Black–White Latino Racial Disparities in HIV Survival, Florida, 2000–2011
AbstractThis 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
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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.
Sheehan DM, Trepka MJ, Fennie KP, Prado G, Cano MÁ, Maddox LM. Black–White Latino Racial Disparities in HIV Survival, Florida, 2000–2011. International Journal of Environmental Research and Public Health. 2016; 13(1):9.Chicago/Turabian Style
Sheehan, Diana M.; Trepka, Mary J.; Fennie, Kristopher P.; Prado, Guillermo; Cano, Miguel Á.; Maddox, Lorene M. 2016. "Black–White Latino Racial Disparities in HIV Survival, Florida, 2000–2011." Int. J. Environ. Res. Public Health 13, no. 1: 9.
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