Skip to main content
Top
Published in: Journal of Immigrant and Minority Health 2/2024

26-12-2023 | Human Immunodeficiency Virus | Original Paper

Delayed Diagnosis of Human Immunodeficiency Virus in the Latino Population at a Federally Qualified Community Health Center in New Jersey

Authors: Zoee U. D’Costa, Shane S. Neibart, Laura E. Jones, Mansi K. Shah, Kathleen Page, Sneha Jacob, MD

Published in: Journal of Immigrant and Minority Health | Issue 2/2024

Login to get access

Abstract

Late diagnosis of human immunodeficiency virus (HIV) is associated with early progression to acquired immunodeficiency syndrome (AIDS). We examined racial/ethnic differences in presentation with advanced HIV/AIDS at a community health center in New Jersey. Records of patients diagnosed with HIV between 1990 and 2018 were reviewed. Odds ratios (OR) of presenting with AIDS at HIV diagnosis were computed in unadjusted and adjusted models. There were 182 (48.3%) Latino, 48 (12.7%) non-Latino White (NLW), 130 (34.5%) non-Latino Black, and 17 (4.5%) non-Latino of other race/ethnicity included in the analysis. Over 75% of the Latinos were foreign-born. Latino patients had higher odds of presentation with AIDS at time of HIV diagnosis than NLW in unadjusted (OR = 4.85, 95% confidence interval (95% CI): 2.28–10.31) and adjusted models (OR = 3.71, 95%CI: 1.60–8.59). Latino patients, particularly foreign-born and bisexual, had higher odds of being diagnosed with AIDS at presentation with HIV in this cohort.
Literature
3.
go back to reference Hogg RS. Rates of Disease Progression by Baseline CD4 cell count and viral load after initiating Triple-Drug Therapy. JAMA. 2001;286(20):2568.CrossRefPubMed Hogg RS. Rates of Disease Progression by Baseline CD4 cell count and viral load after initiating Triple-Drug Therapy. JAMA. 2001;286(20):2568.CrossRefPubMed
4.
go back to reference Dennis AM, Napravnik S, Sena AC, Eron JJ. Late entry to HIV Care among Latinos compared with Non-Latinos in a Southeastern US Cohort. Clin Infect Dis. 2011;53(5):480–7.CrossRefPubMedPubMedCentral Dennis AM, Napravnik S, Sena AC, Eron JJ. Late entry to HIV Care among Latinos compared with Non-Latinos in a Southeastern US Cohort. Clin Infect Dis. 2011;53(5):480–7.CrossRefPubMedPubMedCentral
5.
go back to reference Morales-Aleman MM, Sutton MY. Hispanics/Latinos and the HIV continuum of care in the Southern USA: a qualitative review of the literature, 2002–2013. AIDS Care. 2014;26(12):1592–604.CrossRefPubMed Morales-Aleman MM, Sutton MY. Hispanics/Latinos and the HIV continuum of care in the Southern USA: a qualitative review of the literature, 2002–2013. AIDS Care. 2014;26(12):1592–604.CrossRefPubMed
7.
go back to reference Chen NE, Gallant JE, Page KR. A systematic review of HIV/AIDS survival and delayed diagnosis among Hispanics in the United States. J Immigr Minor Health. 2012;14(1):65–81.CrossRefPubMedPubMedCentral Chen NE, Gallant JE, Page KR. A systematic review of HIV/AIDS survival and delayed diagnosis among Hispanics in the United States. J Immigr Minor Health. 2012;14(1):65–81.CrossRefPubMedPubMedCentral
8.
go back to reference Gindi RM, Erbelding EJ, Page KR. Sexually transmitted infection prevalence and behavioral risk factors among latino and non-latino patients attending the Baltimore City STD clinics. J Sex Transm Dis. 2010;37(3):191–6.CrossRef Gindi RM, Erbelding EJ, Page KR. Sexually transmitted infection prevalence and behavioral risk factors among latino and non-latino patients attending the Baltimore City STD clinics. J Sex Transm Dis. 2010;37(3):191–6.CrossRef
9.
go back to reference Linley L, Prejean J, An Q, Chen M, Hall HI. Racial/ethnic disparities in HIV diagnoses among persons aged 50 years and older in 37 US States, 2005–2008. Am J Public Health. 2012;102(8):1527–34.CrossRefPubMedPubMedCentral Linley L, Prejean J, An Q, Chen M, Hall HI. Racial/ethnic disparities in HIV diagnoses among persons aged 50 years and older in 37 US States, 2005–2008. Am J Public Health. 2012;102(8):1527–34.CrossRefPubMedPubMedCentral
10.
go back to reference Meyer MA, Champion JD. Protective factors for HIV infection among mexican american men who have sex with men. J Assoc Nurses AIDS Care. 2010;21(1):53–62.CrossRefPubMed Meyer MA, Champion JD. Protective factors for HIV infection among mexican american men who have sex with men. J Assoc Nurses AIDS Care. 2010;21(1):53–62.CrossRefPubMed
11.
go back to reference Ross J, Hanna DB, Felsen UR, Cunningham CO, Patel VV. Emerging from the database shadows: characterizing undocumented immigrants in a large cohort of HIV-infected persons. AIDS Care. 2017;29(12):1491–8.CrossRefPubMedPubMedCentral Ross J, Hanna DB, Felsen UR, Cunningham CO, Patel VV. Emerging from the database shadows: characterizing undocumented immigrants in a large cohort of HIV-infected persons. AIDS Care. 2017;29(12):1491–8.CrossRefPubMedPubMedCentral
15.
go back to reference Castro KG, Ward JW, Slutsker L, Buehler JW, Jaffe HW, Berkelman RL, et al. 1993 revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. Clin Infect Dis. 1993;17(4):802–10.CrossRef Castro KG, Ward JW, Slutsker L, Buehler JW, Jaffe HW, Berkelman RL, et al. 1993 revised classification system for HIV infection and expanded surveillance case definition for AIDS among adolescents and adults. Clin Infect Dis. 1993;17(4):802–10.CrossRef
16.
go back to reference World Health. Organization. ICD-10: international statistical classification of diseases and related health problems: tenth revision. 2nd ed. ed. Geneva: World Health Organization; 2004. World Health. Organization. ICD-10: international statistical classification of diseases and related health problems: tenth revision. 2nd ed. ed. Geneva: World Health Organization; 2004.
17.
go back to reference Tseng A, Seet J, Phillips EJ. The evolution of three decades of antiretroviral therapy: challenges, triumphs and the promise of the future. Br J Clin Pharmacol. 2015;79(2):182–94.CrossRefPubMedPubMedCentral Tseng A, Seet J, Phillips EJ. The evolution of three decades of antiretroviral therapy: challenges, triumphs and the promise of the future. Br J Clin Pharmacol. 2015;79(2):182–94.CrossRefPubMedPubMedCentral
18.
go back to reference Dennis AM, Wheeler JB, Valera E, Hightow-Weidman L, Napravnik S, Swygard H, et al. HIV risk behaviors and sociodemographic features of HIV-infected Latinos residing in a new latino settlement area in the Southeastern United States. AIDS Care. 2013;25(10):1298–307.CrossRefPubMedPubMedCentral Dennis AM, Wheeler JB, Valera E, Hightow-Weidman L, Napravnik S, Swygard H, et al. HIV risk behaviors and sociodemographic features of HIV-infected Latinos residing in a new latino settlement area in the Southeastern United States. AIDS Care. 2013;25(10):1298–307.CrossRefPubMedPubMedCentral
19.
20.
go back to reference Rodriguez-Diaz CE, Martinez O, Bland S, Crowley JS. Ending the HIV epidemic in US Latinx sexual and gender minorities. J Lancet. 2021;397(10279):1043–5.CrossRef Rodriguez-Diaz CE, Martinez O, Bland S, Crowley JS. Ending the HIV epidemic in US Latinx sexual and gender minorities. J Lancet. 2021;397(10279):1043–5.CrossRef
21.
go back to reference Rajabiun S, Rumptz MH, Felizzola J, Frye A, Relf M, Yu G, et al. The impact of acculturation on Latinos’ perceived barriers to HIV primary care. Ethn Dis. 2008;18(4):403–8.PubMed Rajabiun S, Rumptz MH, Felizzola J, Frye A, Relf M, Yu G, et al. The impact of acculturation on Latinos’ perceived barriers to HIV primary care. Ethn Dis. 2008;18(4):403–8.PubMed
22.
go back to reference Ojikutu BO, Mazzola E, Fullem A, Vega R, Landers S, Gelman RS, et al. HIV Testing among Black and hispanic immigrants in the United States. AIDS Patient Care STDS. 2016;30(7):307–14.CrossRefPubMedPubMedCentral Ojikutu BO, Mazzola E, Fullem A, Vega R, Landers S, Gelman RS, et al. HIV Testing among Black and hispanic immigrants in the United States. AIDS Patient Care STDS. 2016;30(7):307–14.CrossRefPubMedPubMedCentral
23.
24.
go back to reference Yamanis TJ, del Río-González AM, Rapoport L, Norton C, Little C, Barker SL, Ornelas IJ. Understanding fear of deportation and its impact on healthcare access among immigrant latinx men who have sex with men. Sex Gend Minor Health. 2021;21:101–31. Yamanis TJ, del Río-González AM, Rapoport L, Norton C, Little C, Barker SL, Ornelas IJ. Understanding fear of deportation and its impact on healthcare access among immigrant latinx men who have sex with men. Sex Gend Minor Health. 2021;21:101–31.
25.
go back to reference Sheehan DM, Trepka MJ, Dillon FR. Latinos in the United States on the HIV/AIDS care continuum by birth country/region: a systematic review of the literature. Int J STD AIDS. 2015;26(1):1–12.CrossRefPubMed Sheehan DM, Trepka MJ, Dillon FR. Latinos in the United States on the HIV/AIDS care continuum by birth country/region: a systematic review of the literature. Int J STD AIDS. 2015;26(1):1–12.CrossRefPubMed
26.
go back to reference Sheehan DM, Trepka MJ, Fennie KP, Prado G, Madhivanan P, Dillon FR, et al. Individual and Neighborhood determinants of late HIV diagnosis among Latinos, Florida, 2007–2011. J Immigr Minor Health. 2017;19(4):825–34.CrossRefPubMedPubMedCentral Sheehan DM, Trepka MJ, Fennie KP, Prado G, Madhivanan P, Dillon FR, et al. Individual and Neighborhood determinants of late HIV diagnosis among Latinos, Florida, 2007–2011. J Immigr Minor Health. 2017;19(4):825–34.CrossRefPubMedPubMedCentral
27.
go back to reference Barrington C, Gandhi A, Gill A, Villa Torres L, Brietzke MP, Hightow-Weidman L. Social networks, migration, and HIV testing among Latinos in a new immigrant destination: insights from a qualitative study. Glob Public Health. 2018;13(10):1507–19.CrossRefPubMed Barrington C, Gandhi A, Gill A, Villa Torres L, Brietzke MP, Hightow-Weidman L. Social networks, migration, and HIV testing among Latinos in a new immigrant destination: insights from a qualitative study. Glob Public Health. 2018;13(10):1507–19.CrossRefPubMed
28.
go back to reference Eholié SP, Badje A, Kouame GM, N’Takpe J-B, Moh R, Danel C et al. Antiretroviral treatment regardless of CD4 count: the universal answer to a contextual question. AIDS Res Ther 2016; 13(1). Eholié SP, Badje A, Kouame GM, N’Takpe J-B, Moh R, Danel C et al. Antiretroviral treatment regardless of CD4 count: the universal answer to a contextual question. AIDS Res Ther 2016; 13(1).
29.
go back to reference Witzig R. The medicalization of race: scientific legitimization of a flawed social construct. Ann Intern Med. 1996;125(8):675–9.CrossRefPubMed Witzig R. The medicalization of race: scientific legitimization of a flawed social construct. Ann Intern Med. 1996;125(8):675–9.CrossRefPubMed
30.
go back to reference Galanti G-A. The hispanic family and male-female relationships: an overview. J Transcult Nurs. 2003;14(3):180–5.CrossRefPubMed Galanti G-A. The hispanic family and male-female relationships: an overview. J Transcult Nurs. 2003;14(3):180–5.CrossRefPubMed
31.
go back to reference Singh S, Song R, Johnson AS, McCray E, Hall HI. HIV incidence, prevalence, and undiagnosed infections in U.S. Men who have sex with men. Ann Intern Med. 2018;168(10):685–94.CrossRefPubMed Singh S, Song R, Johnson AS, McCray E, Hall HI. HIV incidence, prevalence, and undiagnosed infections in U.S. Men who have sex with men. Ann Intern Med. 2018;168(10):685–94.CrossRefPubMed
32.
go back to reference Nduaguba SO, Ford KH, Wilson JP, Lawson KA, Cook RL. Identifying subgroups within at-risk populations that drive late HIV diagnosis in a Southern U.S. state. Int J STD AIDS. 2021;32(2):162–9.CrossRefPubMed Nduaguba SO, Ford KH, Wilson JP, Lawson KA, Cook RL. Identifying subgroups within at-risk populations that drive late HIV diagnosis in a Southern U.S. state. Int J STD AIDS. 2021;32(2):162–9.CrossRefPubMed
33.
go back to reference Mancini MA, Salas-Wright CP, Vaughn MG. Drug use and service utilization among Hispanics in the United States. Soc Psychiatry Psychiatr Epidemiol. 2015;50(11):1679–89.CrossRefPubMed Mancini MA, Salas-Wright CP, Vaughn MG. Drug use and service utilization among Hispanics in the United States. Soc Psychiatry Psychiatr Epidemiol. 2015;50(11):1679–89.CrossRefPubMed
34.
go back to reference Horridge DN, Oh TS, Alonzo J, Mann-Jackson L, Tanner AE, Song EY et al. Barriers to HIV Testing within a sample of spanish-speaking Latinx Gay, Bisexual, and other men who have sex with men: implications for HIV Prevention and Care. Health Behav Res 2019; 2(3). Horridge DN, Oh TS, Alonzo J, Mann-Jackson L, Tanner AE, Song EY et al. Barriers to HIV Testing within a sample of spanish-speaking Latinx Gay, Bisexual, and other men who have sex with men: implications for HIV Prevention and Care. Health Behav Res 2019; 2(3).
35.
go back to reference Bonacci RA, Holtgrave DR. Unmet HIV Service needs among hispanic men who have sex with men in the United States. AIDS Behav. 2016;20(10):2444–51.CrossRefPubMed Bonacci RA, Holtgrave DR. Unmet HIV Service needs among hispanic men who have sex with men in the United States. AIDS Behav. 2016;20(10):2444–51.CrossRefPubMed
36.
go back to reference Hulgan T, Raffanti S, Kheshti A, Blackwell RB, Rebeiro PF, Barkanic G, et al. CD4 lymphocyte percentage predicts disease progression in HIV-infected patients initiating highly active antiretroviral therapy with CD4 lymphocyte counts > 350 lymphocytes/mm3. J Infect Dis. 2005;192(6):950–7.CrossRefPubMed Hulgan T, Raffanti S, Kheshti A, Blackwell RB, Rebeiro PF, Barkanic G, et al. CD4 lymphocyte percentage predicts disease progression in HIV-infected patients initiating highly active antiretroviral therapy with CD4 lymphocyte counts > 350 lymphocytes/mm3. J Infect Dis. 2005;192(6):950–7.CrossRefPubMed
37.
go back to reference Williams LD, Tempalski B, Hall HI, Johnson AS, Wang G, Friedman SR. Trajectories of and disparities in HIV prevalence among Black, White, and Hispanic/Latino high risk heterosexuals in 89 U.S. Metropolitan statistical areas, 1992–2013. Ann Epidemiol. 2021;64:140–8.CrossRefPubMedPubMedCentral Williams LD, Tempalski B, Hall HI, Johnson AS, Wang G, Friedman SR. Trajectories of and disparities in HIV prevalence among Black, White, and Hispanic/Latino high risk heterosexuals in 89 U.S. Metropolitan statistical areas, 1992–2013. Ann Epidemiol. 2021;64:140–8.CrossRefPubMedPubMedCentral
Metadata
Title
Delayed Diagnosis of Human Immunodeficiency Virus in the Latino Population at a Federally Qualified Community Health Center in New Jersey
Authors
Zoee U. D’Costa
Shane S. Neibart
Laura E. Jones
Mansi K. Shah
Kathleen Page
Sneha Jacob, MD
Publication date
26-12-2023
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health / Issue 2/2024
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-023-01544-8

Other articles of this Issue 2/2024

Journal of Immigrant and Minority Health 2/2024 Go to the issue