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

1
Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD) and Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St., Miami, FL 33199, USA
2
Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St., Miami, FL 33199, USA
3
Department of Public Health Sciences, Miller School of Medicine, University of Miami, 1120 NW 14th St., Miami, FL 33136, USA
4
HIV/AIDS Section, Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399, USA
*
Author to whom correspondence should be addressed.
These authors contributed equally to this work.
Academic Editors: Mark Edberg, Barbara E. Hayes, Valerie Montgomery Rice and Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2016, 13(1), 9; https://doi.org/10.3390/ijerph13010009
Received: 7 August 2015 / Revised: 20 September 2015 / Accepted: 23 September 2015 / Published: 22 December 2015
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. View Full-Text
Keywords: racial disparities; Latinos; human immunodeficiency virus; mortality; neighborhood racial disparities; Latinos; human immunodeficiency virus; mortality; neighborhood
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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.

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