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Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015.
- Source :
-
Journal of health care for the poor and underserved [J Health Care Poor Underserved] 2018; Vol. 29 (3), pp. 1153-1175. - Publication Year :
- 2018
-
Abstract
- Delayed initiation of human immunodeficiency virus (HIV) care affects disease progression. To determine the role of HIV testing site and neighborhood- and individual-level factors in racial/ethnic disparities in initiation of care, we examined Florida population-based HIV/AIDS surveillance system records. We performed multilevel Poisson regression to calculate adjusted prevalence ratios (APR) for non-initiation of care by race/ethnicity adjusting for HIV testing site type and individual- and neighborhood-level characteristics. Of 8,913 people diagnosed with HIV during 2014-2015 in the final dataset, 18.3% were not in care within three months of diagnosis. The APR for non-initiation of care for non-Hispanic Blacks relative to non-Hispanic Whites was 1.57 (95% confidence interval [CI] 1.38-1.78) and for those tested in plasma/donation centers relative to outpatient clinics was 2.45 (95% CI 2.19-2.74). Testing site and individual variables contribute to racial/ethnic disparities in non-initiation of HIV care. Linkage procedures, particularly at plasma/blood donation centers, warrant improvement.
- Subjects :
- Adolescent
Adult
Black or African American statistics & numerical data
Female
Florida
HIV Infections therapy
Hispanic or Latino statistics & numerical data
Humans
Individuality
Male
Mass Screening statistics & numerical data
Middle Aged
Patient Acceptance of Health Care statistics & numerical data
Residence Characteristics statistics & numerical data
Socioeconomic Factors
White People statistics & numerical data
Young Adult
Black or African American psychology
HIV Infections ethnology
Healthcare Disparities ethnology
Hispanic or Latino psychology
Patient Acceptance of Health Care ethnology
White People psychology
Subjects
Details
- Language :
- English
- ISSN :
- 1548-6869
- Volume :
- 29
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of health care for the poor and underserved
- Publication Type :
- Academic Journal
- Accession number :
- 30122689
- Full Text :
- https://doi.org/10.1353/hpu.2018.0085