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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
Main Authors: Wohl, Amy Rock, Tejero, Judith, Frye, Douglas M.
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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
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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&lt;0.0001) and less likely to test as part of a clinical screening (p&lt;0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p&lt;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 &amp; 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 &amp; 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 &amp; numerical data ; Prevention. 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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&lt;0.0001) and less likely to test as part of a clinical screening (p&lt;0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p&lt;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 &amp; 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 &amp; 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. 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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&lt;0.0001) and less likely to test as part of a clinical screening (p&lt;0.0001). Late testers were more likely to receive their first positive HIV test as a hospital inpatient (p&lt;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 &amp; Francis Group</pub><pmid>20024781</pmid><doi>10.1080/09540120902729957</doi><tpages>8</tpages></addata></record>
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source Applied Social Sciences Index & Abstracts (ASSIA); International Bibliography of the Social Sciences (IBSS); Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list)
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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