Racial differences in social determinants of health and outcomes among Hispanic/Latino persons with HIV—United States, 2015–2020

Details

• Alternative Title:
  J Racial Ethn Health Disparities
• Personal Author:
  Padilla, Mabel ; Luna-Gierke, Ruth E. ; Carree, Tamara ; Gutierrez, Mariana ; Yuan, Xin ; Dasgupta, Sharoda
• Description:
  Background
  
  Hispanic/Latino people with HIV (PWH) experience disparities in health outcomes compared with other racial and ethnic groups. Disaggregated data based on race for Hispanic/Latino PWH in the United States are rarely reported, potentially masking inequities.
  
  Methods
  
  The Medical Monitoring Project (MMP) is a complex sample survey of adults with diagnosed HIV. We used weighted interview and medical record data collected from June 2015–May 2021 to examine differences in social determinants of health (SDH) and health outcomes by self-reported race among Hispanic/Latino adults with diagnosed HIV.
  
  Results
  
  Compared with White Hispanic/Latino PWH, Black Hispanic/Latino PWH were more likely to be unemployed (PR, 1.4; CI, 1.2–1.8), have a disability (PR, 1.3; CI, 1.2–1.5), have experienced homelessness (PR, 1.8; CI, 1.2–2.6), and have been incarcerated (PR, 2.6; CI, 1.5–4.5). American Indian/Alaska Native (AI/AN) (PR, 1.8; CI, 1.1–2.7) and multiracial (PR, 2.0; CI, 1.4–2.9) Hispanic/Latino PWH were more likely to have experienced homelessness than White Hispanic/Latino PWH. Black (PR, 1.3; CI, 1.2–1.5) and multiracial (PR, 1.2; CI, 1.1–1.5) Hispanic/Latino PWH were more likely to be virally unsuppressed than White Hispanic/Latino PWH.
  
  Conclusion
  
  Black, multiracial, and AI/AN Hispanic/Latino PWH experience disparities in SDH and HIV outcomes. Lumping Hispanic/Latino people into one racial and ethnic category obscures health disparities, which might limit our progress towards reaching national HIV goals. Future studies should consider disaggregating by other factors such as Hispanic origin, place of birth, immigration status, and primary language. Doing so recognizes the diversity of the Hispanic/Latino population.
  
  
• Subjects:
  Adult Hispanic Or Latino HIV Infections Humans Race Factors Social Determinants Of Health United States
• Keywords:
  Hispanic/Latino HIV Race And Ethnicity Social Determinants Of Health
• Source:
  J Racial Ethn Health Disparities. 11(1):574-588
• Pubmed ID:
  36826779
• Pubmed Central ID:
  PMC10447624
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  11
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:a5a32a748ab623ec88d01a2829942592b107af7fd884622c27c7493fc6c346729b995f413adf1e5dc9056e6b88e88a8c4e5f58000af5ac7ff803ca0688ddecbb
• Download URL:
  https://stacks.cdc.gov/view/cdc/132367/cdc_132367_DS1.pdf
• File Type:
  [PDF - 279.74 KB ]