Delayed Diagnosis of Human Immunodeficiency Virus in the Latino Population at a Federally Qualified Community Health Center in New Jersey.

Autor:	D'Costa, Zoee U., Neibart, Shane S., Jones, Laura E., Shah, Mansi K., Page, Kathleen, Jacob, Sneha
Předmět:	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
Zdroj:	Journal of Immigrant & Minority Health; Apr2024, Vol. 26 Issue 2, p294-303, 10p
Abstrakt:	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. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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