HIV Disparities in a US and Foreign-Born Cohort in Urban United States
Helena Akua Kwakwa*, Rahab Wahome and Sophia Bessias
Department of Public Health, HIV Clinical Services, Ambulatory Health Services, Philadelphia, USA
- *Corresponding Author:
- Helena Akua Kwakwa
Department of Public Health, HIV Clinical Services
Philadelphia Department of Public Health, Ambulatory Health Services
500 South Broad Street, Philadelphia, PA, 19146, USA
E-mail: [email protected]
Received date: September 24, 2015; Accepted date: October 19, 2015; Published date: October 25, 2015
Citation: Kwakwa HA, Wahome R, Bessias S (2015) HIV Disparities in a US and Foreign-Born Cohort in Urban United States. J AIDS Clin Res 6:515. doi:10.4172/2155-6113.1000515
Copyright: © 2015 Kwakwa HA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background: As we strive to reduce disparities in the implementation of the US National HIV/AIDS Strategy, we must understand HIV disparities as they exist in all US populations, including the foreign-born. We evaluate disparities in HIV prevalence in a US and foreign-born cohort in Philadelphia.
Methods: Comparative analyses were conducted using data from questionnaires paired with HIV test results for individuals undergoing HIV testing in Philadelphia between 2007 and 2011. Descriptive analyses were conducted by gender and world region of origin.
Results: Of 14,216 participants, 76.2% were US-born and 59% female. Caribbean men, 3.6% of the cohort, constituted 11.4% of the HIV- positive. Among women, Africans, 3.0% of the cohort constituted 4.5% of the HIVpositive. No disparities by race/ethnicity were found in the US-born cohort.
Conclusions: In this global population in Philadelphia, HIV disparities were found to occur by world region of birth and gender. The foreign-born must be included in analyses of the domestic epidemic that drive prevention strategies, policy and resource allocation