Disparity in Retention in Care and Viral Suppression for Black Caribbean-Born Immigrants Living with HIV in Florida

Authors

Elena Cyrus, Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD),Florida International University
Christyl Dawson, Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD) and Department of Epidemiology, Robert Stempel College of Public Health and Social Work,Florida International UniversityFollow
Kristopher P. Fennie, Department of Epidemiology, Robert Stempel College of Public Health and Social Work,Florida International UniversityFollow
Diana M. Sheehan, Department of Epidemiology, Robert Stempel College of Public Health and Social Work,Florida International UniversityFollow
Daniel E. Mauck, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International UniversityFollow
Mariana Sanchez, Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Florida International UniversityFollow
Lorene M. Maddox, HIV/AIDS Section, Florida Department of Health
Mary Jo Trepka, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International UniversityFollow

Date of this Version

3-9-2017

Document Type

Article

Abstract

(1) The study aim was to assess disparities in non-retention in HIV care and non-viral suppression among non-Hispanic Black Caribbean immigrants living with HIV in Florida. (2) We analyzed cases involving individuals, aged ?13, who met CDC HIV case definition during 2000?2014. Chi square test was used to evaluate differences in non-retention and non-viral suppression by country of origin/race/ethnicity. Multilevel logistic regressions with three referent groups [US-born Blacks, Hispanics, and non-Hispanic Whites (NHWs)] were used to estimate adjusted odds ratios (aOR). (3) Caribbean-born Blacks were less likely to be retained in care or be virally suppressed than US-born Blacks, Hispanics, and NHWs. Bahamians, Haitians, and Trinidadians and Tobagonians had increased odds of non-retention (aOR 3.13, 95% confidence interval [CI] 2.40 ?4.10; aOR 1.52, 95% CI 1.40?1.66; aOR 2.30, 95% CI 1.38?3.83), and non-viral suppression (aOR 3.23, 95% CI 2.48?4.21; aOR 1.82, 95% CI 1.68?1.98; aOR 1.76, 95% CI 1.06?2.90) compared with NHWs. (4) Caribbean-born Blacks living with HIV infection are less likely than other racial/ethnic groups to be retained in care and/or achieve viral suppression. Further research is urgently needed to determine social, cultural, and biological factors that contribute to this disparity.

Originally Published In

International Journal of Environmental Research and Public Health

PMID

28282947

DOI

10.3390/ijerph14030285

Recommended Citation

Cyrus, Elena; Dawson, Christyl; Fennie, Kristopher P.; Sheehan, Diana M.; Mauck, Daniel E.; Sanchez, Mariana; Maddox, Lorene M.; and Trepka, Mary Jo, "Disparity in Retention in Care and Viral Suppression for Black Caribbean-Born Immigrants Living with HIV in Florida" (2017). All Faculty. 196.
https://digitalcommons.fiu.edu/all_faculty/196

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 License.