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

Authors

Diana M. Sheehan, Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD) and Department of Epidemiology,Florida International UniversityFollow
Mary Jo Trepka, Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD) and Department of Epidemiology,Florida International UniversityFollow
Kristopher P. Feenie, Department of Epidemiology, Florida International UniversityFollow
Guillermo Prado, University of Miami
Miguel Angel Cano, Center for Research on U.S. Latino HIV/AIDS and Drug Abuse (CRUSADA) and Department of Epidemiology, Florida International UniversityFollow
Lorene M. Maddox, HIV/AIDS Section, Florida Department of Health

Date of this Version

12-22-2015

Document Type

Article

Abstract

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.

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.; Trepka, M.J.; Fennie, K.P.; Prado, G.; Cano, M.Á.; Maddox, L.M. Black–White Latino Racial Disparities in HIV Survival, Florida, 2000–2011. Int. J. Environ. Res. Public Health 2016, 13, 9.