Ethnic and racial differences in long-term survival from hospitalization for HIV infection.
This prospective cohort study compares 200 hospitalized, HIV-infected patients (Hispanic, African American, and white) from May 1992 to October 1998 to assess mortality (versus survival) over 75 months of follow-up. The relative risk of six-year mortality for each ethnic group is compared using Cox proportional hazards models after controlling for sociodemographic and clinical characteristics, access to general medical care, and HIV-specific treatment. The median survival of Hispanics (15.5 months) was significantly (p < 0.05) shorter than that of whites (23.8); survival for African Americans (35.1) did not differ from whites. In multivariate analysis, the adjusted relative risk of six-year mortality for Hispanics compared with whites was 2.14 (95 percent confidence interval = 1.26-3.66). The poor outcomes of Hispanics was not explained by access to general care or by HIV-specific treatment.
Cunningham
W E
WE
Department of Health Services, School of Public Health, University of California, Los Angeles 90095, USA.
Mosen
D M
DM
Morales
L S
LS
Andersen
R M
RM
Shapiro
M F
MF
Hays
R D
RD
D000328:Adult; D001741:Black or African American; D015331:Cohort Studies; D005260:Female; D015658:HIV Infections / Q000188:drug therapy / Q000208:ethnology* / Q000401:mortality*; D020276:HIV Long-Term Survivors; D006297:Health Services Accessibility; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D010343:Patient Admission; D011446:Prospective Studies; D044465:White People