title: Aging and HIV/AIDS: neurocognitive implications for older HIV-positive Latina/o adults.
abstract: In recent years, HIV/AIDS populations have become older and increasingly more ethnically diverse. Concurrently, the prevalence of HIV-related neurocognitive (NC) impairment remains high. This study examined the effects of age and ethnicity on NC function in HIV-positive adults. The sample (N = 126; 84 Latina/o and 42 Non-Hispanic White) completed a comprehensive NC battery. Global NC and domain average demographically-corrected t-scores were generated. There were no significant differences between Younger (<50 years) Latina/os and non-Hispanic Whites on Global NC function or NC domains (all p's >.10), with generally small effect sizes. Older Latina/os (≥50 years) were significantly more impaired than Older Non-Hispanic Whites on processing speed and learning, with trends in Global NC function and memory. Further, effect sizes fell within the medium to large range (Cohen's d's = .49-1.15). This study suggests that older Latina/os are at potentially greater risk for NC impairment, particularly in processing speed and learning, when compared to similarly-aged non-Hispanic whites.
authors.affiliation: a Fordham University, Latino American Latino Studies Institute at Fordham University, Icahn School of Medicine at Mount Sinai.
authors.forename: Monica Rivera
authors.initials: MR
authors.lastname: Mindt
authors.forename: Caitlin
authors.initials: C
authors.lastname: Miranda
authors.forename: Alyssa
authors.initials: A
authors.lastname: Arentoft
authors.forename: Desiree
authors.initials: D
authors.lastname: Byrd
authors.forename: Jennifer
authors.initials: J
authors.lastname: Monzones
authors.forename: Armando
authors.initials: A
authors.lastname: Fuentes
authors.forename: Francesca
authors.initials: F
authors.lastname: Arias
authors.forename: Miguel Arce
authors.initials: MA
authors.lastname: Rentería
authors.forename: Ana
authors.initials: A
authors.lastname: Rosario
authors.forename: Susan
authors.initials: S
authors.lastname: Morgello
mesh_terms: D000069:Acculturation; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging / Q000523:psychology*; D003072:Cognition Disorders / Q000150:complications / Q000208:ethnology / Q000523:psychology*; D005260:Female; D006679:HIV Seropositivity / Q000150:complications / Q000208:ethnology / Q000523:psychology*; D006630:Hispanic or Latino / Q000523:psychology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009519:New York City / Q000208:ethnology; D044465:White People / Q000523:psychology
keywords: AIDS; HAND; HIV; Hispanics; Latina/os; aging; cognition; health disparities; neurocognitive; neuropsychological impairment
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