Abstract
Relocation from one’s birthplace may affect human immunodeficiency virus (HIV) outcomes, but national estimates of HIV outcomes among Hispanics/Latinos by place of birth are limited. We analyzed Medical Monitoring Project data collected in 2015–2018 from 2564 HIV-positive Hispanic/Latino adults and compared clinical outcomes between mainland US-born (referent group), Puerto Rican (PR-born), and those born outside the United States (non-US-born). We reported weighted percentages of characteristics and used logistic regression with predicted marginal means to examine differences between groups (p < 0.05). PR-born Hispanics/Latinos were more likely to be prescribed antiretroviral therapy (ART) (94%) and retained in care (94%) than mainland-US-born (79% and 77%, respectively) and non-US-born (91% and 87%, respectively) Hispanics/Latinos. PR-born Hispanics/Latinos were more likely to have sustained viral suppression (75%) than mainland-US-born Hispanics/Latinos (57%). Non-US-born Hispanics/Latinos were more likely to be prescribed ART (91% vs. 79%), retained in care (87% vs. 77%), and have sustained viral suppression (74% vs. 57%) than mainland-US-born Hispanics/Latinos. Greater Ryan White HIV/AIDS-funded facility usage among PR-born, better mental health among non-US-born, and less drug use among PR-born and non-US-born Hispanics/Latinos may have contributed to better HIV outcomes. Expanding programs with comprehensive HIV/AIDS services, including for mental health and substance use, may reduce HIV outcome disparities among Hispanics/Latinos.
Highlights
Human immunodeficiency virus (HIV) continues to be a serious threat to the health of Hispanic/Latino communities
Among Hispanic/Latino adults with diagnosed HIV, an estimated 40% were born in the mainland
Over three-quarters of non-US-born Hispanics/Latinos immigrated to the United States at age 18 years or older, and most had lived in the United States for 10 or more years
Summary
Human immunodeficiency virus (HIV) continues to be a serious threat to the health of Hispanic/Latino communities. Hispanics/Latinos represented 18% of the US population in 2015 but accounted for 27% of new HIV diagnoses in 2016 [1]. Despite overall improvements in HIV outcomes in the United States, disparities still exist between Hispanic and non-Hispanic persons with diagnosed HIV. A lower proportion of Hispanics/Latinos than non-Hispanic whites with diagnosed. HIV received HIV medical care and had suppressed viral load [2]. Viral suppression is dependent on timely diagnosis and linkage to and retention in HIV medical care. Hispanics/Latinos with diagnosed HIV were more likely to enter HIV care late in the disease course, often with a concurrent
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: International Journal of Environmental Research and Public Health
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
