Author(s): Harawa NT, Bingham TA, Cochran SD, Greenland S, Cunningham WE
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Abstract OBJECTIVES: We examined differences in HIV seroprevalence and the likely timing of HIV infection by birth region. METHODS: We analyzed unlinked HIV antibody data on 61 120 specimens from 7 public health centers in Los Angeles County from 1993 to 1999. RESULTS: Most (87\%) immigrant clients were Central American/Mexican-born. HIV prevalence was similar for US- and foreign-born clients (1.8\% [95\% confidence interval (CI) = 1.7\%, 1.9\%] and 1.6\% [95\% CI = 1.5\%, 1.8\%], respectively). Seroprevalence was high among sub-Saharan African females and low among Asian/Pacific Islander males and females. For HIV-positive immigrants, the average age at and time since immigration were 20.6 years and 12.3 years, respectively. CONCLUSIONS: The relatively young age at arrival and long time since arrival for HIV-positive foreign-born clients suggest that most were infected after immigration.
This article was published in Am J Public Health
and referenced in Journal of AIDS & Clinical Research