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Article

HIV Care Outcomes among Hispanics/Latinos with Diagnosed HIV in the United States by Place of Birth-2015–2018, Medical Monitoring Project

1
The National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP), Centers for Disease Control and Prevention (CDC), Atlanta, GA 30329, USA
2
ICF Assigned to DHAP, NCHHSTP, CDC, Atlanta, GA 30329, USA
3
Puerto Rico Department of Health, San Juan, PR 00936, USA
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(1), 171; https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010171
Received: 10 December 2019 / Revised: 23 December 2019 / Accepted: 23 December 2019 / Published: 25 December 2019
(This article belongs to the Special Issue The Health and Wellbeing of Migrant Populations)
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. View Full-Text
Keywords: human immunodeficiency virus; Hispanic/Latino; Puerto Rico; migrants and immigrants; HIV medical care; ART prescription; retention in medical care; viral suppression; Ryan White HIV/AIDS Program human immunodeficiency virus; Hispanic/Latino; Puerto Rico; migrants and immigrants; HIV medical care; ART prescription; retention in medical care; viral suppression; Ryan White HIV/AIDS Program
MDPI and ACS Style

Demeke, H.B.; Luo, Q.; Luna-Gierke, R.E.; Padilla, M.; Girona-Lozada, G.; Miranda-De León, S.; Weiser, J.; Beer, L. HIV Care Outcomes among Hispanics/Latinos with Diagnosed HIV in the United States by Place of Birth-2015–2018, Medical Monitoring Project. Int. J. Environ. Res. Public Health 2020, 17, 171. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010171

AMA Style

Demeke HB, Luo Q, Luna-Gierke RE, Padilla M, Girona-Lozada G, Miranda-De León S, Weiser J, Beer L. HIV Care Outcomes among Hispanics/Latinos with Diagnosed HIV in the United States by Place of Birth-2015–2018, Medical Monitoring Project. International Journal of Environmental Research and Public Health. 2020; 17(1):171. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010171

Chicago/Turabian Style

Demeke, Hanna B., Qingwei Luo, Ruth E. Luna-Gierke, Mabel Padilla, Gladys Girona-Lozada, Sandra Miranda-De León, John Weiser, and Linda Beer. 2020. "HIV Care Outcomes among Hispanics/Latinos with Diagnosed HIV in the United States by Place of Birth-2015–2018, Medical Monitoring Project" International Journal of Environmental Research and Public Health 17, no. 1: 171. https://0-doi-org.brum.beds.ac.uk/10.3390/ijerph17010171

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