Document 0959
 DOCN  M94A0959
 TI    Epidemiology of AIDS in Asian and Pacific Islanders in Los Angeles.
 DT    9412
 AU    Cheng KJ; Lee M; Sorvillo F; Lieb L; Kerndt P; Dept Health Services, Los
       Angeles, CA.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):241 (abstract no. PC0326). Unique
       Identifier : AIDSLINE ICA10/94371616
 AB    OBJECTIVE: To describe the AIDS epidemic in Asian and Pacific Islanders
       (A&PI) in Los Angeles County (LAC). METHODS: Data from the LAC AIDS
       surveillance registry were analyzed for the reporting period 1983-1993.
       Intercensus population projections were used to calculate rates in LAC
       A&PI. To reduce bias, pre-1993 case definition was used in examining the
       incidence trends. RESULTS: Of the 397 reported AIDS cases among LAC
       A&PI, 390 adult cases diagnosed since 1985 were included in this study.
       Between 1986 and 1987, the incidence of AIDS in A&PI increased 63%, from
       2.7 to 4.4 cases per 100,000 persons. Between 1988 and 1989, the
       increase was 73%, from 5.2 to 9.0 cases per 100,000. Since 1990, the
       incidence has remained stable at 8.6 cases per 100,000. Of the 367
       (94.1%) A&PI men with a mean age at diagnosis of 39.4 +/- 9.1 years,
       85.6% were gay or bisexual. The distribution of exposure mode between
       the US born (28%) and foreign born men were the same. Of the 23 (5.9%)
       A&PI women with a mean age at diagnosis of 46.0 +/- 12.7 years,
       heterosexual (43.5%) and transfusion (43.5%) were the most common
       exposure modes. There were more transfusion recipients cases among
       foreign born (9) than US born (1) women. Median survival times from AIDS
       diagnosis to death for A&PI was 20 months. CONCLUSION: Since 1985, there
       has been a 3-fold increase in A&PI AIDS case rates in LAC. This occurred
       in two periods of rapid increase followed by a leveling of rates after
       1990. Prevention efforts should be sensitive to the language and
       cultural diversity of this population. Collaborative studies with other
       US reporting sites and Asian countries will provide a comprehensive
       understanding of the epidemiology of AIDS in A&PI.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY/TRANSMISSION  Adult
       Asia/ETHNOLOGY  Blood Transfusion/ADVERSE EFFECTS  Female  Human  Los
       Angeles/EPIDEMIOLOGY  Male  Middle Age  Pacific Islands/ETHNOLOGY
       MEETING ABSTRACT

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).