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Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles
Latinos are more likely to test late for HIV infection compared to other racial/ethnic groups in the United States. A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HI...
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Published in: | AIDS care 2009-09, Vol.21 (9), p.1203-1210 |
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description | Latinos are more likely to test late for HIV infection compared to other racial/ethnic groups in the United States. A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HIV testing outreach strategies. Latinos testing for HIV within one year of an AIDS diagnosis were considered as late testers, while those diagnosed with AIDS more than one year after an HIV diagnosis were defined as non-late testers. After adjusting for age, education, country of birth, and injection drug use in a logistic regression analysis, completion of the interview in Spanish was the main factor associated with late testing (adjusted Odds Ratio (AOR) = 2.9, 95% Confidence Intervals (CIs): 1.4, 6.0). Latinos testing late for HIV were also more likely to test due to illness (p |
doi_str_mv | 10.1080/09540120902729957 |
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A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HIV testing outreach strategies. Latinos testing for HIV within one year of an AIDS diagnosis were considered as late testers, while those diagnosed with AIDS more than one year after an HIV diagnosis were defined as non-late testers. After adjusting for age, education, country of birth, and injection drug use in a logistic regression analysis, completion of the interview in Spanish was the main factor associated with late testing (adjusted Odds Ratio (AOR) = 2.9, 95% Confidence Intervals (CIs): 1.4, 6.0). Latinos testing late for HIV were also more likely to test due to illness (p<0.0001) and less likely to test as part of a clinical screening (p<0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p<0.0001) and less likely to test positive at a community health center or public clinic (p=0.05). To accomplish widespread and timely HIV testing for Latinos in LAC, Spanish-language social marketing campaigns are needed and Spanish-speaking patients should be offered HIV testing in all clinical settings.</description><identifier>ISSN: 0954-0121</identifier><identifier>EISSN: 1360-0451</identifier><identifier>DOI: 10.1080/09540120902729957</identifier><identifier>PMID: 20024781</identifier><identifier>CODEN: AIDCEF</identifier><language>eng</language><publisher>Abingdon: Taylor & Francis Group</publisher><subject>Acquired immune deficiency syndrome ; Adolescent ; Adult ; Aged ; AIDS ; AIDS/HIV ; Biological and medical sciences ; Community based clinics ; Community health ; Comparative analysis ; Diagnostic testing ; Female ; Hispanic Americans ; Hispanic Americans - psychology ; Hispanic Americans - statistics & numerical data ; Hispanics ; HIV ; HIV Infections - diagnosis ; HIV Infections - psychology ; HIV testing ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; language ; late HIV testing ; Latin American people ; Latinos ; Los Angeles ; Male ; Medical diagnosis ; Medical sciences ; Mental health ; Middle Aged ; Patient Acceptance of Health Care - psychology ; Patient Acceptance of Health Care - statistics & numerical data ; Prevention. Health policy. Planification ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Regression Analysis ; Social psychiatry. Ethnopsychiatry ; Time Factors ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Young Adult</subject><ispartof>AIDS care, 2009-09, Vol.21 (9), p.1203-1210</ispartof><rights>Copyright Taylor & Francis Group, LLC 2009</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Taylor & Francis Ltd. 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A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HIV testing outreach strategies. Latinos testing for HIV within one year of an AIDS diagnosis were considered as late testers, while those diagnosed with AIDS more than one year after an HIV diagnosis were defined as non-late testers. After adjusting for age, education, country of birth, and injection drug use in a logistic regression analysis, completion of the interview in Spanish was the main factor associated with late testing (adjusted Odds Ratio (AOR) = 2.9, 95% Confidence Intervals (CIs): 1.4, 6.0). Latinos testing late for HIV were also more likely to test due to illness (p<0.0001) and less likely to test as part of a clinical screening (p<0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p<0.0001) and less likely to test positive at a community health center or public clinic (p=0.05). To accomplish widespread and timely HIV testing for Latinos in LAC, Spanish-language social marketing campaigns are needed and Spanish-speaking patients should be offered HIV testing in all clinical settings.</description><subject>Acquired immune deficiency syndrome</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>AIDS</subject><subject>AIDS/HIV</subject><subject>Biological and medical sciences</subject><subject>Community based clinics</subject><subject>Community health</subject><subject>Comparative analysis</subject><subject>Diagnostic testing</subject><subject>Female</subject><subject>Hispanic Americans</subject><subject>Hispanic Americans - psychology</subject><subject>Hispanic Americans - statistics & numerical data</subject><subject>Hispanics</subject><subject>HIV</subject><subject>HIV Infections - diagnosis</subject><subject>HIV Infections - psychology</subject><subject>HIV testing</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>language</subject><subject>late HIV testing</subject><subject>Latin American people</subject><subject>Latinos</subject><subject>Los Angeles</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical sciences</subject><subject>Mental health</subject><subject>Middle Aged</subject><subject>Patient Acceptance of Health Care - psychology</subject><subject>Patient Acceptance of Health Care - statistics & numerical data</subject><subject>Prevention. Health policy. Planification</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Social psychiatry. Ethnopsychiatry</subject><subject>Time Factors</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Young Adult</subject><issn>0954-0121</issn><issn>1360-0451</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>8BJ</sourceid><recordid>eNqFkU1rGzEQhkVpaBynP6CXIgpNTpuMpNVqBb2YfBoMPfTrKLRarauwXiWSTJJ_HxnbCcSQnOaFed6ZkV6EvhA4IVDDKUheAqEggQoqJRcf0IiwCgooOfmIRqt-kQGyjw5ivAEAChV8Qvs0q1LUZIT-XWqTfIhYx-iN08m2-N6l_7jPEl9P_-JkY3LDHHc-4JnO0kfcOj3PdctOpue_sBvwLLcmw9z2Nh6ivU730X7e1DH6c3nx--y6mP28mp5NZoUpa5kKW3GiuaSc161oaN2IxppaNKWUhpSyYiCM5NpwqKw02lQdb1rKa0pMyZuGsTE6Xs-9Df5umU9VCxeN7Xs9WL-MSjBW1SCpyOTRmyTPKGWEZ_DbK_DGL8OQX6EoEE5WX54hsoZM8DEG26nb4BY6PCoCahWO2gkne75uBi-bhW2fHds0MvB9A-hodN8FPRgXX7i8HohYLf-x5tyQU1noex_6ViX92PuwNbG37hDv2ndcKj0k9gSyz7ki</recordid><startdate>200909</startdate><enddate>200909</enddate><creator>Wohl, Amy Rock</creator><creator>Tejero, Judith</creator><creator>Frye, Douglas M.</creator><general>Taylor & Francis Group</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7QL</scope><scope>7T2</scope><scope>7T7</scope><scope>7U9</scope><scope>8BJ</scope><scope>8FD</scope><scope>C1K</scope><scope>FQK</scope><scope>FR3</scope><scope>H94</scope><scope>JBE</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200909</creationdate><title>Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles</title><author>Wohl, Amy Rock ; Tejero, Judith ; Frye, Douglas M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c489t-e651a592558d7b28b7bec87b499c1496307c95ac506e9cac6f5bd25821c45bb33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>AIDS</topic><topic>AIDS/HIV</topic><topic>Biological and medical sciences</topic><topic>Community based clinics</topic><topic>Community health</topic><topic>Comparative analysis</topic><topic>Diagnostic testing</topic><topic>Female</topic><topic>Hispanic Americans</topic><topic>Hispanic Americans - psychology</topic><topic>Hispanic Americans - statistics & numerical data</topic><topic>Hispanics</topic><topic>HIV</topic><topic>HIV Infections - diagnosis</topic><topic>HIV Infections - psychology</topic><topic>HIV testing</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>language</topic><topic>late HIV testing</topic><topic>Latin American people</topic><topic>Latinos</topic><topic>Los Angeles</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical sciences</topic><topic>Mental health</topic><topic>Middle Aged</topic><topic>Patient Acceptance of Health Care - psychology</topic><topic>Patient Acceptance of Health Care - statistics & numerical data</topic><topic>Prevention. Health policy. Planification</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Social psychiatry. Ethnopsychiatry</topic><topic>Time Factors</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wohl, Amy Rock</creatorcontrib><creatorcontrib>Tejero, Judith</creatorcontrib><creatorcontrib>Frye, Douglas M.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Virology and AIDS Abstracts</collection><collection>International Bibliography of the Social Sciences (IBSS)</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>International Bibliography of the Social Sciences</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>International Bibliography of the Social Sciences</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>AIDS care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wohl, Amy Rock</au><au>Tejero, Judith</au><au>Frye, Douglas M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles</atitle><jtitle>AIDS care</jtitle><addtitle>AIDS Care</addtitle><date>2009-09</date><risdate>2009</risdate><volume>21</volume><issue>9</issue><spage>1203</spage><epage>1210</epage><pages>1203-1210</pages><issn>0954-0121</issn><eissn>1360-0451</eissn><coden>AIDCEF</coden><abstract>Latinos are more likely to test late for HIV infection compared to other racial/ethnic groups in the United States. A population-based interview study was used to examine factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles County (LAC) to develop more effective HIV testing outreach strategies. Latinos testing for HIV within one year of an AIDS diagnosis were considered as late testers, while those diagnosed with AIDS more than one year after an HIV diagnosis were defined as non-late testers. After adjusting for age, education, country of birth, and injection drug use in a logistic regression analysis, completion of the interview in Spanish was the main factor associated with late testing (adjusted Odds Ratio (AOR) = 2.9, 95% Confidence Intervals (CIs): 1.4, 6.0). Latinos testing late for HIV were also more likely to test due to illness (p<0.0001) and less likely to test as part of a clinical screening (p<0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p<0.0001) and less likely to test positive at a community health center or public clinic (p=0.05). To accomplish widespread and timely HIV testing for Latinos in LAC, Spanish-language social marketing campaigns are needed and Spanish-speaking patients should be offered HIV testing in all clinical settings.</abstract><cop>Abingdon</cop><pub>Taylor & Francis Group</pub><pmid>20024781</pmid><doi>10.1080/09540120902729957</doi><tpages>8</tpages></addata></record> |
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subjects | Acquired immune deficiency syndrome Adolescent Adult Aged AIDS AIDS/HIV Biological and medical sciences Community based clinics Community health Comparative analysis Diagnostic testing Female Hispanic Americans Hispanic Americans - psychology Hispanic Americans - statistics & numerical data Hispanics HIV HIV Infections - diagnosis HIV Infections - psychology HIV testing Human immunodeficiency virus Human viral diseases Humans Infectious diseases language late HIV testing Latin American people Latinos Los Angeles Male Medical diagnosis Medical sciences Mental health Middle Aged Patient Acceptance of Health Care - psychology Patient Acceptance of Health Care - statistics & numerical data Prevention. Health policy. Planification Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Social psychiatry. Ethnopsychiatry Time Factors Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Young Adult |
title | Factors associated with late HIV testing for Latinos diagnosed with AIDS in Los Angeles |
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