title: HIV risk behaviors and sociodemographic features of HIV-infected Latinos residing in a new Latino settlement area in the Southeastern United States.
abstract: The Southeastern United States (US) has a rapidly growing Latino population, yet little is known about HIV-infected Latinos in the region. To help inform future prevention studies, we compared sociodemographic, clinical, and behavioral characteristics between immigrant and US-born HIV-infected Latinos using face-to-face interviews conducted at three clinics in North Carolina. Questions encompassed HIV testing, acculturation, sexual- and substance-related behaviors, and migration history. Behavioral data were compared with 451 black and white clinic patients. Differences were tested using Pearson's and Kruskal-Wallis tests. Participants (n = 127) were primarily male (74%) and immigrants (82%). Most immigrants were Mexican (67%), had low acculturation scores (92%), and were diagnosed a median of 8 years (IQR 0-12) following immigration. Compared with US-born Latinos, immigrants had lower CD4 counts at clinic entry (median 187 vs. 371 cells/mm(3)) and were less likely to have graduated high school (49% vs. 78%) or have insurance (9% vs. 52%; all P <0.05). Most immigrants identified as heterosexual (60%) and reported fewer lifetime partners than US-born Latinos (median 6 vs. 20; P = 0.001). Immigrant men were less likely to report sex with men than US-born men (43% vs. 81%; P = 0.005). Immigrant men also had similar risk behaviors to black men, and US-born Latino men exhibited behaviors that were more similar to white men in our clinic. At the time of survey, >90% of participants were receiving antiretroviral therapy (ART) and most had achieved HIV RNA <50 copies/mL (62% immigrants vs. 76% US-born; P = 0.32). In conclusion, Latino immigrants were more likely to present with advanced disease, identify as heterosexual, and report different risk behaviors than US-born Latinos, yet receipt and response to ART were similar between the two groups. Prevention strategies should prioritize finding innovative methods to reach Latino immigrants for routine early testing regardless of risk stratification and include programs targeted toward the different needs of immigrant and US-born Latinos.
authors: a Division of Infectious Diseases , University of North Carolina , Chapel Hill , NC , USA.
authors: Ann M
authors: AM
authors: Dennis
authors: Jennifer B
authors: JB
authors: Wheeler
authors: Erik
authors: E
authors: Valera
authors: Lisa
authors: L
authors: Hightow-Weidman
authors: Sonia
authors: S
authors: Napravnik
authors: Heidi
authors: H
authors: Swygard
authors: Clare
authors: C
authors: Barrington
authors: Joseph J
authors: JJ
authors: Eron
mesh_terms: D000328:Adult; D018791:CD4 Lymphocyte Count / Q000706:statistics & numerical data; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D015658:HIV Infections / Q000453:epidemiology* / Q000208:ethnology; D006630:Hispanic or Latino / Q000706:statistics & numerical data*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009657:North Carolina / Q000453:epidemiology; D011203:Poverty / Q000706:statistics & numerical data; D012307:Risk Factors; D012309:Risk-Taking; D015144:Southeastern United States / Q000453:epidemiology; D011795:Surveys and Questionnaires; D047568:Unsafe Sex / Q000706:statistics & numerical data*
references: AIDS Res Hum Retroviruses. 2010 Aug;26(8):875-81
references: 20672995
references: PLoS One. 2010 Jun 10;5(6):e11068
references: 20548786
references: J Acquir Immune Defic Syndr. 2008 Nov 1;49(3):282-6
references: 18845959
references: Curr HIV/AIDS Rep. 2010 Aug;7(3):107-16
references: 20526824
references: J Acquir Immune Defic Syndr. 2004 Nov 1;37 Suppl 4:S215-26
references: 15722864
references: Int J STD AIDS. 2007 May;18(5):312-7
references: 17524190
references: MMWR Recomm Rep. 2006 Sep 22;55(RR-14):1-17; quiz CE1-4
references: 16988643
references: Pharmacoepidemiol Drug Saf. 2011 Apr;20(4):432-9
references: 21294218
references: Clin Infect Dis. 2011 Sep;53(5):488-9
references: 21844032
references: Health Educ Behav. 2005 Dec;32(6):767-79
references: 16267147
references: J Acquir Immune Defic Syndr. 2009 May 1;51 Suppl 1:S21-5
references: 19384097
references: J Soc Issues. 2010 Mar 1;66(1):175-195
references: 20454599
references: Clin Infect Dis. 2011 Sep;53(5):480-7
references: 21844031
references: J Natl Med Assoc. 2005 Jul;97(7 Suppl):32S-37S
references: 16080455
references: J Immigr Minor Health. 2007 Jan;9(1):49-54
references: 17031578
references: AIDS Educ Prev. 2009 Oct;21(5 Suppl):19-33
references: 19824832
references: J Acquir Immune Defic Syndr. 2008 Sep 1;49(1):94-101
references: 18667927
references: Am J Public Health. 2001 Jun;91(6):927-32
references: 11392936
references: J Health Care Poor Underserved. 2009 Nov;20(4):996-1011
references: 20168013
references: AIDS Behav. 2008 Mar;12(2):213-26
references: 17373586
references: Sex Transm Dis. 2005 Aug;32(8):487-90
references: 16041250
references: Int J Family Med. 2012;2012:876381
references: 22518308
references: Clin Infect Dis. 2010 Jan 1;50(1):98-105
references: 19951169
references: Am J Public Health. 2009 Jan;99(1):125-32
references: 19008512