HIV, Chlamydia, Gonorrhea, and Primary and Secondary Syphilis among American Indians and Alaska Natives Within Indian Health Service Areas in the United States, 2007-010
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  • 作者：Frances J. Walker ; Eloisa Llata ; Mona Doshani…
  • 关键词：HIV/AIDS ; Chlamydia ; Gonorrhea ; Syphilis ; American Indians ; Alaska Natives ; Indian Health
  • 刊名：Journal of Community Health
  • 出版年：2015
  • 出版时间：June 2015
  • 年：2015
  • 卷：40
  • 期：3
  • 页码：484-492
  • 全文大小：1,673 KB
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    7.Department of Health and Human Services, Centers for Disease Control and Prevention and Indian Health Service. (2009). Indian health surveillance report—Sexually transmitted diseases, 2007. Atlanta, GA: Department of Health and Human Services.
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    11.Workowski, K. A., & Berman, S. (2012). Sexually transmitted diseases treatment guidelines, 2010. MMWR Morbidity Mortality Weekly Report, 59(RR-12), 1-10.
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    17.Reilley, B., Redd, J. T., Cheek, J., & Giberson, S. (2011). A review of missed opportunities for prenatal HIV screening in a nationwide sample of health facilities in the Indian Health Service. Journal of Community Health, 36(4), 631-34.View Article PubMed
    18.State of Alaska. (2012). Chlamydia infection—Alaska, 2011. Epidemiology Bulletin 10, June 21, 2012. Retrieved from http://?www.?epi.?hss.?state.?ak.?us/?bulletins/?docs/?b2012_-0.?pdf .
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  • 作者单位：Frances J. Walker (1)
    Eloisa Llata (2)
    Mona Doshani (3)
    Melanie M. Taylor (2) (4) (5)
    Jeanne Bertolli (1)
    Hillard S. Weinstock (2)
    H. Irene Hall (1)

    1. Division of HIV/AIDS Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, Atlanta, GA, USA
    2. Division of STD Prevention, National Center for HIV/AIDS, Viral Hepatitis, STD and TB Prevention, Centers for Disease Control and Prevention, 1600 Clifton Road NE, MS E-02, Atlanta, GA, 30333, USA
    3. ICF International, Atlanta, GA, USA
    4. National STD Program, Indian Health Service, Albuquerque, NM, USA
    5. Arizona Department of Health Services, Phoenix, AZ, USA
  • 刊物类别：Medicine
  • 刊物主题：Medicine & Public Health
    Public Health
    Health Promotion and Disease Prevention
    Ethics
  • 出版者：Springer Netherlands
  • ISSN：1573-3610
文摘
National rates from human immunodeficiency virus (HIV) and sexually transmitted disease (STD) surveillance may not effectively convey the impact of HIV and STDs on American Indian/Alaska Native (AI/AN) communities. Instead, we compared average annual diagnosis rates per 100,000 population of HIV, chlamydia (CT), gonorrhea (GC), and primary and secondary (P&S) syphilis, from 2007 to 2010, among AI/AN aged ?3?years residing in 625 counties in the 12 Indian Health Service Areas, all AI/AN, and all races/ethnicities to address this gap. AI/AN comprised persons reported as AI/AN only, with or without Hispanic ethnicity. Out of 12 IHS Areas, 10 had higher case rates for CT, 3 for GC, and 4 for P&S syphilis compared to rates for all races/ethnicities. Eight Areas had higher HIV diagnosis rates than for all AI/AN, but HIV rates for all IHS Areas were lower than national rates for all races/ethnicities. Two IHS Areas ranking highest in rates of CT and GC and four Areas with highest P&S syphilis also had high HIV rates. STD and HIV rates among AI/AN were greater in certain IHS Areas than expected from observing national rates for AI/AN. Integrated surveillance of overlapping trends in STDs and HIV may be useful in guiding prevention efforts for AI/AN populations.

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