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- Title
Delayed Diagnosis of Human Immunodeficiency Virus in the Latino Population at a Federally Qualified Community Health Center in New Jersey.
- Authors
D'Costa, Zoee U.; Neibart, Shane S.; Jones, Laura E.; Shah, Mansi K.; Page, Kathleen; Jacob, Sneha
- Abstract
Late diagnosis of human immunodeficiency virus (HIV) is associated with early progression to acquired immunodeficiency syndrome (AIDS). We examined racial/ethnic differences in presentation with advanced HIV/AIDS at a community health center in New Jersey. Records of patients diagnosed with HIV between 1990 and 2018 were reviewed. Odds ratios (OR) of presenting with AIDS at HIV diagnosis were computed in unadjusted and adjusted models. There were 182 (48.3%) Latino, 48 (12.7%) non-Latino White (NLW), 130 (34.5%) non-Latino Black, and 17 (4.5%) non-Latino of other race/ethnicity included in the analysis. Over 75% of the Latinos were foreign-born. Latino patients had higher odds of presentation with AIDS at time of HIV diagnosis than NLW in unadjusted (OR = 4.85, 95% confidence interval (95% CI): 2.28–10.31) and adjusted models (OR = 3.71, 95%CI: 1.60–8.59). Latino patients, particularly foreign-born and bisexual, had higher odds of being diagnosed with AIDS at presentation with HIV in this cohort.
- Subjects
UNITED States; COMMUNITY health services; RISK assessment; HETEROSEXUALITY; SELF-evaluation; HIV; RISK-taking behavior; HISPANIC Americans; CD4 lymphocyte count; BISEXUALITY; HUMAN sexuality; HIV-positive persons; FISHER exact test; KRUSKAL-Wallis Test; HIV infections; RETROSPECTIVE studies; DESCRIPTIVE statistics; CHI-squared test; RACE; SEX customs; ODDS ratio; MEDICAL records; ACQUISITION of data; HOMOSEXUALITY; DELAYED diagnosis; SEXUAL minorities; PUBLIC health; SERODIAGNOSIS; COMPARATIVE studies; CONFIDENCE intervals; AIDS
- Publication
Journal of Immigrant & Minority Health, 2024, Vol 26, Issue 2, p294
- ISSN
1557-1912
- Publication type
Article
- DOI
10.1007/s10903-023-01544-8