作者: Steven R. Nesheim , Laurie Linley , Kristen M. Gray , Tianchi Zhang , Jing Shi
DOI: 10.1097/QAI.0000000000001572
关键词:
摘要: BACKGROUND Diagnoses of HIV infection among children in the United States have been declining; however, a notable percentage diagnoses are those born outside States. The impact foreign birth with diagnosed infections has not examined METHODS Using Centers for Disease Control and Prevention National Surveillance System, we analyzed data aged <13 years ("children") (reported from 50 states District Columbia) during 2008-2014, by place selected characteristics. RESULTS There were 1516 [726 US (47.9%) 676 (44.6%)]. US-born accounted 70.0% 2008, declining to 32.3% 2013, 40.9% 2014. Foreign-born exceeded number since 2011. Age at diagnosis was younger than foreign-born (0-18 months: 72.6% vs. 9.8%; 5-12 years: 16.9% 60.3%). mothers made more often before pregnancy (49.7% 21.4%), or (16.6% 13.9%), less after (23.7% 41%). Custodians biological parents (71.9% 43.2%) likely be foster nonrelated adoptive (10.4% 55.1%). Of known birth, 65.5% sub-Saharan Africa 14.3% Eastern Europe. top countries Ethiopia, Ukraine, Uganda, Haiti, Russia. CONCLUSIONS increasing requires specific considerations care treatment.