title: Black-White and Country of Birth Disparities in Retention in HIV Care and Viral Suppression among Latinos with HIV in Florida, 2015.
abstract: The study's purpose was to identify HIV, Black-White race, and birth country disparities in retention in HIV care and HIV viral load (VL) suppression among Latinos, in 2015. Florida's surveillance data for Latinos diagnosed with HIV (2000-2014) were merged with American Community Survey data. Multi-level (random effects) models were used to estimate adjusted odds ratios (aOR) for non-retention in care and non-viral load suppression. Blacks and Whites experienced similar odds of non-retention in care. Racial differences in VL suppression disappeared after controlling for neighborhood factors. Compared to U.S.-born Latinos, those born in Mexico (retention aOR 2.00, 95% CI 1.70-2.36; VL 1.85, 95% CI 1.57-2.17) and Central America (retention aOR 1.33, 95% CI 1.16-1.53; VL 1.28, 95% CI 1.12-2.47) were at an increased risk after controlling for individual and neighborhood factors. Among Central Americans, those born in Guatemala (retention aOR 2.39, 95% CI 1.80-3.18; VL 2.20, 95% CI 1.66-2.92) and Honduras (retention aOR 1.39, 95% CI 1.13-1.72; VL 1.42, 95% CI 1.16-1.74) experienced the largest disparities, when compared to U.S.-born Latinos. Disparities in care and treatment exist within the Latino population. Cultural and other factors, unique to Latino Black-White racial and birth country subgroups, should be further studied and considered for intervention.
authors.affiliation: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA. dsheehan@fiu.edu.
authors.forename: Diana M
authors.initials: DM
authors.lastname: Sheehan
authors.affiliation: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA. dmauck@fiu.edu.
authors.forename: Daniel E
authors.initials: DE
authors.lastname: Mauck
authors.affiliation: Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA. kfennie@fiu.edu.
authors.forename: Kristopher P
authors.initials: KP
authors.lastname: Fennie
authors.affiliation: Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Florida International University, 11200 SW 8th St, Miami, FL 33199, USA. ecyrusca@fiu.edu.
authors.forename: Elena A
authors.initials: EA
authors.lastname: Cyrus
authors.affiliation: HIV/AIDS Section, Florida Department of Health, 4052 Bald Cypress Way, Tallahassee, FL 32399, USA. lorene.maddox@flhealth.gov.
authors.forename: Lorene M
authors.initials: LM
authors.lastname: Maddox
authors.affiliation: Florida Consortium for HIV/AIDS Research/The AIDS Institute, 410 Victory Garden Dr., Suite 127, Tallahassee, FL 32301, USA. slieb@comcast.net.
authors.forename: Spencer
authors.initials: S
authors.lastname: Lieb
authors.affiliation: Department of Epidemiology and Center for Substance Use and HIV/AIDS Research on Latinos in the United States (C-SALUD), Robert Stempel College of Public Health and Social Work, Florida International University, 11200 SW 8th St, Miami, FL 33199, USA. trepkam@fiu.edu.
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Trepka
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American / Q000706:statistics & numerical data; D000368:Aged; D000369:Aged, 80 and over; D019380:Anti-HIV Agents / Q000627:therapeutic use*; D002489:Central America / Q000208:ethnology; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data; D005006:Ethnicity / Q000706:statistics & numerical data*; D005260:Female; D005431:Florida / Q000453:epidemiology / Q000208:ethnology; D015658:HIV Infections / Q000188:drug therapy* / Q000453:epidemiology / Q000208:ethnology*; D054625:Healthcare Disparities / Q000208:ethnology* / Q000706:statistics & numerical data*; D006630:Hispanic or Latino / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008800:Mexico / Q000208:ethnology; D008875:Middle Aged; D012111:Residence Characteristics / Q000706:statistics & numerical data*; D012307:Risk Factors; D012959:Socioeconomic Factors; D019562:Viral Load / Q000187:drug effects; D044465:White People / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D019380:Anti-HIV Agents
keywords: Latinos; birth country disparities; human immunodeficiency virus; racial disparities; retention in HIV care; viral suppression