Details:

Alternative Title:
Medicine (Baltimore)
Personal Author:
Myers, Tanya R. ; Lin, Xia ; Skarbinski, Jacek
Myers, Tanya R. ; Lin, Xia ; Skarbinski, Jacek Less -
Description:
Immigrants to the United States are more likely to be diagnosed with human immunodeficiency virus (HIV) infection compared with native-born persons. Navigating access to healthcare in the United States can be challenging for foreign-born persons, and HIV treatment outcomes may be suboptimal for these persons. We compared characteristics of and assessed disparities in clinical outcomes of foreign-born persons in care for HIV in the United States. The Medical Monitoring Project is a complex sample, cross-sectional survey designed to be nationally representative of HIV-infected adults receiving medical care in the United States. Using data from 2009, 2010, and 2011, we conducted descriptive analyses and multivariable logistic regression to assess associations between foreign-born status and antiretroviral therapy (ART) prescription, and between foreign-born status and viral suppression. In all, 13.4% of HIV-infected persons were self-identified as foreign-born; the most common regions of birth were Central America and Mexico (45.4%) and the Caribbean (16.0%). Nearly 90% of foreign-born persons were diagnosed with HIV after entry into the United States. Compared with US-born persons, foreign-born persons were more likely to be younger, Hispanic, less educated, and uninsured. The prevalence of ART prescription (prevalence ratio 1.00; 95% confidence interval 0.98-1.02) was not significantly different between foreign-born and US-born persons. A higher percentage of foreign-born persons achieved viral suppression compared with US-born persons (prevalence ratio 1.05; 95% confidence interval 1.00-1.09). No major disparities in ART prescription and viral suppression were found between foreign-born and US-born HIV-infected persons receiving medical care, despite higher percentages being uninsured.
Subjects:
[+]
Antirheumatic Agents Cross-Sectional Studies Emigrants And Immigrants HIV Infections Humans Treatment Outcome
Source:
Medicine (Baltimore). 2016; 95(11).
Pubmed ID:
26986128
Pubmed Central ID:
PMC4839909
Document Type:
Journal Article
Funding:
PS09-937/PS/NCHHSTP CDC HHS/United States
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:bb8e5eb21c7f2bfd86d74d17360e2c5fa74e1ee82112988ac87a28457b4c578c
Download URL:
https://stacks.cdc.gov/view/cdc/39880/cdc_39880_DS1.pdf
File Type:

Supporting Files

• 	medi-95-e3051-g005.gif	gif
  	medi-95-e3051-g005.jpg	jpeg
  	medi-95-e3051-g006.gif	gif
  	medi-95-e3051-g006.jpg	jpeg
  	medi-95-e3051.nxml	bin
  	medi-95-e3051-g001.gif	gif
  	medi-95-e3051-g001.jpg	jpeg
  	medi-95-e3051-g002.gif	gif
  	medi-95-e3051-g002.jpg	jpeg
  	medi-95-e3051-g003.gif	gif
  	medi-95-e3051-g003.jpg	jpeg
  	medi-95-e3051-g004.gif	gif
  	medi-95-e3051-g004.jpg	jpeg

More +