Document 0960
 DOCN  M94A0960
 TI    AIDS among Asians & Pacific Islanders (A/PI) reported in the USA.
 DT    9412
 AU    Metler R; Hu DJ; Fleming PL; Ward JW; Division of HIV/AIDS, Centers for
       Disease Control and Prevention,; Atlanta, GA.
 SO    Int Conf AIDS. 1994 Aug 7-12;10(2):241 (abstract no. PC0325). Unique
       Identifier : AIDSLINE ICA10/94371615
 AB    OBJECTIVE: Describe the characteristics, residence, and immigration
       status of A/PI with AIDS. METHODS: We examined AIDS cases reported to
       CDC through September 1993. Cases classified as USA-born were restricted
       to persons born in the 50 states. RESULTS: Of 2,286 A/PI cases, 89% were
       men, 10% women, and 1% pediatric. Among adult cases, 71% of the 2,264
       A/PI cases were due to male-male sex (MMS) (only exceeded by whites with
       73%), 6% were due to transfusion (highest of any racial/ethnic group),
       and 5% were due to injecting drug use (lowest of any group). A/PI were
       1.2 times more likely than all other racial/ethnic groups combined to
       have a diagnosis of PCP and 1.7 times more likely to have CMV retinitis,
       but only 0.6 times as likely to have HIV encephalopathy. The proportion
       of A/PI with pulmonary TB was 2.5 times higher and with extrapulmonary
       TB was 3.1 times higher than that of whites with AIDS. The 1,358 A/PI
       born outside the USA accounted for 59% of all A/PI cases; among the 3
       cities reporting half of all A/PI cases, the proportions were 51% from
       San Francisco, 72% from Los Angeles, and 80% from New York City. Among
       A/PI with AIDS born outside the USA, the predominant countries of origin
       were the Philippines (29%), Japan (7%), China (6%), Vietnam (6%), India
       (5%), and Thailand (5%). MMS accounted for > or = 86% of cases among men
       born in the Philippines, Japan, and Thailand. Of 128 cases among A/PI
       women born outside the USA, 34% were transfusion-associated, compared
       with 16% among 102 USA-born A/PI women. Among 148 adult A/PI with TB,
       those born outside the USA accounted for 70% with pulmonary TB, 80% with
       extrapulmonary TB, and 90% with both pulmonary and extrapulmonary TB.
       CONCLUSION: Most A/PI with AIDS were born outside the USA; however, the
       country where they acquired HIV infection is unknown. Primary prevention
       activities should consider the cultural diversity and migration patterns
       of A/PI; secondary prevention strategies should incorporate knowledge of
       the opportunistic infections most commonly diagnosed in A/PI with AIDS.
 DE    Acquired Immunodeficiency Syndrome/*EPIDEMIOLOGY  Adult  Asia/ETHNOLOGY
       AIDS-Related Opportunistic Infections/EPIDEMIOLOGY  Blood
       Transfusion/ADVERSE EFFECTS  Emigration and Immigration  Female  Human
       Male  Pacific Islands/EPIDEMIOLOGY  United States/EPIDEMIOLOGY  MEETING
       ABSTRACT

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