Black–White and Country of Birth Disparities in Retention in HIV Care and Viral Suppression among Latinos with HIV in Florida, 2015

Diana M. Sheehan, Daniel E. Mauck, Kristopher P. Fennie, Elena A. Cyrus, Lorene M. Maddox, Spencer Lieb and Mary Jo Trepka
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Diana M. Sheehan: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA
Daniel E. Mauck: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA
Kristopher P. Fennie: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA
Elena A. Cyrus: Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C–SALUD), Florida International University, 11200 SW 8th St, Miami, FL 33199, USA
Lorene M. Maddox: HIV/AIDS Section, Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399, USA
Spencer Lieb: Florida Consortium for HIV/AIDS Research/The AIDS Institute, 410 Victory Garden Dr., Suite 127, Tallahassee, FL 32301, USA
Mary Jo Trepka: Department of Epidemiology and Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C–SALUD), Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA

IJERPH, 2017, vol. 14, issue 2, 1-12

Abstract: The study’s purpose was to identify HIV, Black–White race, and birth country disparities in retention in HIV care and HIV viral load (VL) suppression among Latinos, in 2015. Florida’s surveillance data for Latinos diagnosed with HIV (2000–2014) were merged with American Community Survey data. Multi-level (random effects) models were used to estimate adjusted odds ratios (aOR) for non-retention in care and non-viral load suppression. Blacks and Whites experienced similar odds of non–retention in care. Racial differences in VL suppression disappeared after controlling for neighborhood factors. Compared to U.S.–born Latinos, those born in Mexico (retention aOR 2.00, 95% CI 1.70–2.36; VL 1.85, 95% CI 1.57–2.17) and Central America (retention aOR 1.33, 95% CI 1.16–1.53; VL 1.28, 95% CI 1.12–2.47) were at an increased risk after controlling for individual and neighborhood factors. Among Central Americans, those born in Guatemala (retention aOR 2.39, 95% CI 1.80–3.18; VL 2.20, 95% CI 1.66–2.92) and Honduras (retention aOR 1.39, 95% CI 1.13–1.72; VL 1.42, 95% CI 1.16–1.74) experienced the largest disparities, when compared to U.S.-born Latinos. Disparities in care and treatment exist within the Latino population. Cultural and other factors, unique to Latino Black-White racial and birth country subgroups, should be further studied and considered for intervention.

Keywords: Latinos; racial disparities; birth country disparities; human immunodeficiency virus; retention in HIV care; viral suppression (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2017
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