HIV/AIDS among African-born residents in the United States.


The number of African-born residents living in the United States (US) increased by more than 750 % between 1980 and 2009. HIV diagnosis rates in this population are six times higher than estimated incidence in the general US population. African-immigrants with HIV are also diagnosed at later stages of infection than US-born residents, but they paradoxically have lower mortality after diagnosis. There are higher rates of HIV among women, higher rates of heterosexual transmission, and lower rates of injection-drug-use-associated transmission among African-born residents in the US relative to the general US population. Despite this distinct epidemiologic profile, surveillance reports often group African-born residents with US-born Blacks. The high rates of HIV among African-born residents in the US combined with increasing immigration and incomplete surveillance data highlight the need for more accurate epidemiologic data along with appropriate HIV service programs.


Blanas, Demetri A; Nichols, Kim; Bekele, Mulusew; Lugg, Amanda; Kerani, Roxanne P; Horowitz, Carol R;


  • Adult
  • Africa/ ethnology
  • Aged
  • Emigrants and Immigrants/ statistics & numerical data
  • Female
  • HIV Infections/ diagnosis
  • HIV Infections/ epidemiology
  • Health Services Needs and Demand
  • Humans
  • Male
  • Middle Aged
  • Sex Factors
  • United States/ epidemiology

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