Glynn MK, Gerstle J, Lee LM; Conference on Retroviruses and Opportunistic Infections (11th : 2004 : San Francisco, Calif.).

Program Abstr Conf Retrovir Oppor Infect 11th 2004 San Franc Calif. 2004 Feb 8-11; 11: abstract no. 849.

CDC, Atlanta, GA, USA and 2Northrop Grumman, Atlanta, GA, USA

BACKGROUND: Racial and ethnic disparities have been described extensively for persons diagnosed with AIDS related to injection drug use (IDU) in the United States. Increasingly, AIDS diagnoses occur among persons receiving a diagnoses late in the course of HIV infection, with limited access to health care, or with ineffective antiretroviral treatment. In contrast, trends among persons with new HIV diagnosis are more likely to represent HIV transmission patterns. To examine current patterns of HIV diagnoses associated with injection drug use, we examined rates of HIV diagnoses among demographic groups.METHODS: We examined new HIV diagnoses in adults and adolescents diagnosed in 1999-2002 and reported to CDC from the 29 states with confidential name-based HIV reporting in place since 1998. Cases with HIV transmission mode identified as IDU, including those with male-to-male sexual contact and IDU, were classified as IDU-associated cases. Data were adjusted for reporting delay and for unreported transmission risk. Racial/ethnic- and sex-specific rates of IDU-associated HIV per 100,000 population within demographic sub-groups were calculated using U.S. Census data.RESULTS: Of the 101,881 HIV infections newly diagnosed in 1999 through 2002 and reported to CDC from the 29 states, 21,469 (21%) were IDU-associated. Over the four years, the average annual rate among males was 7.1 cases per 100,000 males, compared with 2.7 cases per 100,000 females. Among males, average rates were highest among Black, non-Hispanics (33.0 cases per 100,000) followed by Hispanics (14.2 cases per 100,000) and American Indians/Alaskans Natives (5.9 cases per 100,000), with lowest average rates seen among whites (2.6 cases per 100,000) and Asian/Pacific Islanders (2.0 cases per 100,000). Among females, the highest average rates were also among Black, non-Hispanics (13.1 cases per 100,000), followed by Hispanics (3.5 cases per 100,000) and American Indians/Alaskans Natives (2.4 cases per 100,000), with lowest average rates among whites (0.9 per 100,000) and Asian/Pacific Islanders (0.4 cases per 100,000).CONCLUSIONS: Racial and ethnic disparities are marked among persons with new IDU-associated HIV diagnoses in the United States. Prevention interventions, designed to help persons diagnosed with HIV to prevent transmission to their sex and needle-sharing partners, should be enhanced and tailored to those demographic groups most affected.

Publication Types:

• Meeting Abstracts

Keywords:

• Acquired Immunodeficiency Syndrome
• Adolescent
• Adult
• African Americans
• Continental Population Groups
• Ethnic Groups
• European Continental Ancestry Group
• Female
• HIV Infections
• HIV Seropositivity
• Hispanic Americans
• Humans
• Indians, North American
• Male
• Substance-Related Disorders
• United States
• ethnology

Other ID:

• GWAIDS0031401

UI: 102271038

From Meeting Abstracts