PMID- 28902072
DCOM- 20171122
LR  - 20180420
IS  - 1944-7884 (Electronic)
IS  - 1525-4135 (Linking)
VI  - 76
IP  - 5
DP  - 2017 Dec 15
TI  - HIV Transmission Dynamics Among Foreign-Born Persons in the United States.
PG  - 445-452
LID - 10.1097/QAI.0000000000001541 [doi]
AB  - BACKGROUND: In the United States (US), foreign-born persons are
      disproportionately affected by HIV and differ epidemiologically from US-born
      persons with diagnosed HIV infection. Understanding HIV transmission dynamics
      among foreign-born persons is important to guide HIV prevention efforts for these
      populations. We conducted molecular transmission network analysis to describe HIV
      transmission dynamics among foreign-born persons with diagnosed HIV. METHODS:
      Using HIV-1 polymerase nucleotide sequences reported to the US National HIV
      Surveillance System for persons with diagnosed HIV infection during 2001-2013, we
      constructed a genetic distance-based transmission network using HIV-TRACE and
      examined the birth region of potential transmission partners in this network.
      RESULTS: Of 77,686 people, 12,064 (16%) were foreign born. Overall, 28% of
      foreign-born persons linked to at least one other person in the transmission
      network. Of potential transmission partners, 62% were born in the United States, 
      31% were born in the same region as the foreign-born person, and 7% were born in 
      another region of the world. Most transmission partners of male foreign-born
      persons (63%) were born in the United States, whereas most transmission partners 
      of female foreign-borns (57%) were born in their same world region. DISCUSSION:
      These finding suggests that a majority of HIV infections among foreign-born
      persons in our network occurred after immigrating to the United States. Efforts
      to prevent HIV infection among foreign-born persons in the United States should
      include information of the transmission networks in which these individuals
      acquire or transmit HIV to develop more targeted HIV prevention interventions.
FAU - Valverde, Eduardo E
AU  - Valverde EE
AD  - *Division of Global HIV and TB, Centers for Disease Control and Prevention,
      Atlanta, GA; daggerDivision of HIV/AIDS Prevention, Centers for Disease Control
      and Prevention, Atlanta, GA; double daggerDepartment of Medicine, University of
      California, San Diego, CA; and section signICF International, Atlanta, GA.
FAU - Oster, Alexandra M
AU  - Oster AM
FAU - Xu, Songli
AU  - Xu S
FAU - Wertheim, Joel O
AU  - Wertheim JO
FAU - Hernandez, Angela L
AU  - Hernandez AL
LA  - eng
GR  - CC999999/Intramural CDC HHS/United States
GR  - K01 AI110181/AI/NIAID NIH HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Acquir Immune Defic Syndr
JT  - Journal of acquired immune deficiency syndromes (1999)
JID - 100892005
SB  - IM
SB  - X
MH  - Adolescent
MH  - Adult
MH  - *Emigrants and Immigrants
MH  - Female
MH  - HIV Infections/*epidemiology/prevention & control/*transmission
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - United States/epidemiology
MH  - Young Adult
PMC - PMC5680123
MID - NIHMS903598
EDAT- 2017/09/14 06:00
MHDA- 2017/11/29 06:00
CRDT- 2017/09/14 06:00
PMCR- 2018/12/15 00:00
PHST- 2018/12/15 00:00 [pmc-release]
PHST- 2017/09/14 06:00 [pubmed]
PHST- 2017/11/29 06:00 [medline]
PHST- 2017/09/14 06:00 [entrez]
AID - 10.1097/QAI.0000000000001541 [doi]
PST - ppublish
SO  - J Acquir Immune Defic Syndr. 2017 Dec 15;76(5):445-452. doi: