. Mean CD4 cell counts at diagnosis were 263 cells/mm(3) for African men and 362 cells/mm(3) for African women (p = .055). For other foreign-born individuals, mean CD4 cell counts did not vary by gender. African women were more likely than African men to undergo routine testing in the setting of reproductive health care, while there was no gender difference in rates of reproduction-related testing for non-Africans. Conclusions: African men in Philadelphia are diagnosed with HIV at a later stage of disease than African women are. This difference is associated with higher rates of routine testing of African women in reproductive health care settings. Efforts to engage African men in the United States in routine HIV testing are urgently needed as part of the national "test and treat" strategy of HIV testing and linkage to care.
引用
收藏
页码:14 / 19
页数:6
相关论文
共 50 条
  • [1] HIV/AIDS Among African-Born Residents in the United States
    Demetri A. Blanas
    Kim Nichols
    Mulusew Bekele
    Amanda Lugg
    Roxanne P. Kerani
    Carol R. Horowitz
    [J]. Journal of Immigrant and Minority Health, 2013, 15 : 718 - 724
  • [2] HIV/AIDS Among African-Born Residents in the United States
    Blanas, Demetri A.
    Nichols, Kim
    Bekele, Mulusew
    Lugg, Amanda
    Kerani, Roxanne P.
    Horowitz, Carol R.
    [J]. JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2013, 15 (04) : 718 - 724
  • [3] Impact of HIV/AIDS on African-born Women Living in the United States: a Systematic Review
    Eiman Elmileik
    Ivy Turnbull
    [J]. Journal of Racial and Ethnic Health Disparities, 2023, 10 : 680 - 707
  • [4] Impact of HIV/AIDS on African-born Women Living in the United States: a Systematic Review
    Elmileik, Eiman
    Turnbull, Ivy
    [J]. JOURNAL OF RACIAL AND ETHNIC HEALTH DISPARITIES, 2023, 10 (02) : 680 - 707
  • [5] HIV among African-born persons in the United States: A Hidden epidemic?
    Kerani, Roxanne P.
    Kent, James B.
    Sides, Tracy
    Dennis, Greg
    Ibrahim, Abdel R.
    Cross, Helene
    Wiewel, Ellen W.
    Wood, Robert W.
    Golden, Matthew R.
    [J]. JAIDS-JOURNAL OF ACQUIRED IMMUNE DEFICIENCY SYNDROMES, 2008, 49 (01) : 102 - 106
  • [7] HIV Stigma, Testing Attitudes and Health Care Access Among African-Born Men Living in the United States
    Bova, Carol
    Nnaji, Chioma
    Woyah, Augustus
    Duah, Akwasi
    [J]. JOURNAL OF IMMIGRANT AND MINORITY HEALTH, 2016, 18 (01) : 187 - 193
  • [8] HIV Stigma, Testing Attitudes and Health Care Access Among African-Born Men Living in the United States
    Carol Bova
    Chioma Nnaji
    Augustus Woyah
    Akwasi Duah
    [J]. Journal of Immigrant and Minority Health, 2016, 18 : 187 - 193
  • [9] A Public Health Priority: Disparities in Gynecologic Cancer Research for African-Born Women in the United States
    Pinder, Leeya F.
    Nelson, Brett D.
    Eckardt, Melody
    Goodman, Annekathryn
    [J]. CLINICAL MEDICINE INSIGHTS-WOMENS HEALTH, 2016, 9 : 21 - 26
  • [10] Planning and Implementing a Statewide Soccer HIV Awareness and Health Promotion Intervention for African-born Men Living in the United States
    Woyah, Augustus
    Nnaji, Chioma
    Bova, Carol
    [J]. JANAC-JOURNAL OF THE ASSOCIATION OF NURSES IN AIDS CARE, 2014, 25 (06): : 675 - 681