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

2017; Springer Science+Business Media; Volume: 22; Issue: 7 Linguagem: Inglês

10.1007/s10461-017-1914-3

1573-3254

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

HIV Research and Treatment

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.