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

Authors

Diana M. Sheehan, Department of Epidemiolgy, Florida International UniversityFollow
Daniel E. Mauck, Department of Epidemiology, Florida International UniversityFollow
Kristopher P. Feenie, Department of Epidemiology, Florida International UniversityFollow
Elana A. Cyrus, Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C–SALUD), Florida International UniversityFollow
Lorene M. Maddox, HIV/AIDS Research, Florida Department of Health
Spencer Lieb, Florida Consortium for HIV/AIDS Research/The AIDS Institute
Mary Jo Trepka, Department of Epidemiology and Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C–SALUD), Florida International UniversityFollow

Date of this Version

1-27-2017

Document Type

Article

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.

Comments

Originally published in the International Journal of Environmental Research and Public Health.

Creative Commons License

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

Recommended Citation

Sheehan, D.M.; Mauck, D.E.; Fennie, K.P.; Cyrus, E.A.; Maddox, L.M.; Lieb, S.; Trepka, M.J. Black–White and Country of Birth Disparities in Retention in HIV Care and Viral Suppression among Latinos with HIV in Florida, 2015. Int. J. Environ. Res. Public Health 2017, 14, 120.