title: Latinos and HIV/AIDS: examining factors related to disparity and identifying opportunities for psychosocial intervention research.
abstract: Latinos maintain an AIDS case rate more than 3 times higher than whites, a greater rate of progression to AIDS, and a higher rate of HIV/AIDS-related deaths. Three broad areas are reviewed related to these disparities: (1) relevant demographic, socioeconomic, and socio-cultural factors among Latinos; (2) drug abuse and mental health problems in Latinos relevant to HIV/AIDS outcomes; and (3) opportunities for psychosocial intervention. Latinos living with HIV are a rapidly growing group, are more severely impacted by HIV than whites, and confront unique challenges in coping with HIV/AIDS. A body of research suggests that depression, substance abuse, treatment adherence, health literacy, and access to healthcare may be fruitful targets for intervention research in this population. Though limited, the current literature suggests that psychosocial interventions that target these factors could help reduce HIV/AIDS disparities between Latinos and whites and could have important public health value.
authors.affiliation: Department of Psychiatry, Massachusetts General Hospital, 15 Parkman Street, ACC 812, Boston, MA 02114, USA. jsgonzalez@partners.org
authors.forename: Jeffrey S
authors.initials: JS
authors.lastname: Gonzalez
authors.forename: Ellen Setsuko
authors.initials: ES
authors.lastname: Hendriksen
authors.forename: Erin Marie
authors.initials: EM
authors.lastname: Collins
authors.forename: Ron E
authors.initials: RE
authors.lastname: Durán
authors.forename: Steven A
authors.initials: SA
authors.lastname: Safren
mesh_terms: D000223:Adaptation, Psychological; D003466:Cultural Characteristics; D005260:Female; D015658:HIV Infections / Q000208:ethnology* / Q000517:prevention & control; D007722:Health Knowledge, Attitudes, Practice; D006297:Health Services Accessibility; D054624:Health Status Disparities; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000208:ethnology / Q000523:psychology; D008913:Minority Groups / Q000523:psychology*; D012959:Socioeconomic Factors; D015819:Substance Abuse, Intravenous; D014481:United States