Differences Between U.S.-Born and Non-U.S.-Born Black Adults Reported with Diagnosed HIV Infection: United States, 2008–2014
Despite improvements in its treatment, HIV infection continues to affect Blacks disproportionally. Using National HIV Surveillance System data from 50 U.S. states and the District of Columbia, we examined demographic and epidemiologic differences between U.S.-born and non-U.S.-born Black adults. Of 110,452 Black adults reported with diagnosed HIV during 2008–2014 with complete country of birth information, 11.1% were non-U.S.-born. Non-U.S.-born were more likely to be older, female, have HIV infection attributed to heterosexual contact, have been diagnosed late, and live in the northeastern U.S. region. During 2014, the HIV diagnosis rate among African-born Black females was 1.4 times the rate of U.S.-born Black males, 2 times the rate of African-born Black males, and 5.3 times the rate of U.S.-born Black females. We elucidate the differences between U.S.-born and non-U.S.-born Blacks on which to base culturally appropriate HIV-prevention programs and policies.
KeywordsHuman immunodeficiency virus Acquired immunodeficiency syndrome African Americans Non-U.S.-born Immigrants
- 3.Rastogi S, Johnson TD, Hoeffel EM, Drewery MP Jr. The Black population: 2010. Washington, DC: US Census Bureau; 2011. https://www.census.gov/content/dam/Census/library/publications/2011/dec/c2010br-06.pdf. Accessed 14 June 2017.
- 11.Anderson M. A rising share of the U.S. Black population is foreign born; 9 percent are immigrants; and while most are from the Caribbean, Africans drive recent growth. Washington, DC: Pew Research Center; 2015. http://www.pewsocialtrends.org/2015/04/09/a-rising-share-of-the-u-s-black-population-is-foreign-born/. Accessed 14 June 2017.
- 12.Grieco EM, Acosta YD, Cruz PD, et al. The foreign-born population in the United States: 2010. Washington, DC: The United States Census Bureau; 2012. http://www.census.gov/prod/2012pubs/acs-19.pdf. Accessed 14 June 2017.
- 13.US Census Bureau. Foreign-born. Washington, DC: US Census Bureau; 2016. http://www.census.gov/topics/population/foreign-born/about.html. Accessed 14 June 2017.
- 14.United Nations Department of Economic and Social Affairs. Demographic yearbook 2014. New York: United Nations; 2015. http://www.un-ilibrary.org/population-and-demography/united-nations-demographic-yearbook-2014_f4dbfce9-en-fr. Accessed 14 June 2017.
- 15.US Census Bureau. Geographic terms and concepts—urban and rural. Washington, DC: US Census Bureau; 2012. https://www.census.gov/geo/reference/gtc/gtc_urbanrural.html. Accessed 14 June 2017.
- 16.U.S. Department of Commerce. Economics and Statistics Administration Bureau of the Census. Chapter 6: statistical groupings of states and counties. In: Geographic areas reference manual. Washington, DC: US Census Bureau; 1994. http://www2.census.gov/geo/pdfs/reference/GARM/GARMcont.pdf. Accessed 14 June 2017.
- 17.US Census Bureau. American FactFinder. Washington, DC: US Census Bureau; [undated]. https://factfinder.census.gov/faces/nav/jsf/pages/index.xhtml. Accessed 14 June 2017.
- 18.Gambino CP, Trevelyan EN, Fitzwater JT. The foreign-born population from Africa: 2008–2012. Washington, DC: US Census Bureau; 2014. American Community Survey Briefs ACSBR/12-16. https://www.census.gov/content/dam/Census/library/publications/2014/acs/acsbr12-16.pdf. Accessed 14 June 2017.
- 19.Zong J, Batalova J. Caribbean immigrants in the United States. The Online Journal of the Migration Policy Institution, September 14, 2016. http://www.migrationpolicy.org/article/caribbean-immigrants-united-states/. Accessed 14 June 2017.
- 20.Centers for Disease Control and Prevention (CDC). HIV Surveillance Report, 2015. Vol. 27. Atlanta, GA: US Department of Health and Human Services, CDC; 2016. http://www.cdc.gov/hiv/library/reports/hiv-surveillance.html. Accessed 9 Nov 2017.
- 23.The Henry J. Kaiser Family Foundation. The global HIV/AIDS epidemic; November 2017. http://files.kff.org/attachment/Fact-Sheet-The-Global-HIV-AIDS-Epidemic.
- 29.Lawson E, Gardezi F, Calzavara L, Husbands W, Myers T, Tharao WE. HIV/AIDS stigma, denial, fear and discrimination: experiences and responses of people from African and Caribbean communities in Toronto. Toronto: University of Toronto; 2006. http://www.accho.ca/pdf/hiv_stigma_report.pdf. Accessed 14 June 2017.
- 31.Singh GK, Rodriguez-Lainz A, Kogan MD. Immigrant health inequalities in the United States: use of eight major national data systems. Sci World J. 2013;2013:512313.Google Scholar
- 33.Centers for Disease Control and Prevention (CDC). DHAP Strategic Plan 2017–2020. Atlanta, GA: US Department of Health and Human Services, CDC; 2011. https://www.cdc.gov/hiv/pdf/dhap/cdc-hiv-dhap-external-strategic-plan.pdf.