Black–White Latino Racial Disparities in HIV Survival, Florida, 2000–2011

Datos Bibliográficos

ID15500755
AutoresDiana M Sheehan (0000-0002-1316-3189, Florida International University), Diana Sheehan (Florida International University), Mary Jo Trepka (0000-0002-6585-1194, Florida International University, autor de correspondencia), Mary Trepka (Florida International University), Kristopher Fennie (0000-0001-8038-7679, Florida International University), Guillermo Prado (0000-0003-2252-3489, University of Miami), Miguel Angel Cano (0000-0002-9847-1358, Florida International University), Lorene M Maddox (Florida Department of Health), Lorene Maddox (Florida Department of Health)
Año2015
Volumen13
Número1
Páginas9-9
Fecha de publicación2015-12-22
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores de la revistaISSN: 1661-7827 • E-ISSN: 1660-4601
EditorialMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph13010009
PMID26703656
OpenAlexW2206567875
IdiomaEN
Citas recibidas9
Referencias citadas45

This research aimed to estimate Black/White racial disparities in all-cause mortality risk among HIV-positive Latinos. Florida surveillance data for Latinos diagnosed with HIV (2000-2008) were merged with 2007-2011 American Community Survey data. Crude and adjusted hazard ratios (aHR) were calculated using multi-level Cox regression. Of 10,903 HIV-positive Latinos, 8.2% were Black and 91.9% White. Black Latinos were at increased mortality risk compared with White Latinos after controlling for individual and neighborhood factors (aHR 1.40, 95% confidence interval (CI) 1.21-1.62). In stratified analyses, risk factors for Black Latinos included: age ≥60 years compared with ages 13-19 (aHR 4.63, 95% CI 1.32-16.13); US birth compared with foreign birth (aHR 1.56, 95% CI 1.16-2.11); diagnosis of AIDS within three months of HIV diagnosis (aHR 3.53, 95% CI 2.64-4.74); residence in the 3rd (aHR 1.82, 95% CI 1.13-2.94) and 4th highest quartiles (aHR 1.79, 95% CI 1.12-2.86) of neighborhood poverty compared with the lowest quartile; and residence in neighborhood with 25%-49% (aHR 1.59, 95% CI 1.07-2.42) and ≥50% Latinos compared with <25% Latinos (aHR 1.58, 95% CI 1.03-2.42). Significant racial disparities in HIV survival exist among Latinos. Differential access to-and quality of-care and perceived/experienced racial discrimination may be possible explanations

African american · Biology · Ethnic group · Ethnology · Health equity · Human immunodeficiency virus (HIV · Public health · Racial differences · Sociology · White (mutation · Anthropology · Demography · Food Security and Health in Diverse Populations · History · HIV/AIDS Research and Interventions · Medicine · Migration, Health and Trauma · Genetics · Gerontology · Virology