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Foreign-Born Individuals with HIV in King County, WA: A Glimpse of the Future of HIV?

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Abstract

To better understand country of birth-related shifts in the demography of people newly diagnosed with HIV infection, we compared demographic and clinical characteristics of foreign-born and U.S.-born residents of King County, WA diagnosed with HIV from 2006 to 2015. The proportion of cases that were foreign-born increased from 23 to 34% during this time. Most foreign-born cases were born in Africa (34%), Latin America (32%), Asia (22%), or Europe (7%). Latin Americans and Asians were similar to U.S.-born individuals by HIV risk factor and gender, while Africans were more likely to be female and less often men who have sex with men. In 2015, approximately 15% of cases presumptively newly diagnosed in King County were foreign-born individuals who self-reported a pre-immigration HIV diagnosis. Increases in foreign-born individuals previously diagnosed out of country may lead to inaccuracy in the count of new diagnoses, including an over-estimate of community-acquired HIV in King County.

Resumen

Para entender mejor los cambios relacionados con el país de nacimiento en la demografía de las personas recientemente diagnosticadas con infección por el VIH, comparamos características demográficas y clínicas de los residentes de King County (WA) nacidos en el extranjero contra los nacidos en los EE. UU. que recibieron un diagnóstico de VIH entre el 2006 y el 2015. El porcentaje de los casos de personas extranjeras aumentó del 23% al 34% durante este tiempo. De estos casos, la mayoría de las personas nacieron en África (34%), Latinoamérica (32%), Asia (22%) o Europa (7%). Los latinoamericanos y los asiáticos eran similares a las personas nacidas en los EE. UU. por factor de riesgo y sexo, mientras que los africanos tenían más probabilidades de ser mujeres y, con menor frecuencia, hombres que tienen relaciones sexuales con hombres. En el 2015, aproximadamente el 15% de los supuestos casos recientemente diagnosticados en King County fueron personas extranjeras que autodeclararon un diagnóstico del VIH previo a la inmigración. Los aumentos en las personas extranjeras con diagnósticos previamente obtenidos fuera del país posiblemente provoquen inexactitud en el recuento de nuevos diagnósticos, incluida una sobreestimación del VIH adquirido en la comunidad en King County.

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Funding

This work was supported by CDC cooperative agreement CDC-RFA-PS13-1302, and by NIAD K01 AI095060 (to R.K.).

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Authors and Affiliations

  1. HIV/STD Program, Public Health – Seattle & King County, Seattle, WA, USA

    Roxanne Kerani, Amy B. Bennett, Matt Golden, Jocelyn Castillo & Susan E. Buskin

  2. Division of Allergy and Infectious Disease, University of Washington, Seattle, WA, USA

    Roxanne Kerani, Matt Golden & Susan E. Buskin

  3. Center for AIDS and STD, Harborview Medical Center, Box 359931, 325 9th Ave, Seattle, WA, 98104, USA

    Roxanne Kerani

Authors
  1. Roxanne Kerani
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  2. Amy B. Bennett
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Correspondence to Roxanne Kerani.

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Conflict of interest

The authors declare that they have no conflicts of interest.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed Consent

This was an analysis of data collected for surveillance purposes. For this type of study, formal consent is not required.

Additional information

Previous publication: Portions of this work appeared previously in a local HIV epidemiology report (circulation approximately 350 combined paper and email distribution).

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Kerani, R., Bennett, A.B., Golden, M. et al. Foreign-Born Individuals with HIV in King County, WA: A Glimpse of the Future of HIV?. AIDS Behav 22, 2181–2188 (2018). https://doi.org/10.1007/s10461-017-1914-3

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  • DOI: https://doi.org/10.1007/s10461-017-1914-3

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