Robert Wood Johnson Medical School, Rutgers University, 277 George St, Piscataway, NJ, 08901, USA.
School of Public Health, Rutgers University, Piscataway, NJ, USA.
J Immigr Minor Health. 2024 Apr;26(2):294-303. doi: 10.1007/s10903-023-01544-8. Epub 2023 Dec 26.
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.
晚期人类免疫缺陷病毒（HIV）诊断与获得性免疫缺陷综合征（AIDS）的早期进展有关。我们在新泽西州的一家社区卫生中心研究了不同种族/族裔在 HIV/AIDS 晚期就诊时的差异。对 1990 年至 2018 年间被诊断为 HIV 的患者的记录进行了审查。在未调整和调整后的模型中，计算了 HIV 诊断时出现 AIDS 的比值比（OR）。分析中包括 182 名（48.3%）拉丁裔、48 名（12.7%）非拉丁裔白人（NLW）、130 名（34.5%）非拉丁裔黑人以及 17 名（4.5%）其他种族/族裔。超过 75%的拉丁裔患者是外国出生的。未经调整（OR=4.85，95%置信区间（95%CI）：2.28-10.31）和调整后的模型（OR=3.71，95%CI：1.60-8.59）中，拉丁裔患者在 HIV 诊断时出现 AIDS 的几率高于 NLW。在本队列中，拉丁裔患者，特别是外国出生和双性恋者，在 HIV 就诊时被诊断出 AIDS 的几率更高。
