Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011

Diana M. Sheehan, Mary Jo Trepka, Kristopher P. Fennie, Guillermo Prado, Purnima Madhivanan, Frank Dillon, Lorene M. Maddox

Research output: Contribution to journalArticle

4 Citations (Scopus)

Abstract

The objective of this study was to examine individual and neighborhood determinants of late HIV diagnosis by gender and birthplace among Latinos. Florida HIV surveillance data for 2007–2011 were merged with American Community Survey data to estimate the odds of late HIV diagnosis (AIDS within 3 months of HIV diagnosis). Of 5522 HIV-positive Latinos, 26.5 % were diagnosed late. The odds ratio (OR) for late diagnosis was 1.39 times higher for males than females [95 % confidence interval (CI) 1.14–1.69]. Neighborhood-level factors associated with late diagnosis included residing in the 3 highest quartiles of neighborhood unemployment for males. The OR was 1.22 times higher for foreign- than US-born Latinos (95 % CI 1.07–1.40). Among foreign-born, residing in areas in the 2nd and 3rd quartiles of unemployment, in rural areas, and areas with <25 % Hispanic/Latino population were associated with late diagnosis. Population-based HIV testing campaigns may require tailoring to ensure that they effectively reach male Latinos in areas with high unemployment and foreign-born Latinos in rural and predominantly non-Latino areas.

Original languageEnglish (US)
Pages (from-to)825-834
Number of pages10
JournalJournal of Immigrant and Minority Health
Volume19
Issue number4
DOIs
StatePublished - Aug 1 2017
Externally publishedYes

Fingerprint

Delayed Diagnosis
Hispanic Americans
HIV
Unemployment
Odds Ratio
Confidence Intervals
Population
Acquired Immunodeficiency Syndrome

Keywords

  • Acquired immune deficiency syndrome
  • Foreign-born Latinos
  • Human immunodeficiency virus
  • Late diagnosis
  • Latinos

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011. / Sheehan, Diana M.; Trepka, Mary Jo; Fennie, Kristopher P.; Prado, Guillermo; Madhivanan, Purnima; Dillon, Frank; Maddox, Lorene M.

In: Journal of Immigrant and Minority Health, Vol. 19, No. 4, 01.08.2017, p. 825-834.

Research output: Contribution to journalArticle

Sheehan, Diana M. ; Trepka, Mary Jo ; Fennie, Kristopher P. ; Prado, Guillermo ; Madhivanan, Purnima ; Dillon, Frank ; Maddox, Lorene M. / Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011. In: Journal of Immigrant and Minority Health. 2017 ; Vol. 19, No. 4. pp. 825-834.
@article{97bd875f87454cdd93498d140ff5ea17,
title = "Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011",
abstract = "The objective of this study was to examine individual and neighborhood determinants of late HIV diagnosis by gender and birthplace among Latinos. Florida HIV surveillance data for 2007–2011 were merged with American Community Survey data to estimate the odds of late HIV diagnosis (AIDS within 3 months of HIV diagnosis). Of 5522 HIV-positive Latinos, 26.5 {\%} were diagnosed late. The odds ratio (OR) for late diagnosis was 1.39 times higher for males than females [95 {\%} confidence interval (CI) 1.14–1.69]. Neighborhood-level factors associated with late diagnosis included residing in the 3 highest quartiles of neighborhood unemployment for males. The OR was 1.22 times higher for foreign- than US-born Latinos (95 {\%} CI 1.07–1.40). Among foreign-born, residing in areas in the 2nd and 3rd quartiles of unemployment, in rural areas, and areas with <25 {\%} Hispanic/Latino population were associated with late diagnosis. Population-based HIV testing campaigns may require tailoring to ensure that they effectively reach male Latinos in areas with high unemployment and foreign-born Latinos in rural and predominantly non-Latino areas.",
keywords = "Acquired immune deficiency syndrome, Foreign-born Latinos, Human immunodeficiency virus, Late diagnosis, Latinos",
author = "Sheehan, {Diana M.} and Trepka, {Mary Jo} and Fennie, {Kristopher P.} and Guillermo Prado and Purnima Madhivanan and Frank Dillon and Maddox, {Lorene M.}",
year = "2017",
month = "8",
day = "1",
doi = "10.1007/s10903-016-0422-2",
language = "English (US)",
volume = "19",
pages = "825--834",
journal = "Journal of Immigrant and Minority Health",
issn = "1557-1912",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Individual and Neighborhood Determinants of Late HIV Diagnosis Among Latinos, Florida, 2007–2011

AU - Sheehan, Diana M.

AU - Trepka, Mary Jo

AU - Fennie, Kristopher P.

AU - Prado, Guillermo

AU - Madhivanan, Purnima

AU - Dillon, Frank

AU - Maddox, Lorene M.

PY - 2017/8/1

Y1 - 2017/8/1

N2 - The objective of this study was to examine individual and neighborhood determinants of late HIV diagnosis by gender and birthplace among Latinos. Florida HIV surveillance data for 2007–2011 were merged with American Community Survey data to estimate the odds of late HIV diagnosis (AIDS within 3 months of HIV diagnosis). Of 5522 HIV-positive Latinos, 26.5 % were diagnosed late. The odds ratio (OR) for late diagnosis was 1.39 times higher for males than females [95 % confidence interval (CI) 1.14–1.69]. Neighborhood-level factors associated with late diagnosis included residing in the 3 highest quartiles of neighborhood unemployment for males. The OR was 1.22 times higher for foreign- than US-born Latinos (95 % CI 1.07–1.40). Among foreign-born, residing in areas in the 2nd and 3rd quartiles of unemployment, in rural areas, and areas with <25 % Hispanic/Latino population were associated with late diagnosis. Population-based HIV testing campaigns may require tailoring to ensure that they effectively reach male Latinos in areas with high unemployment and foreign-born Latinos in rural and predominantly non-Latino areas.

AB - The objective of this study was to examine individual and neighborhood determinants of late HIV diagnosis by gender and birthplace among Latinos. Florida HIV surveillance data for 2007–2011 were merged with American Community Survey data to estimate the odds of late HIV diagnosis (AIDS within 3 months of HIV diagnosis). Of 5522 HIV-positive Latinos, 26.5 % were diagnosed late. The odds ratio (OR) for late diagnosis was 1.39 times higher for males than females [95 % confidence interval (CI) 1.14–1.69]. Neighborhood-level factors associated with late diagnosis included residing in the 3 highest quartiles of neighborhood unemployment for males. The OR was 1.22 times higher for foreign- than US-born Latinos (95 % CI 1.07–1.40). Among foreign-born, residing in areas in the 2nd and 3rd quartiles of unemployment, in rural areas, and areas with <25 % Hispanic/Latino population were associated with late diagnosis. Population-based HIV testing campaigns may require tailoring to ensure that they effectively reach male Latinos in areas with high unemployment and foreign-born Latinos in rural and predominantly non-Latino areas.

KW - Acquired immune deficiency syndrome

KW - Foreign-born Latinos

KW - Human immunodeficiency virus

KW - Late diagnosis

KW - Latinos

UR - http://www.scopus.com/inward/record.url?scp=85024397712&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85024397712&partnerID=8YFLogxK

U2 - 10.1007/s10903-016-0422-2

DO - 10.1007/s10903-016-0422-2

M3 - Article

VL - 19

SP - 825

EP - 834

JO - Journal of Immigrant and Minority Health

JF - Journal of Immigrant and Minority Health

SN - 1557-1912

IS - 4

ER -