Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015

Mary Jo Trepka, Diana M. Sheehan, Kristopher P. Fennie, Daniel E. Mauck, Spencer Lieb, Lorene M. Maddox, Theophile Niyonsenga

Research output: Contribution to journalArticle

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.
Original languageEnglish
Pages (from-to)1153-1175
Number of pages18
JournalJournal of Health Care for the Poor and Underserved
Volume29
Issue number3
Publication statusPublished - Aug 2018

Cite this

Trepka, Mary Jo ; Sheehan, Diana M. ; Fennie, Kristopher P. ; Mauck, Daniel E. ; Lieb, Spencer ; Maddox, Lorene M. ; Niyonsenga, Theophile. / Racial/Ethnic Disparities in Failure to Initiate HIV Care: Role of HIV Testing Site, Individual Factors, and Neighborhood Factors, Florida, 2014-2015. In: Journal of Health Care for the Poor and Underserved. 2018 ; Vol. 29, No. 3. pp. 1153-1175.
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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.",
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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. / Trepka, Mary Jo; Sheehan, Diana M.; Fennie, Kristopher P.; Mauck, Daniel E.; Lieb, Spencer; Maddox, Lorene M.; Niyonsenga, Theophile.

In: Journal of Health Care for the Poor and Underserved, Vol. 29, No. 3, 08.2018, p. 1153-1175.

Research output: Contribution to journalArticle

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