Journal of Health Care for the Poor and Underserved
Volume 29, Issue 1, 2018, Pages 266-283

Delayed diagnosis of HIV among non-latino black caribbean immigrants in florida 2000–2014 (Article)

Cyrus E.* , Sheehan D.M. , Fennie K. , Sanchez M. , Dawson C.T. , Cameron M. , Maddox L. , Trepka M.J.
  • a The Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, FL, United States
  • b Department of Epidemiology, Robert Stempel College of Public health and Social Work, Miami, FL, United States
  • c Department of Epidemiology, Robert Stempel College of Public health and Social Work, Miami, FL, United States
  • d The Center for Research on U.S. Latino HIV/AIDS and Drug Abuse, Florida International University, Miami, FL, United States
  • e Department of Epidemiology, Robert Stempel College of Public health and Social Work, Miami, FL, United States, CRUSADA, FIU, Miami, FL, United States
  • f George Washington Milken Institute School of Public Health, Washington, DC, United States
  • g HIV/AIDS Section, Florida Department of Health, Tallahassee, FL, United States
  • h Department of Epidemiology, Robert Stempel College of Public health and Social Work, Miami, FL, United States

Abstract

Prompt HIV diagnosis decreases the risk of HIV transmission and improves health outcomes. The study objective was to examine rates of delayed HIV diagnosis among non-Latino Black Caribbean immigrants in Florida. The sample included 39,008 Black HIV-positive individuals, aged 13 or older from the Caribbean and the mainland U.S. Delayed HIV diagnosis was defined as AIDS diagnosis within three months of HIV diagnosis. After adjusting for demographic factors, year of HIV diagnosis, transmission mode, neighborhood level socioeconomic status, and rural-urban residence, a disparity persisted for Caribbean-born Blacks in the Bahamas and Haiti compared with U.S.-born Blacks. Male Jamaican-Bahamian-Haitian-born Blacks were more likely to have delayed diagnosis (aOR 2.17, 95% confidence interval [CI] 1.53–3.03; aOR 1.88, 95% CI 1.01–3.44; aOR 1.58, 95%CI 1.58). Findings suggest the need for targeted, culturally relevant interventions to reduce delayed diagnosis incidence among specific Caribbean-born Blacks. © Meharry Medical College.

Author Keywords

Immigrant Delayed diagnosis Caribbean HIV

Index Keywords

immigrant HIV Infections Human immunodeficiency virus infection human delayed diagnosis middle aged statistics and numerical data Bahamas nonhuman African Caribbean ethnology African American Human immunodeficiency virus neighborhood Haiti Young Adult Florida social status migrant Humans Adolescent male Emigrants and Immigrants female Caribbean Region Caribbean Incidence Article diagnosis major clinical study adult Healthcare Disparities health care disparity African Americans
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85042561941&partnerID=40&md5=1cb11709535cba529f27f7f1d601dba1
ISSN: 10492089
Cited by: 1
Original Language: English