International Journal of Environmental Research and Public Health
Volume 14, Issue 3, 2017

Disparity in retention in care and viral suppression for black caribbean-born immigrants living with HIV in Florida (Article) (Open Access)

Cyrus E.* , Dawson C. , Fennie K.P. , Sheehan D.M. , Mauck D.E. , Sanchez M. , Maddox L.M. , Trepka M.J.
  • a Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Florida International University, 11200 SW 8th St, Miami, FL 33199, United States
  • b Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Florida International University, 11200 SW 8th St, Miami, FL 33199, United States, Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, United States
  • c Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, United States
  • d Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, United States
  • e Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, United States
  • f Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Florida International University, 11200 SW 8th St, Miami, FL 33199, United States
  • g HIV/AIDS Section, Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399, United States
  • h Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, United States

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. © 2017 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Caribbean Disparity Immigrant suppression Human immunodeficiency virus Retention

Index Keywords

urban area rural area immigrant HIV Infections Human immunodeficiency virus infection drug effects Caucasian psychology health disparity human middle aged Odds Ratio research work Ethnic Groups Viral Load statistics and numerical data ethnic group controlled study comparative study Aged Logistic Models Humans African Caribbean ethnology African American Human immunodeficiency virus Hispanic Americans black population Haitian Young Adult United States social status migrant racism Hispanic Adolescent Florida male urban rural difference Emigrants and Immigrants female Aged, 80 and over health geography very elderly African Continental Ancestry Group health services Caribbean Region Caribbean Latino people Article Trinidadian Bahamian major clinical study adult European Continental Ancestry Group virus load ethnicity Florida [United States] statistical model Healthcare Disparities Black person health care disparity African Americans anti human immunodeficiency virus agent virus inhibition Anti-HIV Agents immigrant population
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85014921924&doi=10.3390%2fijerph14030285&partnerID=40&md5=fefbe6605bc08b540b1eb56035634964
DOI: 10.3390/ijerph14030285
ISSN: 16617827
Cited by: 7
Original Language: English