Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles

Autor:	Amy Rock Wohl, Douglas Frye, Judith Tejero
Rok vydání:	2009
Předmět:	Adult Male Gerontology medicine.medical_specialty Time Factors Health (social science) Adolescent Social Psychology Population Ethnic group HIV Infections Logistic regression Young Adult Acquired immunodeficiency syndrome (AIDS) Humans Medicine education Sida Aged education.field_of_study biology business.industry Public health Public Health Environmental and Occupational Health Hispanic or Latino Odds ratio Middle Aged Patient Acceptance of Health Care medicine.disease biology.organism_classification Los Angeles Confidence interval Regression Analysis Female business Demography
Zdroj:	AIDS Care. 21:1203-1210
ISSN:	1360-0451 0954-0121
DOI:	10.1080/09540120902729957
Popis:	Latinos are more likely to test late for HIV infection compared to other racial/ethnic groups in the United States. A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HIV testing outreach strategies. Latinos testing for HIV within one year of an AIDS diagnosis were considered as late testers, while those diagnosed with AIDS more than one year after an HIV diagnosis were defined as non-late testers. After adjusting for age, education, country of birth, and injection drug use in a logistic regression analysis, completion of the interview in Spanish was the main factor associated with late testing (adjusted Odds Ratio (AOR) = 2.9, 95% Confidence Intervals (CIs): 1.4, 6.0). Latinos testing late for HIV were also more likely to test due to illness (p0.0001) and less likely to test as part of a clinical screening (p0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p0.0001) and less likely to test positive at a community health center or public clinic (p=0.05). To accomplish widespread and timely HIV testing for Latinos in LAC, Spanish-language social marketing campaigns are needed and Spanish-speaking patients should be offered HIV testing in all clinical settings.
Databáze:	OpenAIRE
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