Racial/Ethnic Disparities in HIV Diagnoses Among Persons Aged 50 Years and Older in 37 US States, 2005-2008

Division of HIV/AIDS Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Centers for Disease Control and Prevention (CDC), Atlanta, GA 30333, USA.
American Journal of Public Health (Impact Factor: 4.55). 06/2012; 102(8):1527-34. DOI: 10.2105/AJPH.2011.300431
Source: PubMed


We examined racial/ethnic disparities in HIV diagnosis rates for persons aged 50 years and older.
We analyzed surveillance data from the Centers for Disease Control and Prevention regarding HIV diagnoses during 2005 through 2008 in 37 states. Average annual rates of diagnoses were calculated for persons aged 50 years and older and compared with rates for persons aged 13 to 49 years.
The average annual rate of diagnosis (per 100,000 persons) for older persons was 9.8. Rates among older Blacks (49.2) and Hispanics/Latinos (19.5) were 12.6 and 5.0 times, respectively, the rate among older Whites (3.9); rates among younger Blacks (102.5) and Hispanics/Latinos (39.0) were 7.7 and 2.9 times, respectively, the rate among younger Whites (13.3). Older persons were more likely than younger persons to receive a late HIV diagnosis (prevalence ratio=1.5, P<.001).
Racial/ethnic disparities in HIV diagnosis rates are greater among persons aged 50 years and older than among younger persons. The greater HIV diagnosis rates in Blacks and later diagnosis among older persons of all races/ethnicities indicate a need to increase their awareness of risk factors for HIV infection.

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    • "In women, the rate of HIV diagnosis is decreasing in all age cohorts except for those 50 or older.9 Moreover, race and ethnicity assessments in the United States show the rate for HIV infection in older adults disproportionately affects African Americans 12 times more than Caucasians.10,11 "
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    ABSTRACT: HIV disease is often perceived as a condition affecting young adults. However, approximately 11% of new infections occur in adults aged 50 years or older. Among persons living with HIV disease, it is estimated that more than half will be aged 50 years or older in the near future. In this review, we highlight issues related to HIV prevention and treatment for HIV-uninfected and HIV-infected older Americans, and outline unique considerations and emerging challenges for public health and patient management in these 2 populations.
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    ABSTRACT: Linley et al.(1) report that late diagnoses are more common among older persons newly diagnosed with HIV than among younger persons nationwide and conclude by emphasizing the need for full implementation of the Centers for Disease Control and Prevention's 2006 recommendation for routine HIV screening for persons aged 13 to 64 years.(2) In New York City, we also noted a higher proportion of concurrent (within 31 days) HIV/AIDS diagnoses among older persons (37% among persons aged ≥ 50 years vs 22% overall in 2010).(3,4) While we agree that routine HIV screening is key to making diagnoses of HIV among older persons earlier in the course of their infection, partner services (PS)(5) for all persons newly diagnosed with HIV, including those aged 50 years or older, are also important. (Am J Public Health. Published online ahead of print October 18, 2012: e1. doi:10.2105/AJPH.2012.301053).
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